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Published on: November 22, 2013
Legionellosis from Legionella pneumophila serogroup 13
Barzo Faris1, Camelia Faris, Mona Schousboe
1North Glasgow University NHS Trust, Glasgow, Scotland, UK. kingella@yahoo.co.uk
Abstract:
We describe 4 cases of Legionella pneumophila serogroup 13-associated pneumonia. These cases originate from a broad geographic range that includes Scotland, Australia, and New Zealand. L. pneumophila serogroup 13 pneumonia has a clinically diverse spectrum that ranges from relatively mild, community-acquired pneumonia to potentially fatal severe pneumonia with multisystem organ failure. All cases were confirmed by culture and direct fluorescent antibody staining or indirect immunofluorescent antibody tests. Proven or putative sources of L. pneumophila serogroup 13 infections in 2 patients included a contaminated whirlpool spa filter and river water. An environmental source was not found in the remaining 2 cases; environmental cultures yielded only other L. pneumophila serogroups or nonpneumophila Legionella species. We describe the clinical and laboratory features of L. pneumophila serogroup 13 infections. L. pneumophila serogroup 13 pneumonia is rarely reported, but it may be an underrecognized pathogenic serogroup of L. pneumophila.
Insights
Legionella pneumophila serogroup 13 causes diverse pneumonia, from mild to fatal, across multiple countries. This underrecognized pathogen may be linked to environmental sources like whirlpools and river water.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Pulmonology
Background:
- Legionella pneumophila is a known cause of pneumonia.
- Specific serogroups vary in pathogenicity and clinical presentation.
- Serogroup 13 has been rarely reported.
Observation:
- Four cases of pneumonia linked to Legionella pneumophila serogroup 13 were identified across Scotland, Australia, and New Zealand.
- Clinical presentations ranged from mild community-acquired pneumonia to severe, fatal disease with multi-organ failure.
- Infections were confirmed via culture and immunofluorescence assays.
Findings:
- Potential environmental sources for L. pneumophila serogroup 13 include contaminated whirlpool spa filters and river water.
- Environmental cultures in two cases did not identify the source, yielding other Legionella species.
- The study details the clinical and laboratory characteristics of L. pneumophila serogroup 13 infections.
Implications:
- Legionella pneumophila serogroup 13 pneumonia may be an underrecognized cause of respiratory illness.
- Broader surveillance and diagnostic awareness for this serogroup are warranted.
- Understanding environmental reservoirs is crucial for preventing L. pneumophila infections.
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