XXXX with facial nerve palsy.

@entity1 @entity129 @entity4502 @entity3477 @entity55 @entity75 @entity1353 @entity167 @entity16 @entity425 @entity281 @entity76 @entity925 @entity11583 @entity4653
@entity4502 is primarily a pneumonic process caused by Legionella pneumophilia, a gram-negative aerobic bacillus but also has multiple system involvement. The most common manifestation is @entity75 suggesting a generalized @entity75 but focal neurological manifestations have been reported. We report a @entity1 with @entity55 associated with @entity76 and unilateral @entity425 . 51-year-old previously healthy male presented with @entity1353 , cough, slurred speech, and unsteadiness on feet associated with malaise, fevers and @entity925 . @entity1 's family reported facial asymmetry for 2 days. @entity1 had no significant medical history and was not on any medication. He denied smoking, @entity167 or illicit drug use. Chest X-ray showed bilateral lower lobe infiltrates. Urinary antigen assay for Legionella pneumophilia serogroup 1 was positive. @entity1 was started on intravenous @entity3477 . On day 5 the @entity1 was discharged home and continued oral @entity3477 for two weeks. After the two weeks, his respiratory symptoms, @entity11583 and @entity4653 resolved. We report the first case of @entity4502 with @entity76 and @entity129 . @entity4502 should be considered in @entity1 with any @entity16 in the setting of @entity55 . Failure to recognize and treat the @entity281 may lead to poor outcomes.
