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Article: Legionella pneumonia and bacteraemia in association with protein-losing enteropathy after Fontan operation
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TitleLegionella pneumonia and bacteraemia in association with protein-losing enteropathy after Fontan operation
 
AuthorsCheung, YF1
Leung, MP1
Yuen, KY1
 
Issue Date2001
 
PublisherWB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/jinf
 
CitationJournal Of Infection, 2001, v. 42 n. 3, p. 206-207 [How to Cite?]
DOI: http://dx.doi.org/10.1053/jinf.2001.0821
 
AbstractA 20-year-old young man suffered from severe protein-losing enteropathy 4 years after Fontan operation. His postoperative haemodynamics were unfavourable in terms of poor myocardial contractility and moderate atrioventricular prosthetic paravalvar leakage. A 2-week trial of steroid therapy for protein-losing enteropathy was given without success. The clinical course was complicated by Legionella pneumophila pneumonia and bacteraemia, which respond to the combination therapy with intravenous erythromycin and ciprofloxacin. The vulnerability of the patient to infection was related to an immuno-deficiency state secondary to protein-losing enteropathy and steroid therapy. Steroids should be used with caution in the management of protein-losing enteropathy after Fontan operation. © 2001 The British Infection Society.
 
ISSN0163-4453
2013 Impact Factor: 4.017
2013 SCImago Journal Rankings: 1.738
 
DOIhttp://dx.doi.org/10.1053/jinf.2001.0821
 
ISI Accession Number IDWOS:000169588600008
 
ReferencesReferences in Scopus
 
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dc.contributor.authorCheung, YF
 
dc.contributor.authorLeung, MP
 
dc.contributor.authorYuen, KY
 
dc.date.accessioned2010-09-06T07:48:22Z
 
dc.date.available2010-09-06T07:48:22Z
 
dc.date.issued2001
 
dc.description.abstractA 20-year-old young man suffered from severe protein-losing enteropathy 4 years after Fontan operation. His postoperative haemodynamics were unfavourable in terms of poor myocardial contractility and moderate atrioventricular prosthetic paravalvar leakage. A 2-week trial of steroid therapy for protein-losing enteropathy was given without success. The clinical course was complicated by Legionella pneumophila pneumonia and bacteraemia, which respond to the combination therapy with intravenous erythromycin and ciprofloxacin. The vulnerability of the patient to infection was related to an immuno-deficiency state secondary to protein-losing enteropathy and steroid therapy. Steroids should be used with caution in the management of protein-losing enteropathy after Fontan operation. © 2001 The British Infection Society.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationJournal Of Infection, 2001, v. 42 n. 3, p. 206-207 [How to Cite?]
DOI: http://dx.doi.org/10.1053/jinf.2001.0821
 
dc.identifier.doihttp://dx.doi.org/10.1053/jinf.2001.0821
 
dc.identifier.epage207
 
dc.identifier.hkuros64952
 
dc.identifier.isiWOS:000169588600008
 
dc.identifier.issn0163-4453
2013 Impact Factor: 4.017
2013 SCImago Journal Rankings: 1.738
 
dc.identifier.issue3
 
dc.identifier.openurl
 
dc.identifier.pmid11545554
 
dc.identifier.scopuseid_2-s2.0-0034900255
 
dc.identifier.spage206
 
dc.identifier.urihttp://hdl.handle.net/10722/78917
 
dc.identifier.volume42
 
dc.languageeng
 
dc.publisherWB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/jinf
 
dc.publisher.placeUnited Kingdom
 
dc.relation.ispartofJournal of Infection
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshAdult
 
dc.subject.meshFontan Procedure - adverse effects
 
dc.subject.meshHumans
 
dc.subject.meshLegionella pneumophila - isolation & purification
 
dc.subject.meshLegionnaires' Disease - complications - diagnosis
 
dc.subject.meshMale
 
dc.subject.meshPneumonia, Bacterial - complications - diagnosis - microbiology
 
dc.subject.meshProtein-Losing Enteropathies - complications - etiology
 
dc.titleLegionella pneumonia and bacteraemia in association with protein-losing enteropathy after Fontan operation
 
dc.typeArticle
 
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Author Affiliations
  1. The University of Hong Kong