Legionella and mycoplasma pneumonia--a community hospital experience with atypical pneumonias. 1987

E M Cotton, and M J Strampfer, and B A Cunha
Department of Medicine, Winthrop-University Hospital, Mineola, New York.

The clinician should be alert to the possibility of Legionella pneumonia in the community hospital setting. Importantly, degree of suspicion, that is, familiarity with extrapulmonary clinical and laboratory features of the typical pneumonias, nearly always leads to a correct presumptive diagnosis that may later be confirmed by serologic testing. Serologic testing has confirmed only a minority of cases. Since early empiric therapy is critical to survival in many of these patients, knowing how to arrive at a presumptive diagnosis based upon the clinical clue present or absent is essential in the community hospital setting.

UI MeSH Term Description Entries
D007875 Legionella Gram-negative aerobic rods, isolated from surface water or thermally polluted lakes or streams. Member are pathogenic for man. Legionella pneumophila is the causative agent for LEGIONNAIRES' DISEASE.
D007877 Legionnaires' Disease An acute, sometimes fatal, pneumonia-like bacterial infection characterized by high fever, malaise, muscle aches, respiratory disorders and headache. It is named for an outbreak at the 1976 Philadelphia convention of the American Legion. Legionella pneumophila Infections,Infections, Legionella pneumophila,Legionnaire Disease,Pontiac Fever,Disease, Legionnaire,Disease, Legionnaires',Fever, Pontiac,Infection, Legionella pneumophila,Legionella pneumophila Infection,Legionnaire's Disease,Legionnaires Disease
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009956 Psittacosis Infection with CHLAMYDOPHILA PSITTACI (formerly Chlamydia psittaci), transmitted to humans by inhalation of dust-borne contaminated nasal secretions or excreta of infected BIRDS. This infection results in a febrile illness characterized by PNEUMONITIS and systemic manifestations. Ornithosis,Ornithoses,Psittacoses
D011019 Pneumonia, Mycoplasma Interstitial pneumonia caused by extensive infection of the lungs (LUNG) and BRONCHI, particularly the lower lobes of the lungs, by MYCOPLASMA PNEUMONIAE in humans. In SHEEP, it is caused by MYCOPLASMA OVIPNEUMONIAE. In CATTLE, it may be caused by MYCOPLASMA DISPAR. Mycoplasma Pneumonia,Pneumonia, Primary Atypical,Mycoplasma dispar Infection,Mycoplasma ovipneumoniae Infection,Mycoplasma pneumoniae Infection,Atypical Pneumonia, Primary,Atypical Pneumonias, Primary,Mycoplasma Pneumonias,Mycoplasma dispar Infections,Mycoplasma ovipneumoniae Infections,Mycoplasma pneumoniae Infections,Pneumonias, Mycoplasma,Pneumonias, Primary Atypical,Primary Atypical Pneumonia,Primary Atypical Pneumonias
D011778 Q Fever An acute infectious disease caused by COXIELLA BURNETII. It is characterized by a sudden onset of FEVER; HEADACHE; malaise; and weakness. In humans, it is commonly contracted by inhalation of infected dusts derived from infected domestic animals (ANIMALS, DOMESTIC). Coxiella burnetii Fever,Query Fever,Acute Q Fever,Chronic Q Fever,Coxiella burnetii Infection,Coxiella burnetii Vector-Borne Disease,Acute Q Fevers,Chronic Q Fevers,Coxiella burnetii Fevers,Coxiella burnetii Infections,Coxiella burnetii Vector Borne Disease,Fever, Acute Q,Fever, Chronic Q,Fever, Coxiella burnetii,Fever, Q,Fever, Query,Fevers, Acute Q,Fevers, Chronic Q,Fevers, Coxiella burnetii,Fevers, Q,Fevers, Query,Infection, Coxiella burnetii,Infections, Coxiella burnetii,Q Fever, Acute,Q Fever, Chronic,Q Fevers,Q Fevers, Acute,Q Fevers, Chronic,Query Fevers
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D005260 Female Females
D006764 Hospitals, Community Institutions with permanent facilities and organized medical staff which provide the full range of hospital services primarily to a neighborhood area. Community Hospital,Community Hospitals,Hospital, Community

Related Publications

E M Cotton, and M J Strampfer, and B A Cunha
December 2004, Infection control and hospital epidemiology,
E M Cotton, and M J Strampfer, and B A Cunha
March 2017, Clinics in chest medicine,
E M Cotton, and M J Strampfer, and B A Cunha
May 1993, Postgraduate medicine,
E M Cotton, and M J Strampfer, and B A Cunha
October 1990, The New Zealand medical journal,
E M Cotton, and M J Strampfer, and B A Cunha
November 1966, Annals of internal medicine,
E M Cotton, and M J Strampfer, and B A Cunha
January 1982, Revista medica de Chile,
E M Cotton, and M J Strampfer, and B A Cunha
April 1987, British journal of diseases of the chest,
E M Cotton, and M J Strampfer, and B A Cunha
December 1973, American journal of diseases of children (1960),
E M Cotton, and M J Strampfer, and B A Cunha
November 2011, Revista clinica espanola,
Copied contents to your clipboard!