0
ARTICLE |

Legionnaires' disease not limited to lungs

Phil Gunby
JAMA. 1980;244(23):2597-2601. doi:10.1001/jama.1980.03310230007004.
Text Size: A A A
Published online

ABSTRACT

Much of the mystery has been stripped from Legionnaires' disease since its startling appearance in 1976, but the emerging clinical picture is no less ominous in several respects.

Recent reports indicate that systemic spread from the lungs is more common than previously thought, that there may be more than 71,000 deaths in adults from unrecognized Legionnaires' disease in the United States annually (JAMA 1980;243:2311-2313), and that diagnosis remains a challenge.

The latest findings on systemic dissemination indicate that Legionella pneumophila spreads from the lungs to other organs in about one of every four patients, especially if there is concurrent disease.

This conclusion comes from a retrospective study of 23 fatal cases of Legionnaires' disease conducted by Dennis D. Weisenburger, MD, Charles M. Helms, MD, PhD, and Edward D. Renner, PhD, and presented to the joint St Louis meeting of the College of American Pathologists and the American Society of Clinical

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();