Abstract

We report national surveillance of Legionnaires’ disease in China. Urine samples from 11 (3.85%) of 286 patients with severe pneumonia of unknown cause were positive for the Legionella pneumophila serogroup 1 antigen. We isolated Legionella strains from 7 patients. Improved diagnostic testing is needed for this underestimated disease in China.

Highlights

  • We report national surveillance of Legionnaires’ disease in China

  • Urine samples from 11 (3.85%) of 286 patients with severe pneumonia of unknown cause were positive for the Legionella pneumophila serogroup 1 antigen

  • Urine samples were collected from 286 patients and sent for urine antigen detection for L. pneumophila serogroup 1 (BinaxNow, https://www.alere. com) (Appendix Figure 2)

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Summary

Introduction

We report national surveillance of Legionnaires’ disease in China. Urine samples from 11 (3.85%) of 286 patients with severe pneumonia of unknown cause were positive for the Legionella pneumophila serogroup 1 antigen. We isolated Legionella strains from 7 patients. Legionnaires’ disease has been reported worldwide, only a few sporadic cases have been reported in China [2].

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Conclusion
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