A real-time PCR assay for the mip gene of Legionella pneumophila was tested with 27 isolates of L. pneumophila, 20 isolates of 14 other Legionella species, and 103 non-Legionella bacteria. Eight culture-positive and 40 culture-negative clinical specimens were tested. This assay was 100% sensitive and 100% specific for L. pneumophila.Legionella pneumophila is the most common pathogenic species of the 42 recognized Legionella species (3,4,29). Significant mortality rates among the elderly and patients with severe underlying disease may occur as a result of infection with this pathogen (5). Diagnostic delay may also result in increased mortality (15). Therefore, rapid tests, such as direct fluorescent-antibody stains and urinary antigen assays, have been developed (10,18). Although useful, these assays have sensitivities less than 100% (9,10,11,14). Nucleic acid amplification assays have been shown to be useful for the detection of Legionella (1,8,14,17,19,20,24,27,28). The genes that encode the 5S and 16S ribosomal subunits have been shown to contain signature sequences that are useful for the identification of L. pneumophila (8,14,15,17,24,28) and a variety of other organisms. More recently, target sequences on these genes have been used in conjunction with real-time PCR for the detection of the Legionella genus, as well as the species L. pneumophila (14,27).The macrophage infectivity potentiator gene, which encodes a 24-kDa protein virulence factor that facilitates the entry of legionellae into amoebae and macrophages, has sufficient sequence variability between the Legionella species to also afford the specific detection of L. pneumophila by PCR (2,6,7,12,13,14,16,21,22,23,25). Although two groups have described real-time PCR assays for the detection of L. pneumophila via detection of the mip gene in water samples, to date only one group has evaluated a real-time PCR for this genetic target for the detection of L. pneumophila in clinical specimens (1,14,28). Therefore, we have attempted to confirm the utility of this gene as a target for the detection of L. pneumophila by realtime PCR, using a set of primers and hybridization probes that were different from those previously described (14).We describe a sensitive and specific hybridization probebased real-time PCR assay for the detection of L. pneumophila through the detection of the mip gene (GenBank accession number AF095230). This assay was used in conjunction with the LightCycler System (Roche Molecular Biochemicals, Indianapolis, Ind.) with fluorescent resonance energy transfer technology. Primers and fluorescently labeled hybridization probes were designed by Brian Caplin, formerly of Idaho Technologies, Salt Lake City, Utah. The sequences of the primers were as follows: forward primer (LpmipFp), 5Ј-GCAATGTCAAC AGCAA 3Ј; reverse primer (LpmipRp), 5Ј-CATAGCGTCTT GCATG 3Ј. The 3Ј end of the first hybridization probe (LpmipHP-1) was labeled with fluorescein (fam); the sequence of this probe was 5Ј-CAACTTATCCTTGTCTGTAGCT-[fa m]-3Ј. The 5Ј end of the second hyb...