FOLLICULAR BRONCHIOLITIS ASSOCIATED WITH LEGIONELLA PNEUMOPHILIA INFECTION

T. Masuda Department of Pathology, School of Medicine, Toho University, Tokyo, JapanCorrespondenceE-mail: [email protected]

Y. Ishikawa Department of Pathology, School of Medicine, Toho University, Tokyo, Japan

Y. Akasaka Department of Pathology, School of Medicine, Toho University, Tokyo, Japan

T. Ishii Department of Pathology, School of Medicine, Toho University, Tokyo, Japan

K. Tateda Department of Microbiology, School of Medicine, Toho University, Tokyo, Japan

Y. Ishii Department of Microbiology, School of Medicine, Toho University, Tokyo, Japan

K. Yamaguchi Department of Microbiology, School of Medicine, Toho University, Tokyo, Japan

H. Kiguchi Department of Pathology, Saiseikai Kanagawaken Hospital, Yokohama, Japan

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Abstract

An 8-month-old girl with respiratory distressand stridor was admitted to our hospital. Two days later, she died of respiratory insufficiency due to pneumonia. Autopsy confirmed the presence of follicular bronchiolitis (FBB) in both lungs. After consideration of her clinical course, we focused on three pathogens: Legionella pneumophilia , Pneumocystis carinii , and Mycobacterium tuberculosis . Only Legionella pneumophilia was detected by both immunohistochemistry and polymerase chain reaction.

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FOLLICULAR BRONCHIOLITIS ASSOCIATED WITH LEGIONELLA PNEUMOPHILIA INFECTION

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FOLLICULAR BRONCHIOLITIS ASSOCIATED WITH LEGIONELLA PNEUMOPHILIA INFECTION

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