Skip to main content
Epidemiology and Infection logoLink to Epidemiology and Infection
. 1990 Feb;104(1):39–45. doi: 10.1017/s0950268800054509

Prevalance of antibodies to 15 antigens of Legionellaceae in patients with community-acquired pneumonia.

M McIntyre 1, J B Kurtz 1, J B Selkon 1
PMCID: PMC2271736  PMID: 2407543

Abstract

Sera from 252 patients with community-acquired pneumonia were examined for the presence of antibodies to 15 antigens of 7 Legionella spp. by indirect immunofluorescent antibody testing. The sera had been collected as part of the British Thoracic Society/Public Health Laboratory Service study of community-acquired pneumonia in adults. We also examined sera from 20 patients with gram-negative sepsis. Using a limited range of antigens of L. pneumophila, nine cases of legionellosis were diagnosed in the original study. However, using antigens to other Legionella spp., we identified two further cases, caused by L. micdadei and L. gormanii respectively. Twenty-six other patients had titres of 16 or 32 to one or more antigens, most commonly L. bozemanii serogroup 1, L. micdadei and L. dumoffi. None of the patients with non-legionella pneumonia, however, had significant changes in legionella antibody titres. All of the patients with Gram-negative sepsis had titres of less than 16.

Full text

PDF
39

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bornstein N., Janin N., Bourguignon G., Surgot M., Fleurette J. Prevalence of anti-Legionella antibodies in a healthy population and in patients with tuberculosis or pneumonia. Isr J Med Sci. 1986 Oct;22(10):740–744. [PubMed] [Google Scholar]
  2. Collins M. T., Espersen F., Høiby N., Cho S. N., Friis-Møller A., Reif J. S. Cross-reactions between Legionella pneumophila (serogroup 1) and twenty-eight other bacterial species, including other members of the family Legionellaceae. Infect Immun. 1983 Mar;39(3):1441–1456. doi: 10.1128/iai.39.3.1441-1456.1983. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Collins M. T., McDonald J., Høiby N., Aalund O. Agglutinating antibody titers to members of the family Legionellaceae in cystic fibrosis patients as a result of cross-reacting antibodies to Pseudomonas aeruginosa. J Clin Microbiol. 1984 Jun;19(6):757–762. doi: 10.1128/jcm.19.6.757-762.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Grady G. F., Gilfillan R. F. Relation of Mycoplasma pneumoniae seroreactivity, immunosuppression, and chronic disease to Legionnaires' disease. A twelve-month prospective study of sporadic cases in Massachusetts. Ann Intern Med. 1979 Apr;90(4):607–610. doi: 10.7326/0003-4819-90-4-607. [DOI] [PubMed] [Google Scholar]
  5. McDade J. E., Shepard C. C., Fraser D. W., Tsai T. R., Redus M. A., Dowdle W. R. Legionnaires' disease: isolation of a bacterium and demonstration of its role in other respiratory disease. N Engl J Med. 1977 Dec 1;297(22):1197–1203. doi: 10.1056/NEJM197712012972202. [DOI] [PubMed] [Google Scholar]
  6. Renner E. D., Helms C. M., Hierholzer W. J., Jr, Hall N., Wong Y. W., Viner J. P., Johnson W., Hausler W. J., Jr Legionnaires' disease in pneumonia patients in Iowa. A retrospective seroepidemiologic study, 1972-1977. Ann Intern Med. 1979 Apr;90(4):603–606. doi: 10.7326/0003-4819-90-4-603. [DOI] [PubMed] [Google Scholar]
  7. Taylor A. G., Harrison T. G., Andrews B. E., Sillis M. Serological differentiation of Legionnaires' Disease and Mycoplasma pneumoniae pneumonia. Lancet. 1980 Apr 5;1(8171):764–764. doi: 10.1016/s0140-6736(80)91254-4. [DOI] [PubMed] [Google Scholar]
  8. Taylor A. G., Harrison T. G., Dighero M. W., Bradstreet C. M. False positive reactions in the indirect fluorescent antibody test for Legionnaires' disease eliminated by use of formolised yolk-sac antigen. Ann Intern Med. 1979 Apr;90(4):686–689. doi: 10.7326/0003-4819-90-4-686. [DOI] [PubMed] [Google Scholar]
  9. Taylor A. G., Harrison T. G. Formalised yolk sac antigen in early diagnosis of Legionnaires' disease caused by Legionella pneumophila serogroup 1. Lancet. 1981 Sep 12;2(8246):591–592. doi: 10.1016/s0140-6736(81)90988-0. [DOI] [PubMed] [Google Scholar]
  10. Wilkinson H. W., Farshy C. E., Fikes B. J., Cruce D. D., Yealy L. P. Measure of immunoglobulin G-, M-, and A-specific titers against Legionella pneumophila and inhibition of titers against nonspecific, gram-negative bacterial antigens in the indirect immunofluorescence test for legionellosis. J Clin Microbiol. 1979 Nov;10(5):685–689. doi: 10.1128/jcm.10.5.685-689.1979. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Wilkinson H. W., Reingold A. L., Brake B. J., McGiboney D. L., Gorman G. W., Broome C. V. Reactivity of serum from patients with suspected legionellosis against 29 antigens of legionellaceae and Legionella-like organisms by indirect immunofluorescence assay. J Infect Dis. 1983 Jan;147(1):23–31. doi: 10.1093/infdis/147.1.23. [DOI] [PubMed] [Google Scholar]

Articles from Epidemiology and Infection are provided here courtesy of Cambridge University Press

RESOURCES