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Updated: Sep 30, 2026

Tractable Mammalian Cell Infections with Protozoan-primed Bacteria
Published on: April 2, 2013
[Diseases of the lungs caused by legionella species (author's transl)]
Abstract:
Ever since the 1976 Philadelphia epidemic and the isolation of the causative organism by MacDade in 1977, numerous clinical, epidemiological and bacteriological papers have stressed the significance of the "new" causative organisms responsible for serious cases of pneumonia. On the basis of knowledge available at present, the Legionellaceae family accounts for these bacteria. There are five different species in the genus Legionella: L. pneumophila, L. micdadei, L. bozemannii, L. dumoffii and L. gormanii. L. pneumophila occurs most frequently and has six serogroups (Serogroups 1-6), the first of which is the most important. Legionelloses, the diseases caused by these organisms, occur epidemically, endemically or sporadically. In clinical terms, these are acute cases of pneumonia which occur especially frequently in older persons and immunocompromised hosts. The course is severe in such patients. There is increased lethality. Erythromycin, rifampicin and cefoxitin are the most effective antibiotics. After the culture has been made in the suitable milieu and the material obtained by pulmonary aspiration has been inoculated into guinea pigs, the bacteriological diagnosis is made by direct immunofluorescence. The serological diagnosis is based on evidence of serological changes demonstrated by the indirect immunofluorescence test.
Insights
Legionella bacteria cause severe pneumonia, particularly in older adults and immunocompromised individuals. Diagnosis involves culture, animal inoculation, and immunofluorescence tests, with erythromycin and rifampicin as effective treatments.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Context:
- The emergence of Legionella as a significant cause of pneumonia following the 1976 Philadelphia epidemic.
- The Legionellaceae family encompasses five species, with Legionella pneumophila being the most prevalent.
Purpose:
- To review the clinical, epidemiological, and bacteriological aspects of Legionelloses.
- To highlight the significance of Legionella bacteria in causing severe pneumonia.
Summary:
- Legionelloses manifest as acute pneumonia, often severe and with increased lethality in elderly and immunocompromised patients.
- Effective antibiotics include erythromycin, rifampicin, and cefoxitin.
- Bacteriological diagnosis relies on culture, guinea pig inoculation, and direct immunofluorescence, while serological diagnosis uses indirect immunofluorescence.
Impact:
- Provides a comprehensive overview of Legionella infections for healthcare professionals and researchers.
- Emphasizes the importance of accurate diagnosis and timely treatment for Legionelloses.
- Contributes to understanding the epidemiology and clinical presentation of Legionella pneumonia.
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