Legionella pneumophila. A cause of severe community-acquired pneumonia
In a prospective study of community-acquired pneumonias, 30 patients were diagnosed with Legionnaires' disease in 15 months. Clinical, laboratory and radiologic features of these patients are reviewed and compared with those who have pneumococcal pneumonia. Alcoholism, history of smoking, previ...
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| Veröffentlicht in: | Chest 1991-10, Vol.100 (4), p.1007-1011 |
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| container_title | Chest |
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| creator | FALCO, V DE SEVILLA, T. F ALEGRE, J FERRER, A MARTINEZ VAZQUEZ, J. M |
| description | In a prospective study of community-acquired pneumonias, 30 patients were diagnosed with Legionnaires' disease in 15 months.
Clinical, laboratory and radiologic features of these patients are reviewed and compared with those who have pneumococcal
pneumonia. Alcoholism, history of smoking, previous antimicrobial therapy, gastrointestinal and neurologic manifestations,
elevations of serum transaminases, alkaline phosphatase and creatinine levels were more frequent in pneumonia due to Legionella
pneumophila than in pneumococcal pneumonia. The presence of respiratory failure and radiologic progression were common findings
that suggested L pneumophila as the etiologic agent of a community-acquired pneumonia. Development of respiratory failure
was associated with involvement of several lobes and isolation of L pneumophila in any specimen. In 21 of 30 patients with
Legionnaires' disease, L pneumophila was isolated from respiratory specimens. Overall mortality was 10 percent, but it increased
to 27 percent in patients not treated with erythromycin initially. |
| doi_str_mv | 10.1378/chest.100.4.1007 |
| format | Article |
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Clinical, laboratory and radiologic features of these patients are reviewed and compared with those who have pneumococcal
pneumonia. Alcoholism, history of smoking, previous antimicrobial therapy, gastrointestinal and neurologic manifestations,
elevations of serum transaminases, alkaline phosphatase and creatinine levels were more frequent in pneumonia due to Legionella
pneumophila than in pneumococcal pneumonia. The presence of respiratory failure and radiologic progression were common findings
that suggested L pneumophila as the etiologic agent of a community-acquired pneumonia. Development of respiratory failure
was associated with involvement of several lobes and isolation of L pneumophila in any specimen. In 21 of 30 patients with
Legionnaires' disease, L pneumophila was isolated from respiratory specimens. Overall mortality was 10 percent, but it increased
to 27 percent in patients not treated with erythromycin initially.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.100.4.1007</identifier><identifier>PMID: 1914547</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>Northbrook, IL: American College of Chest Physicians</publisher><subject>Bacterial diseases ; Biological and medical sciences ; Humans ; Incidence ; Infectious diseases ; Legionella pneumophila - isolation & purification ; Legionnaires' Disease - epidemiology ; Male ; Medical sciences ; Middle Aged ; Pneumonia - epidemiology ; Pneumonia - microbiology ; Pneumonia, Pneumococcal - epidemiology ; Prospective Studies ; Spain - epidemiology</subject><ispartof>Chest, 1991-10, Vol.100 (4), p.1007-1011</ispartof><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5507645$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1914547$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FALCO, V</creatorcontrib><creatorcontrib>DE SEVILLA, T. F</creatorcontrib><creatorcontrib>ALEGRE, J</creatorcontrib><creatorcontrib>FERRER, A</creatorcontrib><creatorcontrib>MARTINEZ VAZQUEZ, J. M</creatorcontrib><title>Legionella pneumophila. A cause of severe community-acquired pneumonia</title><title>Chest</title><addtitle>Chest</addtitle><description>In a prospective study of community-acquired pneumonias, 30 patients were diagnosed with Legionnaires' disease in 15 months.
