Severe pneumonia due to Legionella and SARS-CoV-2 co-infection necessitating medical evacuation from a cargo ship

Cargo ships are at risk of disease outbreaks like Legionella and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) due to their cramped and shared conditions. A case of medical evacuation due to co-infection of Legionella pneumophila with SARS-CoV-2 highlights the need for international infection control guidelines, information networks and molecular epidemiological approaches for identifying infection routes.