A rare cause of dysarthria: Legionnaires' disease

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dc.authorid0000-0002-2450-6378en_US
dc.authorid0000-0002-6686-5344en_US
dc.authorid0000-0002-9647-4432en_US
dc.authorid0000-0003-0837-8756en_US
dc.contributor.authorAfşin, Emine
dc.contributor.authorKüçük, Furkan
dc.contributor.authorYıldız, Serpil
dc.contributor.authorErsoy, Sadettin
dc.date.accessioned2024-04-25T13:38:05Z
dc.date.available2024-04-25T13:38:05Z
dc.date.issued2023en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractPurpose/Aim of the StudyA case admitted with dysarthria and syncope and hyperintense lesion in the splenium of the corpus callosum, diagnosed as Legionnaires' disease by detecting Legionella antigen in the urine, and recovered only with antibiotic treatment is presented because it is rare in the literature.Materials and MethodsWhen a 64-year-old female patient was admitted to the emergency department with complaints of sudden loss of consciousness and fainting at home, she had speech impairment, and her pulse oxygen saturation in room air was 88%. In the neurological examination, there was no pathological finding except dysarthria in the patient with no motor deficit. The patient had no respiratory complaints and had a recent travel history. In laboratory examinations, hyponatremia was detected with increased C-reactive protein and liver enzymes. Consolidation was observed in the lower right zone on chest computed tomography. Ampicillin + sulbactam (4x1 gr, intravenous) and clarithromycin (2 x 500 mg orally) were initiated. On cranial magnetic resonance, a hyperintense lesion was observed in the splenium of the corpus callosum in the oval T2 sequence. Legionella pneumophila serogroup 1 antigen in urine was reported as positive. On the fourth day of her hospitalization, the patient, whose CRP and liver enzyme values regressed, her hyponatremia improved, her pulse oxygen saturation increased to 92% in room air, and her speech became comprehensible, was discharged after oral antibiotic treatment was arranged. On the 12th day, the speech ability of the patient completely returned to normal.ConclusionLegionella infection should be suspected in the presence of pneumonia and corpus callosum splenium lesion.en_US
dc.identifier.citationAfsin, E., Küçük, F., Yıldız, S., & Ersoy, S. (2023). A rare cause of dysarthria: Legionnaires’ disease. International Journal of Neuroscience, 1-3.en_US
dc.identifier.doi10.1080/00207454.2023.2292952
dc.identifier.endpage3en_US
dc.identifier.issn0020-7454
dc.identifier.issn1563-5279
dc.identifier.pmid38060476en_US
dc.identifier.scopus2-s2.0-85180205980en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1en_US
dc.identifier.urihttp://dx.doi.org/10.1080/00207454.2023.2292952
dc.identifier.urihttps://hdl.handle.net/20.500.12491/12112
dc.identifier.wosWOS:001122551900001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAfşin, Emine
dc.institutionauthorKüçük, Furkan
dc.institutionauthorErsoy, Serpil
dc.institutionauthorErsoy, Sadettin
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofİnternational Journal of Neuroscienceen_US
dc.relation.publicationcategoryOlgu Sunumu - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLegionnaires' Diseaseen_US
dc.subjectDysarthriaen_US
dc.subjectCorpus Callosum Spleniumen_US
dc.subjectPneumoniaen_US
dc.subjectLegionelllaen_US
dc.titleA rare cause of dysarthria: Legionnaires' diseaseen_US
dc.typeCase Reporten_US

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