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학습 자료 둘러보기 →Suspect Legionnaires' disease in a patient with pneumonia who presents with high fever and prominent neurological symptoms like confusion or headache, especially if they have a history of exposure to aerosolized water sources such as hot tubs.
Gastrointestinal symptoms like diarrhea and laboratory findings such as hyponatremia (sodium <135 mEq/L) are also classic extrapulmonary clues that distinguish it from typical bacterial pneumonia.
In older adults, acute confusion may be the initial or sole presenting symptom before any respiratory complaints appear. Always ask about recent travel and water exposure history in patients with unexplained fever and altered mental status.
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