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Legionella infection.

Authors
  • 1
  • 1 Department of Medicine, Montefiore University Hospital, Pittsburgh, Pennsylvania.
Type
Published Article
Journal
Clinics in chest medicine
Publication Date
Volume
12
Issue
2
Pages
257–268
Identifiers
PMID: 1855370
Source
Medline
License
Unknown

Abstract

As specialized laboratory tests became more widely available, Legionella species were found to be common causes of nosocomial and community-acquired pneumonia. Patients with chronic lung disease and organ transplants are at greatest risk. Clinical manifestations are non-specific, although fever greater than 39 degrees C and diarrhea are common. Erythromycin remains the antibiotic of choice, although many alternative agents are available. Once cases are discovered, a search for the organism in water distribution systems and respiratory equipment can be fruitful. Disinfection of water distribution systems by superheating and flushing or by hyperchlorination is feasible.

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