How Do You Diagnose Legionellosis?

Legionellosis is a bacterial infection caused by the Legionella pneumophila bacterium. It is also known as Legionnaires' disease and got its name from the first known outbreak in 1976 at a convention of the American Legion in Philadelphia. There are two forms of legionellosis: Pontiac fever, which is the milder form of the disease, and Legionnaires' disease, which includes pneumonia.

Realize that legionellosis is an opportunistic infection and rarely affects people that do not have an underlying illness. Expect Legionnaires' disease to be difficult to diagnose clinically. The symptoms are similar to other forms of pneumonia and present 2 to 14 days after exposure.

These include chills, dry coughing, fatigue and a high fever that often reaches 102 to 105 degrees. Some patients also experience diarrhea, headaches and muscle aches. Observe Pontiac fever to produce symptoms similar to Legionnaires' disease but without the pneumonia.

These symptoms last for two to five days and usually ... more.

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