A community outbreak of Legionnaires’ disease from an industrial cooling tower: Assessment of clinical features and diagnostic procedures

References

• Fields BS, Benson RF, Besser RE. Legionella and Legionnaires’ disease: 25 y of investigation. Clin Microbiol Rev 2002; 15: 506–26
   PubMed Web of Science ®Google Scholar
• Garcia-Fulgueiras A, Navarro C, Fenoll D, Garcia J, Gonzalez-Diego P, Jimenez-Bunuales T, et al. Legionnaires’ disease outbreak in Murcia, Spain. Emerg Infect Dis 2003; 9: 915–21
   PubMed Web of Science ®Google Scholar
• Holmberg H. Aetiology of community-acquired pneumonia in hospital treated patients. Scand J Infect Dis 1987; 19: 491–501
   PubMed Web of Science ®Google Scholar
• Bernander S, Kallings I, Nordstrom K. Legionella infections diagnosed among hospitalized patients in Vastmanland. Lakartidningen 1990; 87: 4429–31
   PubMedGoogle Scholar
• Ortqvist A, Hedlund J, Grillner L, Jalonen E, Kallings I, Leinonen M, et al. Aetiology, outcome and prognostic factors in community-acquired pneumonia requiring hospitalization. Eur Respir J 1990; 3: 1105–13
   PubMed Web of Science ®Google Scholar
• Ruf B, Schurmann D, Horbach I, Fehrenbach FJ, Pohle HD. The incidence of Legionella pneumonia: a 1-y prospective study in a large community hospital. Lung 1989; 167: 11–22
   PubMedGoogle Scholar
• Marston BJ, Plouffe JF, File TM, Jr, Hackman BA, Salstrom SJ, Lipman HB, et al. Incidence of community-acquired pneumonia requiring hospitalization. Results of a population-based active surveillance study in Ohio. The Community-Based Pneumonia Incidence Study Group. Arch Intern Med 1997; 157: 1709–18
   PubMed Web of Science ®Google Scholar
• van Steenbergen JE, Slijkerman FA, Speelman P. The first 48 h of investigation and intervention of an outbreak of legionellosis in the Netherlands. Euro Surveill 1999; 4: 111–5
   PubMedGoogle Scholar
• Hedlund J, Ortqvist A, Ahlqvist T, Augustinsson A, Beckman H, Blanck C, et al. Management of patients with community-acquired pneumonia treated in hospital in Sweden. Scand J Infect Dis 2002; 34: 887–92
   PubMed Web of Science ®Google Scholar
• Kallings I, Nordstrom K. The pattern of immunoglobulins with special reference to IgM in Legionnaires’ disease patients during a 2-y follow-up period. Zentralbl Bakteriol Mikrobiol Hyg [A] 1983; 255: 27–32
   Google Scholar
• Edelstein PH. Improved semi-selective medium for isolation of Legionella pneumophila from contaminated clinical and environmental specimens. J Clin Microbiol 1981; 14: 298–303
   PubMed Web of Science ®Google Scholar
• Helbig JH, Kurtz JB, Pastoris MC, Pelaz C, Luck PC. Antigenic lipopolysaccharide components of Legionella pneumophila recognized by monoclonal antibodies: possibilities and limitations for division of the species into serogroups. J Clin Microbiol 1997; 35: 2841–5
   PubMed Web of Science ®Google Scholar
• Gaia V, Fry NK, Afshar B, Luck PC, Meugnier H, Etienne J, et al. Consensus sequence-based scheme for epidemiological typing of clinical and environmental isolates of Legionella pneumophila. J Clin Microbiol 2005; 43: 2047–52
   PubMed Web of Science ®Google Scholar
• Nordstrom K, Kallings I, Dahnsjo H, Clemens F. An outbreak of Legionnaires’ disease in Sweden: report of 68 cases. Scand J Infect Dis 1983; 15: 43–55
   PubMed Web of Science ®Google Scholar
• Darelid J, Bengtsson L, Gastrin B, Hallander H, Lofgren S, Malmvall BE, et al. An outbreak of Legionnaires’ disease in a Swedish hospital. Scand J Infect Dis 1994; 26: 417–25
   PubMed Web of Science ®Google Scholar
• Fernandez-Sabe N, Roson B, Carratala J, Dorca J, Manresa F, Gudiol F. Clinical diagnosis of Legionella pneumonia revisited: evaluation of the Community-Based Pneumonia Incidence Study Group scoring system. Clin Infect Dis 2003; 37: 483–9
   PubMed Web of Science ®Google Scholar
• Sopena N, Pedro-Botet ML, Sabria M, Garcia-Pares D, Reynaga E, Garcia-Nunez M. Comparative study of community-acquired pneumonia caused by Streptococcus pneumoniae, Legionella pneumophila or Chlamydia pneumoniae. Scand J Infect Dis 2004; 36: 330–4
   PubMed Web of Science ®Google Scholar
• Tan MJ, Tan JS, Hamor RH, File TM, Jr, Breiman RF. The radiological manifestations of Legionnaires’ disease. The Ohio Community-Based Pneumonia Incidence Study Group. Chest 2000; 117: 398–403
   PubMed Web of Science ®Google Scholar
• Waterer GW, Baselski VS, Wunderink RG. Legionella and community-acquired pneumonia: a review of current diagnostic tests from a clinician's viewpoint. Am J Med 2001; 110: 41–8
   PubMedGoogle Scholar
• Murdoch DR. Diagnosis of Legionella infection. Clin Infect Dis 2003; 36: 64–9
   PubMed Web of Science ®Google Scholar
• Bernander, S, Claesson, B, Hjelm, E, Hjorth, M, Svensson, N. A serological study of an outbreak of Legionnaires’ disease: variation of sensitivity with the subgroup of Legionella pneumophila sg1 antigen used and evidence of concurrent reactivity to other atypical pneumonia agents. In:. NP Cianciotto, Abu Kwaik, Y, Edelstein, PH, Fields, BS, Geary, D, Joseph, C, et al., editors. Legionella: State of the Art 30 Years after Its Recognition. Washington, D.C: ASM Press; 2006, in press.
   Google Scholar
• Wentworth BB, Stiefel HE. Studies of the specificity of Legionella serology. J Clin Microbiol 1982; 15: 961–3
   PubMedGoogle Scholar
• Ragnar Norrby S. Atypical pneumonia in the Nordic countries: aetiology and clinical results of a trial comparing fleroxacin and doxycycline. Nordic Atypical Pneumonia Study Group. J Antimicrob Chemother 1997; 39: 499–508
   PubMed Web of Science ®Google Scholar
• File TM, Jr, Tan JS, Plouffe JF. The role of atypical pathogens: Mycoplasma pneumoniae, Chlamydia pneumoniae, and Legionella pneumophila in respiratory infection. Infect Dis Clin North Am 1998; 12: 569–92
   PubMed Web of Science ®Google Scholar
• Schneeberger PM, Dorigo-Zetsma JW, van der Zee A, van Bon M, van Opstal JL. Diagnosis of atypical pathogens in patients hospitalized with community-acquired respiratory infection. Scand J Infect Dis 2004; 36: 269–73
   PubMedGoogle Scholar