Summary
The commonest infectious agents identified in community acquired pneumonia (CAP) amongst 50 patients admitted to a Dublin hospital were Streptococcus pneumoniae and Haemophilis influenzae. Legionella pneumophila pneumonia occurred in only one patient who acquired infection abroad.
A serological screen of blood bank donors and renal transplant recipients failed to detect antibody to Legionella pneumophila supporting the clinical findings of a low prevalence of infection in this community. It is concluded that initial antibiotic therapy for patients with CAP need not routinely include cover for Legionella.
Similar content being viewed by others
References
McDade, J. E., Shepard, C. C., Fraser, D. W., Tsai, T., Redus, M. A., Dowdle, W. R. Legionnaires’ disease. New Engl. J. Med. 1977: 297, 1197–1203.
YU VL, Kroboth, F. J., Shonnard, J., Brown, A., McDearman, S., Magnussen, M. Legionnaires’ disease: New clinical perspective from a prospective pneumonia study. Amer. J. Med. 1982: 73, 357–561.
White, R. J., Blainey, A. D., Harrison, K. J., Clarke, S. K. R. Causes of pneumonia presenting to a district general hospital. Thorax 1981: 36, 566–70.
MacFarlane, J. T., Finch, R. G., Ward, M. J., Macrae, A. D. Hospital study of adult community -acquired pneumonia. Lancet 1982: 11, 255–258.
Kennedy, D. H., Borland, W. How common is Legionnaires’ disease? Lancet 1983: 1, 360–61.
Laboratory diagnosis of Legionnaires’ disease. ACP Broadsheet 99. 1981.
Thomason, B. M., Bibb, W. F. Use of absorbed antisera for demonstration of antigenic variation among strains of Legionella pneumophia serogroup 1. J. Clin. Micro. 1984: 19, 794–797.
Woodhead, M. A., MacFarlane, J. T., McCracken, J. S., Rose, D. H., Finch, R. G. Prospective study of the aetiology and outcome of pneumonia in the community. Lancet 1987: 1, 671–674.
McNabb, W. R., Shanson, D. C, Williams, T. D. M., Lant, A. F. Adult community acquired pneumonia in central London. J. R. Soc. Med. 1984: 77, 550–555.
DeBuitleir, M., Fitzgerald, M. The changing profile of tuberculosis in a general teaching hospital - a five year review of 121 cases. Ir. Med. J. 1982: 75, 390–399.
Foley-Nolan, A., Hone, R. Tuberculosis. Ir. Med. J. 1983: 76, 473.
Marks, J., Schwabacher, H. Infection due to Mycobacterium Xenopei. Br. Med. J. 1965: 1, 32–33.
Engback, H.C, Bergmann, B., Baess, I., Will, D. W. M. Xenopei. Actapath et Microbiol Scandinav. 1967: 69, 576–594.
Woodhead, M. A., MacFarlane, J. T., Macrae, A. D., Pugh, S. F. The rise and fall of Legionnaires’ disease in Nottingham. Journal of Infection 1986: 13, 293–296.
Research Committee of the British Thoracic Society and the Public Health Laboratory Service. Community acquired pneumonia in adults in British Hospitals in 1982–1983: A survey of aetiology, mortality, prognostic factors and outcome. Quarterly Journal of Medicine; 1987. New Series 62 No. 239: 195–220.
Friis-Moller, A., Rechnitzer, C., Black, F. T., Collins, M. T., Lind, K., Aalund, O. Prevalence of Legionnaires’ disease in pneumonia patients admitted to a Danish department of infectious diseases. Scand. J. Infect. Dis. 1986; 18, 321–328.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hone, R., Haugh, C., O’Connor, B. et al. Legionella: An infrequent cause of adult community acquired pneumonia in Dublin. I.J.M.S. 158, 230–232 (1989). https://doi.org/10.1007/BF02943786
Issue Date:
DOI: https://doi.org/10.1007/BF02943786