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Ann Thorac Surg 1985;39:308-311
© 1985 The Society of Thoracic Surgeons

Articles

Legionnaires' Disease after Heart Transplantation

J. Fuller, M.D.*, Mark M. Levinson, M.D., J. Richard Kline, M.D., J. Copeland, M.D.

Department of Surgery, Division of Cardiothoracic Surgery, and the Department of Radiology, University of Arizona Health Sciences Center, Tucson, AZ

Accepted for publication June 22, 1984.

* Address reprint requests to Dr. Fuller, Department of Surgery, University of Arizona Health Sciences Center, Tucson, AZ 85724

The cases of 8 heart transplant recipients with legionnaires' disease are reviewed. The diagnosis in each patient was made by fluorescent antibody stains or direct culture of the sputum, transtracheal aspirate, or fine needle aspirate of the lung. All patients were successfully treated with erythromycin alone or in combination with rifampin. Radiographic and clinical variations of legionnaires' disease as seen in the immunocompromised host are presented.






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