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Legionnaires’ DiseaseLegionnaires Disease in the ICU: Importance of High Index of Suspicion in Patients in the ICU With Community-Acquired Pneumonia

Victor L. Yu, MD
Author and Funding Information

From the Department of Medicine, University of Pittsburgh; and the Special Pathogens Laboratory.

Correspondence to: Victor L. Yu, MD, Special Pathogens Laboratory, 1401 Forbes Ave, Ste 208, Pittsburgh, PA 15219; e-mail: vly@pitt.edu


Financial/nonfinancial disclosures: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;145(2):202-205. doi:10.1378/chest.13-2170
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From a layperson’s perception, Legionnaires’ disease seems to be increasing, as judged by newspaper headlines and TV reports. Whether this is because of increasing recognition with greater use of the Legionella urinary antigen or because of an actual absolute increase is not readily answered. This increasing incidence is supported by epidemiologic statistics from the US Centers for Disease Control and Prevention and Eurosurveillance.1,2 Speculation that proliferation of Legionella in natural aquatic bodies as a result of climate change, global warming, and flooding has contributed to this increase.

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