Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 996,
    "title": "Legionella Pneumonia on Point-of-care Ultrasound in the Emergency Department: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n \nLegionella\n is an uncommon, atypical organism that can cause community-acquired pneumonia. Commonly associated with high fevers, gastrointestinal symptoms, and hyponatremia, it can be easily overlooked, especially during the coronavirus disease of 2019 (COVID-19) pandemic. \nLegionella\n has specific antibiotic treatment that will improve outcome; thus, its recognition is important.\nCase Report:\n We present a case of \nLegionella\n pneumonia in a man presenting with shortness of breath and fever. The patient’s initial chest radiography was negative. With the use of point-of-care ultrasound (POCUS) the changes of atypical pneumonia could be seen. Ultimately \nLegionella\n was confirmed with urine antigen testing, and appropriate antibiotic treatment was started.\nDiscussion:\n Given the increased awareness of COVID-19 it is important to consider a broad differential with respiratory illness. \nLegionella\n pneumonia on POCUS is consistent with atypical pneumonia descriptions on ultrasound. Point-of-care ultrasound can be used to diagnose atypical pneumonia, specifically caused by \nLegionella\n in our case.\nConclusion:\n \nLegionella\n is evident on POCUS but is difficult to distinguish from other infections with POCUS alone. One should consider \nLegionella\n if POCUS is positive for signs of atypical infection.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "ultrasound"
        },
        {
            "word": "Legionella"
        },
        {
            "word": "atypical pneumonia"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/57z2k92v",
    "frozenauthors": [
        {
            "first_name": "Robert",
            "middle_name": "W.",
            "last_name": "Lopez",
            "name_suffix": "",
            "institution": "Des Moines University College of Osteopathic Medicine, Des Moines, Iowa",
            "department": "None"
        },
        {
            "first_name": "Matthew",
            "middle_name": "K.",
            "last_name": "Hysell",
            "name_suffix": "",
            "institution": "Spectrum Health - Lakeland, Emergency Medicine, St. Joseph, Michigan",
            "department": "None"
        },
        {
            "first_name": "Jereme",
            "middle_name": "P.",
            "last_name": "Long",
            "name_suffix": "",
            "institution": "Spectrum Health - Lakeland, Emergency Medicine, St. Joseph, Michigan",
            "department": "None"
        },
        {
            "first_name": "Joseph",
            "middle_name": "",
            "last_name": "Longobardi",
            "name_suffix": "",
            "institution": "Spectrum Health - Lakeland, Emergency Medicine, St. Joseph, Michigan",
            "department": "None"
        }
    ],
    "date_submitted": "2021-03-01T18:26:19-05:00",
    "date_accepted": "2021-03-01T18:26:19-05:00",
    "date_published": "2021-03-01T03:00:00-05:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/996/galley/743/download/"
        }
    ]
}