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Respiratory | Legionella

Legionella pneumophila is a bacteria that causes Legionnaires’ disease, a form of severe pneumonia which was first identified in 1976 during an American Legion convention in Philadelphia, Pennsylvania.

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Legionella pneumophila is a bacteria that causes Legionnaires’ disease, a form of severe pneumonia which was first identified in 1976 during an American Legion convention in Philadelphia, Pennsylvania. The genus of Legionella contains more than 50 species, of which at least 24 have been associated with human infections. The best-characterized member of the genus, L. pneumophila, is the major causative agent of Legionnaires' disease, and comprises approximately 80 percent of reported human Legionella infections. L. pneumophila is a gram-negative, obligate aerobic bacteria that replicates within alveolar macrophages and epithelial cells. Each year, 8,000–18,000 people in the United States are hospitalized with Legionnaires’ disease. Smokers, the elderly, and individuals that are immunocompromised or have preexisting chronic lung disease are at higher risk of serious L. pneumophila infections that often are life-threatening.

L. pneumophila is very atypically spread from one person to another. Instead, individuals contract L. pneumophila infections from exposure to contaminated water supplies, particularly standing water bodies. Water areas where L. pneumophila and other Legionella species typically reside include:

  • Shower heads
  • Faucets
  • Hot water tanks
  • Hot tubs
  • Other plumbing systems
  • Water features, fountains and pools
  • Air conditioning units

Hot tubs that are not clean or sufficiently disinfected can be prone to contamination with L. pneumophila. Individuals typically contract L. pneumophila infections when breathing in steam or mist from a contaminated hot tub.

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