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Three patients with severe pneumonia at a community hospital in Columbus, Ohio, were found to have Legionnaires' disease in late August 1977. A subsequent serologic survey of patients with pneumonia at this hospital identified three additional cases. Among patients with pneumonia, hospital exposure in the 2 weeks before onset of illness was significantly associated with Legionnaires' disease (P = 0.003). Serosurveys of hospital employees with a recent history of upper respiratory illness, healthy employees, and workers at the hospital construction site showed that one of 101, one of 107, and none of 114, respectively, has a single reciprocal titer of greater than or equal to 256 to the Legionnaires' disease (LD) bacterium. Serosurveys of patients with pneumonia at three control hospitals identified five additional patients with Legionnaires' disease, three of them with pneumonia that was apparently hospital acquired in a single renal transplant unit. A fourth patient from that unit without clinical illness had a fourfold rise in titer to LD bacterium.
J S Marks, and
T F Tsai, and
W J Martone, and
R C Baron, and
J Kennicott, and
F J Holtzhauer, and
I Baird, and
D Fay, and
J C Feeley, and
G F Mallison, and
D W Fraser, and
T J Halpin
May 1997,
MMWR. Morbidity and mortality weekly report,
J S Marks, and
T F Tsai, and
W J Martone, and
R C Baron, and
J Kennicott, and
F J Holtzhauer, and
I Baird, and
D Fay, and
J C Feeley, and
G F Mallison, and
D W Fraser, and
T J Halpin
December 1987,
Seminars in respiratory infections,
J S Marks, and
T F Tsai, and
W J Martone, and
R C Baron, and
J Kennicott, and
F J Holtzhauer, and
I Baird, and
D Fay, and
J C Feeley, and
G F Mallison, and
D W Fraser, and
T J Halpin
November 1988,
Heart & lung : the journal of critical care,
J S Marks, and
T F Tsai, and
W J Martone, and
R C Baron, and
J Kennicott, and
F J Holtzhauer, and
I Baird, and
D Fay, and
J C Feeley, and
G F Mallison, and
D W Fraser, and
T J Halpin
October 1989,
Zhonghua yi xue za zhi = Chinese medical journal; Free China ed,
J S Marks, and
T F Tsai, and
W J Martone, and
R C Baron, and
J Kennicott, and
F J Holtzhauer, and
I Baird, and
D Fay, and
J C Feeley, and
G F Mallison, and
D W Fraser, and
T J Halpin
February 1979,
The Ohio State medical journal,
J S Marks, and
T F Tsai, and
W J Martone, and
R C Baron, and
J Kennicott, and
F J Holtzhauer, and
I Baird, and
D Fay, and
J C Feeley, and
G F Mallison, and
D W Fraser, and
T J Halpin
July 1959,
Journal of the National Medical Association,
J S Marks, and
T F Tsai, and
W J Martone, and
R C Baron, and
J Kennicott, and
F J Holtzhauer, and
I Baird, and
D Fay, and
J C Feeley, and
G F Mallison, and
D W Fraser, and
T J Halpin
September 1960,
Journal of the National Medical Association,
J S Marks, and
T F Tsai, and
W J Martone, and
R C Baron, and
J Kennicott, and
F J Holtzhauer, and
I Baird, and
D Fay, and
J C Feeley, and
G F Mallison, and
D W Fraser, and
T J Halpin
January 1983,
Infection control : IC,
J S Marks, and
T F Tsai, and
W J Martone, and
R C Baron, and
J Kennicott, and
F J Holtzhauer, and
I Baird, and
D Fay, and
J C Feeley, and
G F Mallison, and
D W Fraser, and
T J Halpin
January 1996,
Archives of internal medicine,
J S Marks, and
T F Tsai, and
W J Martone, and
R C Baron, and
J Kennicott, and
F J Holtzhauer, and
I Baird, and
D Fay, and
J C Feeley, and
G F Mallison, and
D W Fraser, and
T J Halpin
October 1983,
U. S. medicine,
