Legionnaires' Disease and Acinetobacter Bacteremia

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To the editor: In the September 1978 issue (1) Kirby and colleagues describe endemic Legionnaires' disease at the Wadsworth Veterans Administration Hospital. One patient with co-incident Klebsiella pneumoniae pneumonia remained ill until a course of erythromycin therapy was initiated 10 weeks later. Our following case strengthens their suggestion that chronic illness that sometimes follows Legionnaires' infection may coexist with and be confused by other nosocomial pathogens.

A 76-year-old white woman was admitted on 29 July 1978 with back pain aggravated by coughing, sneezing, and straining. She was afebrile and her chest roentgenogram was clear. Bed rest and pelvic traction for

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