Document Detail


Prevalence of legionellosis among adults: a study of community-acquired pneumonia in France.
MedLine Citation:
PMID:  3692603     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Over a 24-month period, 274 patients with community-acquired pneumonia were hospitalized in Departments of Medicine at hospitals in Bordeaux, Lyon, Marseille, and Toulouse. Etiology of the pneumonia was determined either by organism identification or by indirect immunofluorescence in only 139 cases (51%). The most frequently isolated etiological agents were Streptococcus pneumoniae (34 cases), Legionella pneumophila (29 cases) and Mycoplasma pneumoniae (24 cases). The majority of patients with legionellosis were male (79%), middle aged (mean age: 53 years), and living in urban areas (69%). Their clinical features were atypical and did not differ from those of other pneumonias. Four patients with legionellosis (13.8%) died. L. pneumophila was isolated directly in only three instances. The study confirms the high prevalence of legionellosis (20%) among pneumonias of identified etiology. The fact that these cases had an atypical clinical presentation and that isolation of the organism was difficult reinforce the need to apply the CDC criteria for the interpretation of positive serological titers.
Authors:
J Aubertin; F Dabis; J Fleurette; N Bornstein; R Salamon; E Brottier; J Brune; P Vincent; J Migueres; A Jover
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Infection     Volume:  15     ISSN:  0300-8126     ISO Abbreviation:  Infection     Publication Date:  1987  
Date Detail:
Created Date:  1988-02-24     Completed Date:  1988-02-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0365307     Medline TA:  Infection     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  328-31     Citation Subset:  IM    
Affiliation:
Clinique Médicale et des Maladies Infectieuses, Hôpital Pellegrin, CHU de Bordeaux.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Female
France
Humans
Legionellosis / epidemiology*
Male
Middle Aged
Pneumonia / etiology*
Sex Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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