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Emmanouil K. SYMVOULAKIS

Latest posts by Emmanouil K. SYMVOULAKIS (see all)

Articles signed on MÆDICA, JCM:

Legionella Pneumophilla Infection Masquerading as Acute Cholecystitis

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MÆDICA - a Journal of Clinical Medicine | Vol. 10, nr. 3, 2015 CNCSIS - CMR - B+ OBBCSSR

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Legionella Pneumophilla Infection Masquerading as Acute Cholecystitis

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ABSTRACT

Legionella pneumophilla represents a relatively common cause of community acquired pneumonia with high mortality related burden if not promptly diagnosed and treated with appropriate antibiotics. Clinical characteristics of Legionella infection are often non-specific making accurate diagnosis challenging.

We report a case of a middle aged immunocompetent woman referred to our department via her general
practitioner with a history of fever and abdominal pain located in the right upper abdominal quadrant. Initial diagnostic work up disclosed a moderate elevation of inflammation markers and chololithiasis. The paucity of respiratory symptoms led initially to an altered presumed diagnosis of acute cholecystitis. Development of pulmonary symptoms during hospitalization raised the suspicion of Legionella community acquired pneumonia. The diagnosis was later confirmed by serology.

Keywords: Legionella, community acquired pneumonia, cholecystitis, diagnosis

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Oral Human Papillomavirus Infection: New Challenges for a New Era?

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MÆDICA - a Journal of Clinical Medicine | Vol. 8, nr. 4, 2013

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Oral Human Papillomavirus Infection: New Challenges for a New Era?

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Dr Kreimer and colleagues (1) in their interesting cohort study assessed epidemiological patterns of oral HPV infection among healthy men in Brazil, Mexico, and USA. A new oral oncogenic HPV infection was more likely to occur in men reporting current or former smoking habit as well as in those who were single, divorced or widowed (1).

Similarly, in a US population based study among men and women, current smoking status and heavy alcohol drinking were found to be independently associated with increased prevalence of oral HPV (2).

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