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American Journal of Critical Care. 2007;16: 320-317
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Cases of Note features peer-reviewed case reports and case series that document clinically relevant findings from critical and high acuity care environments. Cases that illuminate a clinical diagnosis or a management issue in the treatment of critically and acutely ill patients and include discussion of the patient’s experience with the illness or intervention are encouraged. Proposals for future Cases of Note articles may be e-mailed to ajcc{at}aacn.org.

Severe Sepsis and Acute Respiratory Distress Syndrome From Community-Acquired Legionella Pneumonia: Case Report

By Dominic DeMello, MD, Laura Kierol-Andrews, APRN, PhD and Paul J. Scalise, MD. From Dominic DeMello is a second-year resident in internal medicine/primary care at the University of Connecticut in Farmington. Laura Kierol-Andrews is an acute care nurse practitioner in critical care medicine and manager of the medical rapid response team at The Hospital of Central Connecticut at New Britain General in New Britain, Conn. Paul J. Scalise is the chief of pulmonary medicine at the Hospital for Special Care in New Britain, Conn.

Corresponding author: Laura Kierol-Andrews, The Hospital of Central Connecticut at New Britain General, 100 Grand St, New Britain, CT 06050 (e-mail: landrews02{at}snet.net).

A case of a young man with community-acquired pneumonia, severe acute respiratory distress syndrome, and sepsis is reported. Treatment with antibiotics and various modes of mechanical ventilation in the intensive care unit were unsuccessful. A urinary legionella antigen test was positive for Legionella pneumophila.






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