Abstract
Neurological manifestations of Legionella infection were widely reported in the 1970s after the bacterium, Legionella pneumophilia, was first identified. Most frequent are headache and delirium with only a few case reports describing peripheral neuropathy. Supportive neurophysiological and histopathological data in the literature is scant. We present the case of a 67 year-old female with legionella pneumonia complicated by painful polyneuropathy, with confirmation of inflammatory neuritis on sural nerve biopsy. It emphasises a perhaps under reported sequala of Legionella infection and raises questions about possible immune or toxin-mediated mechanisms.
