Legionnaires’ disease was named for an epidemic of lower respiratory tract disease at the 1976 American Legion convention in Philadelphia. The previously unrecognized causative bacte...
Illness ranges from asymptomatic seroconversion and mild febrile illness to severe pneumonia.
Wound infections with Legionella also reported
Incubation period is 2 to 14 days.
Signs and ...
Supportive care:
Oxygenation, hydration, and electrolyte balance with antibiotic therapy
Extrapulmonary complications and higher mortality may be seen in patients with AIDS.
In ...
Monitor respiratory status, hydration, and electrolyte status closely.
Chest radiography lags behind the clinical status and may not help with mo...
Bellew S, Grijalva C, Williams D, et al. Pneumococcal and legionella urinary antigen tests in community-acquired pneumonia: Prospective evaluation of indications for test...
A48.2 Nonpneumonic Legionnaires' disease [Pontiac fever]
A48.1 Legionnaires' disease
408681003 Healthcare associated Legionnaires' disease
195889001 Legionella pneumonia
240445005 Extrapu...
Legionella is an intracellular organism that can only be grown on BCYE agar.
Consider Legionnaires’ disease in patients with pneumonia who have GI and other extrapulmonary findings (aty...
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<bold>FIGURE 13-5</bold> <bold>Classic appearance of a Gram stain of sputum from a patient with pneumococcal pneumonia.</bold> The smear shows lancet-shaped diplococci with polymorphonuclear leukocytes, and no other prominent bacterial morphology is present.
<bold>FIGURE 13-5</bold> <bold>Classic appearance of a Gram stain of sputum from a patient with pneumococcal pneumonia....
FIG. 11.26. A child with bacterial pneumonia. This radiograph of the chest shows a lobar consolidation and a pleural effusion on the right. Note the meniscus indicating the presence of fluid in the pleural cavity.
FIG. 11.26. A child with bacterial pneumonia. This radiograph of the chest shows a lobar consolidation and a pleural effusion on the right...
FIG. 11.27. Pneumonia with large pleural effusion. This child presented with bacterial pneumonia and respiratory distress, presumed to be caused in part by the large pleural effusion. In the emergency department, a pleural catheter ("pigtail") was placed for drainage, using the Seldinger technique.
FIG. 11.27. Pneumonia with large pleural effusion. This child presented with bacterial pneumonia and respiratory distress, presumed to be ...