Abstract：
BACKGROUND: Legionella has a higher prevalence in India than in the world. Legionaries\' disease most commonly involves the lungs but because of increased awareness, extrapulmonary manifestations are also being diagnosed more frequently.
METHODS: We present a case of a young female with acute onset of fever and chest pain. On initial investigation, an electrocardiogram (ECG) reported widespread pulse rate (PR) depression suggestive of pericarditis which was confirmed by ECG. High-resolution computed tomography (HRCT) thorax suggested mild bilateral pleural effusion with normal lung parenchyma. elevated erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) added to the diagnosis of serositis. Serological study for atypical organisms was remarkable for positive immunoglobulin M (IgM) for Legionella. She was treated with a high dose of steroids and azithromycin successfully.
CONCLUSIONS: Isolated extrapulmonary presentation of legionaries disease is often overlooked and is common. So it should be always included in the diagnostic armamentarium as treatment is highly efficacious if started early.
METHODS: We present a case of a young female with acute onset of fever and chest pain. On initial investigation, an electrocardiogram (ECG) reported widespread pulse rate (PR) depression suggestive of pericarditis which was confirmed by ECG. High-resolution computed tomography (HRCT) thorax suggested mild bilateral pleural effusion with normal lung parenchyma. elevated erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) added to the diagnosis of serositis. Serological study for atypical organisms was remarkable for positive immunoglobulin M (IgM) for Legionella. She was treated with a high dose of steroids and azithromycin successfully.
CONCLUSIONS: Isolated extrapulmonary presentation of legionaries disease is often overlooked and is common. So it should be always included in the diagnostic armamentarium as treatment is highly efficacious if started early.
摘要：
背景：军团菌在印度的患病率高于世界。军团病最常见的是肺部，但由于意识增强，肺外表现也被更频繁地诊断。
方法：我们介绍一例年轻女性急性发热和胸痛。在初步调查中，心电图（ECG）报告广泛的脉搏率（PR）下降，提示心包炎，经ECG证实。高分辨率计算机断层扫描（HRCT）胸部提示轻度双侧胸腔积液，肺实质正常。红细胞沉降率（ESR）升高，C反应蛋白（CRP）被添加到浆膜炎的诊断中。非典型生物的血清学研究对于军团菌的免疫球蛋白M（IgM）阳性是显着的。她成功接受了高剂量类固醇和阿奇霉素治疗。
结论：孤立的军团菌疾病肺外表现常常被忽视，并且很常见。因此，应始终将其包括在诊断性医疗设备中，因为如果及早开始治疗，治疗将非常有效。
方法：我们介绍一例年轻女性急性发热和胸痛。在初步调查中，心电图（ECG）报告广泛的脉搏率（PR）下降，提示心包炎，经ECG证实。高分辨率计算机断层扫描（HRCT）胸部提示轻度双侧胸腔积液，肺实质正常。红细胞沉降率（ESR）升高，C反应蛋白（CRP）被添加到浆膜炎的诊断中。非典型生物的血清学研究对于军团菌的免疫球蛋白M（IgM）阳性是显着的。她成功接受了高剂量类固醇和阿奇霉素治疗。
结论：孤立的军团菌疾病肺外表现常常被忽视，并且很常见。因此，应始终将其包括在诊断性医疗设备中，因为如果及早开始治疗，治疗将非常有效。
