Legionnaires' disease with mediastinal lymph nodes swelling, diagnosed by open lung biopsy--a case report
Shinada, J.; Yoshimura, H.; Hirai, S.; Ishihara, A.
Nihon Kyobu Geka Gakkai 39(2): 224-227
1991
ISSN/ISBN: 0369-4739 PMID: 2033340 Document Number: 370336
Legionnaires' disease in a 37-year-old male who had had silicosis was reported. He was admitted because of dyspnea. The chest X-ray film and CT scan showed infiltrative shadow and swelling of mediastinal lymph nodes. Open lung biopsy was done and Legionella pneumohila was detected. REP and EM were started and infiltrative shadow of X-ray was disappeared. Pleuro-pneumonectomy and thoracoplasty were performed because of hemoptysis and postoperative empyema. The patient is now well.