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The Result of a Common-Source Exposure to Legionella pneumophila

John C. Girod, MD; Richard C. Reichman, MD; Washington C. Winn, Jr, MD; Douglas N. Klaucke, MD; Richard L. Vogt, MD; Raphael Dolin, MD

Arch Intern Med. 1982;142(3):545-547.

Abstract
Two male maintenance workers contracted legionellosis while cleaning the interior of a cooling tower contaminated with Legionella pneumophila. In one man severe, life-threatening Legionnaires' disease developed, whereas the other experienced a comparatively mild, self-limited illness that was consistent with previous descriptions of cases of Pontiac fever. This report represents the first documentation of the development of both of these syndromes following exposure to a common source of the organism. The implications of this observation for the pathogenetic mechanisms that underly the different clinical manifestations of legionellosis are discussed.

(Arch Intern Med 1982;142:545-547)

Author Affiliations
From the Departments of Medicine (Drs Girod, Reichman, and Dolin) and Pathology (Dr Winn), University of Vermont College of Medicine; and the Vermont State Health Department (Drs Klaucke and Vogt), Burlington.

Footnotes
Accepted for publication Aug 14, 1981.

Reprint requests to Division of Infectious Diseases, University of Vermont College of Medicine, Burlington, VT 05405 (Dr Reichman).

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