Legionella-Like and Other Amoebal Pathogens as Agents of Community-Acquired Pneumonia
2001

Legionella-Like and Other Amoebal Pathogens in Pneumonia

Sample size: 511 publication Evidence: moderate

Author Information

Author(s): Thomas J. Marrie, Didier Raoult, Bernard La Scola, Richard J. Birtles, Emidio de Carolis, Canadian Community-Acquired Pneumonia Study Group

Primary Institution: University of Alberta

Hypothesis

Do Legionella-like amoebal pathogens (LLAPs) cause community-acquired pneumonia?

Conclusion

LLAPs infrequently play a role in community-acquired pneumonia, usually as co-pathogens.

Supporting Evidence

  • LLAP 4 was the most common LLAP-causing pneumonia.
  • Only one healthy Nova Scotian had serologic evidence of recent infection with an LLAP.
  • Two of the 58 patients from the Nova Scotia site had infection with LLAP 4.

Takeaway

Some germs that live in amoebas can sometimes make people sick with pneumonia, but it's not very common.

Methodology

Serum specimens from three groups of pneumonia patients were tested for antibodies to various pathogens.

Limitations

Different populations were enrolled at different times, and only a subset of hospitalized patients was tested.

Participant Demographics

Patients with community-acquired pneumonia from Nova Scotia and other Canadian provinces.

Statistical Information

P-Value

0.029

Statistical Significance

p<0.029

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