DIFFUSE CAVITARY LEGIONELLA PNEUMONIA: AN UNCOMMON RADIOGRAPHIC MANIFESTATION IN AN IMMUNOCOMPROMISED PATIENT WITH SYSTEMIC LUPUS ERYTHEMATOSUS (CHEST 2026) - Jul 6, 2026 - Pres time: Oct 19, 2026; 02:35 PM - 02:39 PM; Location: Phoenix Convention Center Exhibit Hall Rapid Fire Area 2A; "CASE PRESENTATION: A 29-year-old male with SLE on mycophenolate mofetil and voclosporin, who was recently tapered off corticosteroid therapy presented with high-grade fevers (Tmax 103◦F), lethargy and acute hypoxemic respiratory failure complicated by ARDS requiring emergent intubation and vasopressors...He was started on meropenem, vancomycin for healthcare-associated pneumonia, trimethoprim-sulfamethoxazole for Pneumocystis Jirovecii Pneumonia (PJP) treatment and stress dose steroids for septic shock...Antibiotics were narrowed to azithromycin and PJP prophylaxis...He also developed right apical pneumothorax requiring chest tube, severe acute kidney injury (AKI) with hyperkalemia necessitating dialysis, transaminitis, mucosal Herpes Simplex (HSV) infection with HSV-1 viremia requiring acyclovir, and stress-induced cardiomyopathy with ejection fraction of 20%... Bilateral multiple cavitary Legionella pneumonia represents a rare but life-threatening complication in..."
Clinical • Acute Kidney Injury • Acute Respiratory Distress Syndrome • Cardiomyopathy • Cardiovascular • CNS Disorders • Cytomegalovirus Infection • Herpes Simplex • Immunology • Infectious Disease • Inflammatory Arthritis • Lupus • Nephrology • Pneumonia • Renal Disease • Respiratory Diseases • Septic Shock • Systemic Lupus Erythematosus • Tuberculosis
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SAMIRA HAYEE BRETT WILL STEPHANIE L BARRETT AND DIVYA REDDY
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