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Legionella Pneumonia: The Spectrum Continues to Expand

Richard B. Brown, MD, FCCP
Author and Funding Information

Affiliations: Springfield, MA
 ,  Dr. Brown is Chief, Infectious Disease Division, Baystate Medical Center, Springfield; and Professor of Medicine, Tufts University School of Medicine, Boston, MA.

Correspondence to: Richard B. Brown, MD, FCCP, Chief, Infectious Disease Division, Baystate Medical Center, 759 Chestnut St, Springfield, MA 01107; e-mail: richard.brown@bhs.org



Chest. 2004;125(6):1979-1980. doi:10.1378/chest.125.6.1979
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It has been almost 2 decades since landmark studies demonstrated the presence and importance of a previously undescribed organism causing pneumonia.12 Within several years the etiology, epidemiology, diagnosis, and treatment became better understood, and the importance of species of Legionella other than Legionella pneumophila became recognized. Coincident with this was the demonstration of Legionella in clinical situations other than community-acquired lower respiratory infection. It became appreciated as a cause of nosocomial pneumonia,3 and became associated with illness outside of the lower respiratory system that included but were not limited to surgical site infections, pericarditis, and intraocular infection.4

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