Brainstem involvement in Legionnaires' disease.

OBJECTIVE

To report a case of Legionella pneumonia with unusual neurologic involvement.

INTERVENTION: Chest X-ray, lumbar puncture, magnetic imaging of the brain, electroencephalography, audiometry, brainstem acoustic evoked potentials and institution of oral antibiotics and steroids.

MAIN RESULT: Gradual clinical improvement of neurologic and pulmonary illness within 4 weeks.

CONCLUSION

Legionellosis should be considered in the differential diagnosis of neurologic involvement in the setting of pneumonia.