DEAR DR. ROACH: I became extremely sick and was taken to the hospital. My physician thought I had regular pneumonia. I was so dehydrated that they couldn’t find a vein. I was intubated and had trouble getting enough oxygen. I had dialysis. My family was told I probably would not live. They discovered that my illness was Legionella, and with treatment, I woke up from paralysis.
My recovery has been easy and fast, although I was told it would take a year at the least. I am finished with physical therapy. My blood work and scan show everything is back to normal. But I have scarring in my lungs.
I am a 47-year-old woman. What should I expect for my future? Are my kidneys at risk? Do I have a greater risk of contracting pneumonia in the future? What about my lungs? Is there permanent damage? What about allergy medicines and ibuprofen? I am afraid to have a glass of wine! — C.K.
ANSWER: Legionella is a bacteria that can cause pneumonia. It is classically found in fresh water, such as air-conditioning cooling towers and condensers. It was thought to be the cause of the original outbreak among American Legionnaires back in 1976 in Philadelphia, hence the popular name of Legionnaires’ disease. Once considered rare, increased awareness and better diagnostic tests have led to a greater understanding of this important cause of pneumonia.
It may look just like any other kind of pneumonia, but diarrhea and very high fever are clues that it might be Legionella. Liver problems are more common in Legionella infections, but the dialysis you received likely was due to kidney failure from severe shock and sepsis. Intubation -- having a breathing tube inserted into your windpipe -- and paralysis are reserved for only the very most severe pneumonias, and it is really great news that you are recovering so quickly and completely.