Legionnaires' Disease in Nottingham

Evolving Understanding of the Causes of Pneumonia in Adults, With Special Attention to the Role of Pneumococcus

“…An outbreak of pneumonia in 1977 [99] led to identification of Legionella [100]. Implication of Legionella in other outbreaks [101] was soon followed by recognition of this organism as a cause of sporadic pneumonia, both in hospitals [102] and in the community [103,104]. The relation to water sources [105,106] and the association with geographical locations [104] was also documented.…”

Legionnaires’ Disease: First Case in London

“…Our patient had many of the typical clinical features of Legionnaires' disease (Bock et al 1978, Shanson 1978,Vella 1978.There was a history of heavy smoking (Macrae & Lewis 1977),and a pre-existing illness, in this case ischaemic heart disease. He presented with influenza-like symptoms (Fraser et al 1977), and developed a severe pneumonic illness with classical nonproductive cough.…”

“…One case of indigenous infection was reported from Scotland (Lees et al 1977) and 6 cases from Nottingham (Macrae & Lewis 1977).Described here is the first confirmed case of Legionnaires' disease in London, previously referred to in a preliminary report (Ashford et al 1977).…”

A fatal case of Legionnaires' disease originating in Scotland

“…These authors refer to outbreaks in the Washington area and Pontiac (Michigan) while Macrae and Lewis (1977) refer to an outbreak in Nottingham, England, and Lawson et al (1977), Lawson (1978), and Reid, Grist and Natjera (1978) record the disease in Scottish tourists returning to Glasgow after holidays in Spain. The pathology of the deaths among these last cases has been reported (Boyd et al, 1978), and the pathology of the original Legionnaires' disease episode is also on record (Chandler et al, 1977;Blackmon et al, 1978).…”