NEUROLOGIC MANIFESTATIONS OF LEGIONNAIRE’S DISEASE IN THE ABSENCE OF PULMONARY SYMPTOMS.

Wan Yi LEONG¹, Anna Misyail ABDUL RASHID², Janudin BAHARIN², Wan Aliaa WAN SULAIMAN², Liyana Najwa INCHE MAT², Hamidon BASRI².

¹Department of Medicine, Hospital Serdang, 43000 Kajang, Selangor, Malaysia.

²Department of Neurology, Faculty of Medicine and Health Science, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia.

ABSTRACT

Legionnaires' disease, also known as legionellosis is caused by bacteria legionella. It commonly presents with respiratory symptoms and extrapulmonary legionella disease is rare. Here we report a rare case of Legionnaire’s disease with meningoencephalitis in a patient without pulmonary involvement. Imaging studies and cerebrospinal fluid analysis suggested meningoencephalitis. He was subsequently diagnosed with Legionella infection and was discharged well without any neurological deficit after antibiotic therapy. This condition should be considered in the differential diagnosis of meningoencephalitis.

KEYWORDS: Extrapulmonary, Legionnaire’s disease, Legionellosis, Meningoencephalitis, Serology, Neurologic manifestations.

Corresponding author: Liyana Najwa Inche Mat, Department of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia Contact Phone Number: +060389472300; Fax number: +060389472585; Email: liyananajwa@upm.edu.my

Brunei Int Med J.2022;18:124-128