Legionella Pneumonia in Neutropenic Hairy Cell Leukemia: A Case Report

Immunocompromised patients, especially those with cell-mediated immune deficiency are susceptible to legionella infection. We report the case of a hairy cell leukemia patient with legionella pneumonia and neutropenic fever. Patient was diagnosed with legionella pneumonia after two weeks of antimicrobial treatment for non-responding pneumonia and neutropenic fever. This case highlights the importance of high suspicion for legionella in immunocompromised pneumonia patients with neutropenic fever and the need for empiric coverage of atypical microbes in treatment of pneumonia in neutropenic immunocompromised patients.