Legionnaire's Disease: A Clinical Diagnostic Approach
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Burke A. Cunha [1] ; Cheston B. Cunha [2]
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[1] Winthrop-University Hospital
Winthrop-University Hospital
Town of North Hempstead, Estados Unidos
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[2] Brown University
Brown University
City of Providence, Estados Unidos
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- Localización: Infectious disease clinics of North America, ISSN 0891-5520, Vol. 31, Nº. 1, 2017, págs. 81-93
- Idioma: inglés
- Texto completo no disponible (Saber más ...)
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Resumen
Legionnaire's disease is a nonzoonotic atypical pneumonia caused by Legionella sp that occurs sporadically or in outbreaks. Legionnaire's disease pneumonia is accompanied by several extrapulmonary clinical and laboratory findings. Rather than testing all pneumonias for Legionnaire's disease, the clinical challenge is to recognize the diagnostic significance of Legionnaire's disease’s. The pretest probability of Legionnaire's disease is increased if several characteristic extrapulmonary findings are present. Similarly, if certain key findings are absent, Legionnaire's disease may be eliminated from further diagnostic consideration. If characteristic clinical findings are present, then specific tests should be ordered to confirm or rule out Legionnaire's disease.
