- Dedication
- Preface
- Experts
- Contributors
- Abbreviations
- Reference Intervals
- Case 1 Pyrexia of unknown origin: the use of PET and PET-CT
- Case 2 Neurological complications of Lyme borreliosis
- Case 3 Leptospirosis and its complications
- Case 4 Secondary syphilis
- Case 5 HIV-associated multicentric Castleman’s disease
- Case 6 HIV and prevention of mother-to-child transmission
- Case 7 HIV: antiretroviral treatment and emergence of resistance
- Case 8 HIV: opportunistic infections and immune reconstitution
- Case 9 HIV: cryptococcal meningitis and timing of antiretroviral treatment
- Case 10 Candida infection in the intensive care unit
- Case 11 Disseminated aspergillosis after bone marrow transplantation
- Case 12 Hepatitis B reactivation
- Case 13 Developments in the treatment of hepatitis C virus infection
- Case 14 Management of viral haemorrhagic fevers in the UK
- Case 15 Tropical liver abscess: diagnosis and management
- Case 16 Severe falciparum malaria: treatment options in the UK
- Case 17 Imported Plasmodium vivax
- Case 18 Typhoid fever: antibiotic treatment choices
- Case 19 Hospital-acquired Legionella pneumonia
- Case 20 Severe Clostridium difficile infection
- Case 21 Staphylococcal prosthetic joint infection
- Case 22 Meticillin-resistant Staphylococcus aureus bacteraemia
- Case 23 Pneumococcal meningitis: antibiotic options for resistant organisms
- Case 24 Urinary sepsis: vancomycin-resistant enterococci
- Case 25 Disseminated nocardiosis
- Case 26 Urinary sepsis: extended spectrum β-lactamase-producing E. coli
- Case 27 Multidrug-resistant Pseudomonas aeruginosa infection in cystic fibrosis
- Case 28 The treatment of Mycobacterium abscessus lung disease
- Case 29 Multidrug-resistant tuberculosis
- Case 30 Diagnostic and management issues in tuberculous meningitis
- Case 31 Treated pulmonary tuberculosis complicated by sarcoidosis
- Index
(p. 207) Hospital-acquired Legionella pneumonia
- Chapter:
- (p. 207) Hospital-acquired Legionella pneumonia
- Author(s):
Catherine Roberts
- DOI:
- 10.1093/med/9780199665754.003.0019
Legionellosis provides a classic example of the need for an understanding of the ecology of an organism, as well as its clinical behaviour, in order to identify possible sources of infection. This chapter describes a case of hospital-acquired legionellosis focusing on its diagnosis and management. The chapter also focuses on the infection control issues surrounding nosocomial acquisition of the organism and the infection control implications, investigations, and management. The case highlights how all water sources to which a patient may have been exposed, both in and outside the hospital, must be considered as potential sources and involvement of the infection control team, the estates department and public health departments must occur at an early stage.
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- Dedication
- Preface
- Experts
- Contributors
- Abbreviations
- Reference Intervals
- Case 1 Pyrexia of unknown origin: the use of PET and PET-CT
- Case 2 Neurological complications of Lyme borreliosis
- Case 3 Leptospirosis and its complications
- Case 4 Secondary syphilis
- Case 5 HIV-associated multicentric Castleman’s disease
- Case 6 HIV and prevention of mother-to-child transmission
- Case 7 HIV: antiretroviral treatment and emergence of resistance
- Case 8 HIV: opportunistic infections and immune reconstitution
- Case 9 HIV: cryptococcal meningitis and timing of antiretroviral treatment
- Case 10 Candida infection in the intensive care unit
- Case 11 Disseminated aspergillosis after bone marrow transplantation
- Case 12 Hepatitis B reactivation
- Case 13 Developments in the treatment of hepatitis C virus infection
- Case 14 Management of viral haemorrhagic fevers in the UK
- Case 15 Tropical liver abscess: diagnosis and management
- Case 16 Severe falciparum malaria: treatment options in the UK
- Case 17 Imported Plasmodium vivax
- Case 18 Typhoid fever: antibiotic treatment choices
- Case 19 Hospital-acquired Legionella pneumonia
- Case 20 Severe Clostridium difficile infection
- Case 21 Staphylococcal prosthetic joint infection
- Case 22 Meticillin-resistant Staphylococcus aureus bacteraemia
- Case 23 Pneumococcal meningitis: antibiotic options for resistant organisms
- Case 24 Urinary sepsis: vancomycin-resistant enterococci
- Case 25 Disseminated nocardiosis
- Case 26 Urinary sepsis: extended spectrum β-lactamase-producing E. coli
- Case 27 Multidrug-resistant Pseudomonas aeruginosa infection in cystic fibrosis
- Case 28 The treatment of Mycobacterium abscessus lung disease
- Case 29 Multidrug-resistant tuberculosis
- Case 30 Diagnostic and management issues in tuberculous meningitis
- Case 31 Treated pulmonary tuberculosis complicated by sarcoidosis
- Index