{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:02:43Z","timestamp":1740164563733,"version":"3.37.3"},"reference-count":19,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Psychiatry"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>We report a case of a 61-year-old woman who presented with acute psychosis as a major manifestation of Legionnaires\u2019 disease in the absence of other neuropsychiatric symptoms. Clinical history revealed dry cough and nausea. Observation showed fever and auscultation crackles in the lower lobe of the right lung. Laboratory testing demonstrated elevated C-reactive protein and lung chest radiograph showed patchy peribronchial and right lower lobe consolidation. Soon after admission, she started producing purulent sputum. Epidemiological data suggested<jats:italic>Legionella pneumophila<\/jats:italic>as possible cause of the clinical picture that was confirmed by urinary antigen detection and polymerase chain reaction of the sputum. She was treated with levofloxacin 750\u2009mg\/day for 10 days with complete remission of pulmonary and psychiatric symptoms. She has not had further psychotic symptoms.<\/jats:p>","DOI":"10.1155\/2016\/3519396","type":"journal-article","created":{"date-parts":[[2016,7,29]],"date-time":"2016-07-29T12:15:53Z","timestamp":1469794553000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["Acute Psychosis as Major Clinical Presentation of Legionnaires\u2019 Disease"],"prefix":"10.1155","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2939-9436","authenticated-orcid":true,"given":"Ricardo","family":"Coentre","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Hospital Vila Franca de Xira, Estrada Nacional N1, 2600-009 Vila Franca de Xira, Portugal"},{"name":"Faculty of Medicine, University of Lisbon, Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Am\u00edlcar","family":"Silva-dos-Santos","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Hospital Vila Franca de Xira, Estrada Nacional N1, 2600-009 Vila Franca de Xira, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel Cotrim","family":"Talina","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Hospital Vila Franca de Xira, Estrada Nacional N1, 2600-009 Vila Franca de Xira, Portugal"},{"name":"CEDOC, Chronic Diseases Research Centre, Nova Medical School, Faculdade de Ci\u00eancias M\u00e9dicas, New University of Lisbon, Campo M\u00e1rtires da P\u00e1tria, 1169-056 Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1500245"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1086\/380488"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.4103\/0972-2327.82806"},{"issue":"50","key":"4","volume":"19","year":"2014","journal-title":"Eurosurveillance"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.45.7.603"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.65.760.96"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1186\/1745-0179-1-15"},{"issue":"4","key":"9","first-page":"252","volume":"15","year":"2002","journal-title":"Neuropsychiatry, Neuropsychology and Behavioral Neurology"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8627(05)70118-8"},{"issue":"445","key":"11","doi-asserted-by":"crossref","first-page":"1876","DOI":"10.53738\/REVMED.2014.10.445.1876","volume":"10","year":"2014","journal-title":"Revue M\u00e9dicale Suisse"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.4103\/0970-2113.63611"},{"year":"1992","key":"13"},{"year":"2013","key":"14"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/s1473-3099(14)70713-3"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(15)60078-2"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1086\/318446"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2004.02.011"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1086\/511159"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.4104\/pcrj.2010.00014"}],"container-title":["Case Reports in Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crips\/2016\/3519396.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crips\/2016\/3519396.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crips\/2016\/3519396.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T15:52:11Z","timestamp":1718725931000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/crips\/2016\/3519396\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":19,"alternative-id":["3519396","3519396"],"URL":"https:\/\/doi.org\/10.1155\/2016\/3519396","relation":{},"ISSN":["2090-682X","2090-6838"],"issn-type":[{"type":"print","value":"2090-682X"},{"type":"electronic","value":"2090-6838"}],"subject":[],"published":{"date-parts":[[2016]]}}}