Clinical, laboratory and radiologic features of these patients are reviewed and compared with those who have pneumococcal
pneumonia. Alcoholism, history of smoking, previous antimicrobial therapy, gastrointestinal and neurologic manifestations,
elevations of serum transaminases, alkaline phosphatase and creatinine levels were more frequent in pneumonia due to Legionella
pneumophila than in pneumococcal pneumonia. The presence of respiratory failure and radiologic progression were common findings
that suggested L pneumophila as the etiologic agent of a community-acquired pneumonia. Development of respiratory failure
was associated with involvement of several lobes and isolation of L pneumophila in any specimen. In 21 of 30 patients with
Legionnaires' disease, L pneumophila was isolated from respiratory specimens. Overall mortality was 10 percent, but it increased
to 27 percent in patients not treated with erythromycin initially.</description><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infectious diseases</subject><subject>Legionella pneumophila - isolation & purification</subject><subject>Legionnaires' Disease - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pneumonia - epidemiology</subject><subject>Pneumonia - microbiology</subject><subject>Pneumonia, Pneumococcal - epidemiology</subject><subject>Prospective Studies</subject><subject>Spain - epidemiology</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kU1PwzAMhiMEGmNw54LUA-LWEjdJP47TxABpEhc4V27qrpn6tWYB7d_TsYqLLet9bPm1GbsHHoCIk2ddkT0EwHkgTzG-YHNIBfhCSXHJ5pxD6IsoDa_ZjbU7PtaQRjM2gxSkkvGcrTe0NV1LdY1e35Jrur4yNQbe0tPoLHld6Vn6poE83TWNa83h6KPeOzNQMXW0Bm_ZVYm1pbspL9jX-uVz9eZvPl7fV8uNX4VxdPBzKtICkLgUlEQAoDiKkKcKgeuwxDJUuYBIlAJ5znWKiYpkIiLAknhMqViwp_Pcfuj2bvSeNcbq0_Ytdc5mcQihkJCM4MMEuryhIusH0-BwzCbjo_446Wg11uWArTb2H1OKx5FUI8bPWGW21c_oObMN1vU4VGR_t991bmixHm-fyez0AfELoml4dg</recordid><startdate>19911001</startdate><enddate>19911001</enddate><creator>FALCO, V</creator><creator>DE SEVILLA, T. F</creator><creator>ALEGRE, J</creator><creator>FERRER, A</creator><creator>MARTINEZ VAZQUEZ, J. M</creator><general>American College of Chest Physicians</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19911001</creationdate><title>Legionella pneumophila. A cause of severe community-acquired pneumonia</title><author>FALCO, V ; DE SEVILLA, T. F ; ALEGRE, J ; FERRER, A ; MARTINEZ VAZQUEZ, J. M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h276t-bed9d1ae043e8611150a32095a10c2faf25b3163f3a0b0c9a85648361afe07e93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infectious diseases</topic><topic>Legionella pneumophila - isolation & purification</topic><topic>Legionnaires' Disease - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pneumonia - epidemiology</topic><topic>Pneumonia - microbiology</topic><topic>Pneumonia, Pneumococcal - epidemiology</topic><topic>Prospective Studies</topic><topic>Spain - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FALCO, V</creatorcontrib><creatorcontrib>DE SEVILLA, T. F</creatorcontrib><creatorcontrib>ALEGRE, J</creatorcontrib><creatorcontrib>FERRER, A</creatorcontrib><creatorcontrib>MARTINEZ VAZQUEZ, J. M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FALCO, V</au><au>DE SEVILLA, T. F</au><au>ALEGRE, J</au><au>FERRER, A</au><au>MARTINEZ VAZQUEZ, J. M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Legionella pneumophila. A cause of severe community-acquired pneumonia</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>1991-10-01</date><risdate>1991</risdate><volume>100</volume><issue>4</issue><spage>1007</spage><epage>1011</epage><pages>1007-1011</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>In a prospective study of community-acquired pneumonias, 30 patients were diagnosed with Legionnaires' disease in 15 months.
Clinical, laboratory and radiologic features of these patients are reviewed and compared with those who have pneumococcal
pneumonia. Alcoholism, history of smoking, previous antimicrobial therapy, gastrointestinal and neurologic manifestations,
elevations of serum transaminases, alkaline phosphatase and creatinine levels were more frequent in pneumonia due to Legionella
pneumophila than in pneumococcal pneumonia. The presence of respiratory failure and radiologic progression were common findings
that suggested L pneumophila as the etiologic agent of a community-acquired pneumonia. Development of respiratory failure
was associated with involvement of several lobes and isolation of L pneumophila in any specimen. In 21 of 30 patients with
Legionnaires' disease, L pneumophila was isolated from respiratory specimens. Overall mortality was 10 percent, but it increased
to 27 percent in patients not treated with erythromycin initially.</abstract><cop>Northbrook, IL</cop><pub>American College of Chest Physicians</pub><pmid>1914547</pmid><doi>10.1378/chest.100.4.1007</doi><tpages>5</tpages></addata></record> |
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| ispartof | Chest, 1991-10, Vol.100 (4), p.1007-1011 |
| issn | 0012-3692 1931-3543 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_72123418 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Bacterial diseases Biological and medical sciences Humans Incidence Infectious diseases Legionella pneumophila - isolation & purification Legionnaires' Disease - epidemiology Male Medical sciences Middle Aged Pneumonia - epidemiology Pneumonia - microbiology Pneumonia, Pneumococcal - epidemiology Prospective Studies Spain - epidemiology |
| title | Legionella pneumophila. A cause of severe community-acquired pneumonia |
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