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Legionnaires’ Disease Cases at a Large Community Hospital—Common and Underdiagnosed
Open AccessArticle

Clinical Presentation of Community-Acquired Legionella Pneumonia Identified by Universal Testing in an Endemic Area

Division of Infectious Diseases, Medical University of South Carolina, Charleston, SC 29425, USA
Statcore, VA Pittsburgh Healthcare System, Pittsburgh, PA 15240, USA
Division of Infectious Diseases, University of Pittsburgh, Pittsburgh, PA 15261, USA
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(2), 533;
Received: 5 December 2019 / Revised: 8 January 2020 / Accepted: 12 January 2020 / Published: 15 January 2020
The rapid identification of Legionella pneumonia is essential to optimize patient treatment and outcomes, and to identify potential public health risks. Previous studies have identified clinical factors which are more common in Legionella than non-Legionella pneumonia, and scores have been developed to assist in diagnosing cases. Since a Legionella pneumonia outbreak at VA Pittsburgh in 2012, nearly all patients with pneumonia have been tested for Legionella. The purpose of this study was to evaluate distinguishing characteristics between Legionella and non-Legionella pneumonia with the application of universal testing for Legionella in all cases of community-acquired pneumonia. We performed a retrospective case-control study matching Legionella and non-Legionella pneumonia cases occurring in the same month. Between January 2013 and February 2016, 17 Legionella and 54 non-Legionella cases were identified and reviewed. No tested characteristics were significantly associated with Legionella cases after Bonferroni correction. Outcomes of Legionella and non-Legionella pneumonia were comparable. Therefore, in veterans who underwent routine Legionella testing in an endemic area, factors typically associated with Legionella pneumonia were non-discriminatory. View Full-Text
Keywords: Legionella; Legionnaires’ disease; Legionella pneumonia Legionella; Legionnaires’ disease; Legionella pneumonia
MDPI and ACS Style

Puri, S.; Boudreaux-Kelly, M.; Walker, J.D.; Clancy, C.J.; Decker, B.K. Clinical Presentation of Community-Acquired Legionella Pneumonia Identified by Universal Testing in an Endemic Area. Int. J. Environ. Res. Public Health 2020, 17, 533.

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