Surfactant treatment of an infant with acute idiopathic pulmonary hemorrhage.

Objective: To describe the successful use of surfactant for treatment of respiratory distress refractory to conventional mechanical ventilation in a 4-wk-old with pulmonary hemorrhage.

Design: Case report.

Setting: Tertiary care center pediatric intensive care unit.

Legionella pneumonia: infection during immunosuppressive therapy for idiopathic pulmonary hemosiderosis.

We report a case of Legionella pneumonia in a 10-year-old girl with idiopathic pulmonary hemosiderosis who was chronically immunosuppressed and had exposure to a hot tub. Prompt diagnosis with bronchoalveolar lavage and subsequent antimicrobial therapy resulted in full recovery. Legionellosis should be included in the differential diagnosis of the immunosuppressed child with respiratory illness.