Document Detail


Simultaneous infection with Legionella pneumophila and Pittsburgh pneumonia agent. Clinical features and epidemiologic implications.
MedLine Citation:
PMID:  6837589     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nosocomial pneumonia caused simultaneously by two organisms, Legionella pneumophila and the Pittsburgh pneumonia agent, was documented in seven patients in one institution. In all seven cases, both organisms were demonstrated by isolation from culture or visualization by direct immunofluorescence. Four patients died as a result of pneumonia, including two who received erythromycin therapy. The hospital water distribution system appeared to be the reservoir for both L. pneumophila and Pittsburgh pneumonia agent. These seven cases constituted 26.9 percent and 17.9 percent of the cases of Pittsburgh pneumonia agent and Legionnaires' disease, respectively, at one institution. Given this relatively high incidence of dual infection, it is likely that the mode of transmission for both organisms is identical. Dual infection may account for some cases of antibody response to more than one Legionella species. Historical parallels of the discovery of L. pneumophila and Pittsburgh pneumonia agent are reviewed.
Authors:
R R Muder; V L Yu; R M Vickers; J Rihs; J Shonnard
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of medicine     Volume:  74     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  1983 Apr 
Date Detail:
Created Date:  1983-05-05     Completed Date:  1983-05-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  609-14     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Cross Infection / diagnosis,  microbiology,  transmission
Humans
Legionella / isolation & purification
Legionnaires' Disease / complications*,  diagnosis,  microbiology,  transmission
Male
Middle Aged
Pneumonia / complications*,  diagnosis,  microbiology,  transmission

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


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