Community-acquired pneumonia by Legionella pneumophila serogroups 1-6 in Brazil

Respir Med. 2005 Aug;99(8):966-75. doi: 10.1016/j.rmed.2005.02.008. Epub 2005 Apr 7.

Abstract

A prospective cohort study of adult patients hospitalized due to community-acquired pneumonia was carried out for 1 year in a Brazilian university general hospital to detect the incidence of community-acquired pneumonia by Legionella pneumophila serogroups 1-6. During a whole year, a total of 645 consecutive patients who were hospitalized due to a initial presumptive diagnosis of respiratory disease by ICD-10 (J00-J99), excluding upper respiratory diseases, were screened to detect the patients with community-acquired pneumonia. Fifty-nine consecutive patients hospitalized due to community-acquired pneumonia between July 19, 2000 and July 18, 2001, were included in the study. They had determinations of serum antibodies to L. pneumophila serogroups 1-6 by indirect immunofluorescence antibody test at the Infectious Diseases Laboratory of University of Louisville (KY, USA) and urinary antigen tests for L. pneumophila serogroup 1. Three patients had community-acquired pneumonia by L. pneumophila serogroups 1-6, two patients being diagnosed by seroconversion and positive urinary antigen tests; the other had negative serologies but strongly positive urinary antigen test. The incidence of community-acquired pneumonia by L. pneumophila serogroups 1-6 in our hospital was 5.1%.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antibodies, Bacterial / blood
  • Antigens, Bacterial / urine
  • Brazil / epidemiology
  • Community-Acquired Infections / epidemiology
  • Community-Acquired Infections / microbiology
  • Fluorescent Antibody Technique, Indirect
  • Hospitalization
  • Humans
  • Incidence
  • Legionella pneumophila / classification*
  • Legionella pneumophila / immunology
  • Legionella pneumophila / isolation & purification
  • Legionnaires' Disease / diagnostic imaging
  • Legionnaires' Disease / epidemiology*
  • Legionnaires' Disease / microbiology
  • Middle Aged
  • Patient Selection
  • Prospective Studies
  • Tomography, X-Ray Computed

Substances

  • Antibodies, Bacterial
  • Antigens, Bacterial