A Culture-Proven Case of Community-Acquired Legionella Pneumonia Apparently Classified as Nosocomial: Diagnostic and Public Health Implications
We report a case of Legionella pneumonia in a 78-year-old patient affected by cerebellar haemangioblastoma continuously hospitalised for 24 days prior to the onset of overt symptoms. According to the established case definition, this woman should have been definitely classified as a nosocomial case...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/303712 |
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| author | Annalisa Bargellini Isabella Marchesi Patrizia Marchegiano Luca Richeldi Roberto Cagarelli Greta Ferranti Paola Borella |
| author_facet | Annalisa Bargellini Isabella Marchesi Patrizia Marchegiano Luca Richeldi Roberto Cagarelli Greta Ferranti Paola Borella |
| author_sort | Annalisa Bargellini |
| collection | DOAJ |
| description | We report a case of Legionella pneumonia in a 78-year-old patient affected by cerebellar haemangioblastoma continuously hospitalised for 24 days prior to the onset of overt symptoms. According to the established case definition, this woman should have been definitely classified as a nosocomial case (patient spending all of the ten days in hospital before onset of symptoms). Water samples from the oncology ward were negative, notably the patient’s room and the oxygen bubbler, and the revision of the case history induced us to verify possible contamination in water samples collected at home. We found that the clinical strain had identical rep-PCR fingerprint of L. pneumophila serogroup 1 isolated at home. The description of this culture-proven case of Legionnaires’ disease has major clinical, legal, and public health consequences as the complexity of hospitalised patients poses limitations to the rule-of-thumb surveillance definition of nosocomial pneumonia based on 2–10-day incubation period. |
| format | Article |
| id | doaj-art-587f9e5c504c48c4acef99150337683d |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-587f9e5c504c48c4acef99150337683d2025-02-03T07:26:04ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/303712303712A Culture-Proven Case of Community-Acquired Legionella Pneumonia Apparently Classified as Nosocomial: Diagnostic and Public Health ImplicationsAnnalisa Bargellini0Isabella Marchesi1Patrizia Marchegiano2Luca Richeldi3Roberto Cagarelli4Greta Ferranti5Paola Borella6Department of Clinical, Diagnostic and Public Health Medicine, University of Modena and Reggio Emilia, Via Campi 287, 41125 Modena, ItalyDepartment of Clinical, Diagnostic and Public Health Medicine, University of Modena and Reggio Emilia, Via Campi 287, 41125 Modena, ItalyPrevention and Protection Service, Health Direction, University Hospital, Via Del Pozzo 71, 41124 Modena, ItalyDepartment of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, Via Del Pozzo 71, 41124 Modena, ItalyPublic Health Authority, Emilia Romagna Region, Via Aldo Moro 21, 40127 Bologna, ItalyDepartment of Clinical, Diagnostic and Public Health Medicine, University of Modena and Reggio Emilia, Via Campi 287, 41125 Modena, ItalyDepartment of Clinical, Diagnostic and Public Health Medicine, University of Modena and Reggio Emilia, Via Campi 287, 41125 Modena, ItalyWe report a case of Legionella pneumonia in a 78-year-old patient affected by cerebellar haemangioblastoma continuously hospitalised for 24 days prior to the onset of overt symptoms. According to the established case definition, this woman should have been definitely classified as a nosocomial case (patient spending all of the ten days in hospital before onset of symptoms). Water samples from the oncology ward were negative, notably the patient’s room and the oxygen bubbler, and the revision of the case history induced us to verify possible contamination in water samples collected at home. We found that the clinical strain had identical rep-PCR fingerprint of L. pneumophila serogroup 1 isolated at home. The description of this culture-proven case of Legionnaires’ disease has major clinical, legal, and public health consequences as the complexity of hospitalised patients poses limitations to the rule-of-thumb surveillance definition of nosocomial pneumonia based on 2–10-day incubation period.http://dx.doi.org/10.1155/2013/303712 |
| spellingShingle | Annalisa Bargellini Isabella Marchesi Patrizia Marchegiano Luca Richeldi Roberto Cagarelli Greta Ferranti Paola Borella A Culture-Proven Case of Community-Acquired Legionella Pneumonia Apparently Classified as Nosocomial: Diagnostic and Public Health Implications Case Reports in Medicine |
| title | A Culture-Proven Case of Community-Acquired Legionella Pneumonia Apparently Classified as Nosocomial: Diagnostic and Public Health Implications |
| title_full | A Culture-Proven Case of Community-Acquired Legionella Pneumonia Apparently Classified as Nosocomial: Diagnostic and Public Health Implications |
| title_fullStr | A Culture-Proven Case of Community-Acquired Legionella Pneumonia Apparently Classified as Nosocomial: Diagnostic and Public Health Implications |
| title_full_unstemmed | A Culture-Proven Case of Community-Acquired Legionella Pneumonia Apparently Classified as Nosocomial: Diagnostic and Public Health Implications |
| title_short | A Culture-Proven Case of Community-Acquired Legionella Pneumonia Apparently Classified as Nosocomial: Diagnostic and Public Health Implications |
| title_sort | culture proven case of community acquired legionella pneumonia apparently classified as nosocomial diagnostic and public health implications |
| url | http://dx.doi.org/10.1155/2013/303712 |
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