Legionnaire's Disease Since Philadelphia
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Cheston B. Cunha [1] ; Burke A. Cunha [2]
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[1] Brown University
Brown University
City of Providence, Estados Unidos
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[2] State University of New York
State University of New York
City of Albany, Estados Unidos
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- Localización: Infectious disease clinics of North America, ISSN 0891-5520, Vol. 31, Nº. 1, 2017, págs. 1-5
- Idioma: inglés
- Texto completo no disponible (Saber más ...)
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Resumen
Legionnaire's disease has been recognized as a cause of severe community-acquired pneumonia (CAP). Legionnaire's disease has characteristic extrapulmonary findings that are the basis for a presumptive clinical diagnosis. The widespread use of Legionella culture, sputum DFA, serology, urinary antigen testing, and polymerase chain reaction have allowed earlier diagnosis of Legionnaire's disease. Excluding common source outbreaks, CAP caused by Legionnaire's disease is manifested as sporadic cases. In contrast, nosocomial Legionnaire's disease occurs in clusters or outbreaks from common Legionella species-contaminated water sources. Improved diagnostic tests have permitted accurate diagnosis. Bacterial coinfections with Legionnaire's disease are uncommon, but when present, are most often associated with bacteremia pneumococcal pneumonia.
