1. Probable reinfection with Legionella pneumophila – A case report
- Author
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Franziska Reber, Bonita Brodhun, Corinna Gagell, Christina Otto, Ann-Sophie Lehfeld, Udo Buchholz, Fabian Stemmler, Uwe Kölsch, Christian Meisel, Christian Lück, HJ Jahn, Ronny Gamradt, Martin Eisenblätter, Walter Haas, Benedikt Schaefer, and Maxi Heinig
- Subjects
medicine.medical_specialty ,Legionella ,Disease ,010501 environmental sciences ,01 natural sciences ,Legionella pneumophila ,03 medical and health sciences ,0302 clinical medicine ,Water Supply ,Female patient ,Epidemiology ,medicine ,Humans ,030212 general & internal medicine ,Legionella pneumophila Serogroup 1 ,0105 earth and related environmental sciences ,Aged, 80 and over ,Antigens, Bacterial ,biology ,business.industry ,Public Health, Environmental and Occupational Health ,Antibodies, Monoclonal ,medicine.disease ,biology.organism_classification ,Immunology ,Monoclonal ,Female ,Legionnaires' disease ,Legionnaires' Disease ,Water Microbiology ,business - Abstract
In Germany community-acquired Legionnaires' disease is usually caused by the species Legionella pneumophila. Recurrent cases of Legionnaires' disease are rarely reported and are due either to a second infection (reinfection) or a relapse of a previous case. We report a case of recurrent Legionnaires' disease in an 86-year-old female patient infected with Legionella pneumophila serogroup 1, monoclonal antibody-subtype Knoxville, sequence type unknown. Between the two disease incidents the patient had completely recovered. Legionella pneumophila was detected with the monoclonal antibody-subtype Knoxville, sequence type 182, in the drinking water of the patient's apartment. Exposure to contaminated drinking water was interrupted after the first incident exposure through the application of point-of-use water filters. The filters were later removed due to low water pressure, and the second illness occurred thereafter. It is unclear if immunological predisposition has contributed to this case of probable reinfection of Legionnaires' disease. Clinical, microbiological and epidemiological information combined suggest this is a case of reinfection of Legionnaires' disease. In cases of recurrent Legionnaires' disease complete collection of patient and water samples is necessary to differentiate relapse from reinfection cases, to implicate the source of infection and to gain more evidence for the role of immunological predisposition.
- Published
- 2019
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