Sporadic Legionnaires' Disease: Clinical Observations on 87 Nosocomial and Community-Acquired Cases

Helms, Charles M.; Viner, John P.; Weisenburger, Dennis D.; Chiu, Lee C.; Renner, Edward D.; Johnson, William M.

doi:10.1097/00000441-198407000-00001

Cited by 37 publications

(23 citation statements)

References 48 publications

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“…The demographic characteristics of our patients are similar to those reported previously [6,8,10,14]. Both in NALP and CALP groups, the risk of acquiring legionellosis was increased in males.…”

Section: Discussionsupporting

confidence: 85%

“…Unilobar infiltrate was the usual finding on admission chest radiographs in both groups, as noted in other published studies [10,[24][25][26]. Development of empyema or pulmonary abscess were uncommon accounting for 5% of the whole series.…”

Section: Discussionsupporting

confidence: 74%

“…Despite the lower percentage of patients who died in the CALP group this difference was not statistically significant in either the univariate analysis or multivariate analysis, probably due to the few cases included in the CALP group. The CALP group has been observed in many series as having a lower mortality rate than NALP [9,10]. Our case fatality rate in both groups was lower than the reported mortality for nosocomial and community-acquired cases in other series [6,10,27].…”

Section: Discussioncontrasting

confidence: 49%

“…The extrapulmonary findings in Legionella pneumonia are common [6,9,[15][16][17][18][19][20], the pathogenesis of which may be diverse [15,16,21,22]. The incidence of neurological and gastrointestinal manifestations was lower in our series than in other published studies [6,9,10,20,23]. However, vomiting and diarrhoea were more common in the CALP (9 and 15%, respectively) than in NALP group (2 and 6%, respectively).…”

Section: Discussionmentioning

confidence: 71%

“…Despite the large number of reports of Legionella pneumonia infection [2][3][4][5][6][7][8][9], information concerning differences in clinical, radiological, and outcome aspects between nosocomial and community-acquired cases are very scarce. Previous reports have suggested that clinical aspects of nosocomial and community cases are similar [10]. The community and hospital characteristics, such as aquatic environment, antibiotic pressure (usage) and populations, are quite different and Legionella infection might differ in the two settings.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Nosocomial and community-acquired Legionella pneumonia: clinical comparative analysis

Pedro-Botet

Sabria-Leal²,

Haro³

et al. 1995

Eur Respir J

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N No os so oc co om mi ia al l a an nd d c co om mm mu un ni it ty y--a ac cq qu ui ir re ed d L Le eg gi io on ne el ll la a p pn ne eu um mo on ni ia a: : c cl li in ni ic ca al l c co om mp pa ar ra at ti iv ve e a an na al ly ys si is s Patients in the nosocomially acquired Legionella pneumonia (NALP) group were older than those in the community-acquired Legionella pneumonia (CALP) group. Univariate analysis showed that smoking habit, cough, thoracic pain, and extrapulmonary manifestations were more prevalent in the CALP group, whilst chronic lung disease and cancer were more prevalent in the NALP group. Moreover, patients in the NALP group were more likely to have received oxygen and corticosteroid therapy and also to have altered creatinine values than patients in the CALP group, whilst more patients in the latter group had altered alanine aminotransferase values. However, multivariate analysis failed to confirm most of these differences. Smoking habit and blood creatinine levels were the only variables remaining significant.In conclusion, demographic, clinical, laboratory, radiological and outcome data in nosocomial and community-acquired Legionella pneumonia are quite similar.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 74%