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Legionnaires’ disease in the time of COVID-19

Due to similarities in initial disease presentation, clinicians may be inclined to repeatedly test community-acquired pneumonia cases for COVID-19 before recognizing the need to test for Legionnaires’ disease. Legionnaires’ disease is an illness characterized by pneumonia that has a summer/early fal...

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Autores principales: Cassell, Kelsie, Davis, J Lucian, Berkelman, Ruth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7787226/
https://www.ncbi.nlm.nih.gov/pubmed/33407911
http://dx.doi.org/10.1186/s41479-020-00080-5
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author Cassell, Kelsie
Davis, J Lucian
Berkelman, Ruth
author_facet Cassell, Kelsie
Davis, J Lucian
Berkelman, Ruth
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description Due to similarities in initial disease presentation, clinicians may be inclined to repeatedly test community-acquired pneumonia cases for COVID-19 before recognizing the need to test for Legionnaires’ disease. Legionnaires’ disease is an illness characterized by pneumonia that has a summer/early fall seasonality due to favorable conditions for Legionella growth and exposure. Legionella proliferate in warm water environments and stagnant sections of indoor plumbing and cooling systems. During the ongoing pandemic crisis, exposures to aerosolized water from recently reopened office or retail buildings should be considered as an epidemiologic risk factor for Legionella exposure and an indication to test. The majority of Legionnaires’ disease cases occurring each year are not diagnosed, and some experts recommend that all patients hospitalized with community-acquired pneumonia without a known etiology be tested for Legionella infection. Proper diagnosis can increase the likelihood of appropriate and timely antibiotic treatment, identify potential clusters of disease, and facilitate source attribution.
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spelling pubmed-77872262021-01-07 Legionnaires’ disease in the time of COVID-19 Cassell, Kelsie Davis, J Lucian Berkelman, Ruth Pneumonia (Nathan) Commentary Due to similarities in initial disease presentation, clinicians may be inclined to repeatedly test community-acquired pneumonia cases for COVID-19 before recognizing the need to test for Legionnaires’ disease. Legionnaires’ disease is an illness characterized by pneumonia that has a summer/early fall seasonality due to favorable conditions for Legionella growth and exposure. Legionella proliferate in warm water environments and stagnant sections of indoor plumbing and cooling systems. During the ongoing pandemic crisis, exposures to aerosolized water from recently reopened office or retail buildings should be considered as an epidemiologic risk factor for Legionella exposure and an indication to test. The majority of Legionnaires’ disease cases occurring each year are not diagnosed, and some experts recommend that all patients hospitalized with community-acquired pneumonia without a known etiology be tested for Legionella infection. Proper diagnosis can increase the likelihood of appropriate and timely antibiotic treatment, identify potential clusters of disease, and facilitate source attribution. BioMed Central 2021-01-06 /pmc/articles/PMC7787226/ /pubmed/33407911 http://dx.doi.org/10.1186/s41479-020-00080-5 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Commentary
Cassell, Kelsie
Davis, J Lucian
Berkelman, Ruth
Legionnaires’ disease in the time of COVID-19
title Legionnaires’ disease in the time of COVID-19
title_full Legionnaires’ disease in the time of COVID-19
title_fullStr Legionnaires’ disease in the time of COVID-19
title_full_unstemmed Legionnaires’ disease in the time of COVID-19
title_short Legionnaires’ disease in the time of COVID-19
title_sort legionnaires’ disease in the time of covid-19
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7787226/
https://www.ncbi.nlm.nih.gov/pubmed/33407911
http://dx.doi.org/10.1186/s41479-020-00080-5
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