Legionnaire's Disease

Autor: John L. Brusch
Rok vydání: 2017
Předmět:
Zdroj: Infectious Disease Clinics of North America. 31:69-80
ISSN: 0891-5520
DOI: 10.1016/j.idc.2016.10.006
Popis: Most cardiac infections with Legionella are secondary to bacteremias arising from a pulmonary focus. Other possible sites of origin are infected sternotomy wounds or equipment contaminated by Legionella spp. Legionella endocarditis is truly a "stealth" infection, with almost no hallmarks of bacterial endocarditis. The key step in making the diagnosis of Legionella endocarditis is for the physician to be aware of the clinical causes of culture-negative infective endocarditis and to include Legionella cardiac involvement in this differential. Many times the issue of endocarditis arises only on examination of resected valvular material.
Databáze: OpenAIRE