Heart & Lung: The Journal of Acute and Critical Care
Volume 37, Issue 4 , Pages 311-320 , July 2008

Severe Legionella pneumonia: Rapid presumptive clinical diagnosis with Winthrop-University Hospital's weighted point score system (modified)

  • Burke A. Cunha, MD

      Affiliations

    • Corresponding Author InformationCorresponding author: Burke A. Cunha, MD, Infectious Disease Division, Winthrop-University Hospital, Mineola, NY 11501.

References 

  1. Kirby BD, Synder KM, Meyer RD, et al. Legionnaire's disease: clinical features of 24 cases. Ann Intern Med. 1978;89:297–309
  2. Cunha BA, Quintiliani R. The atypical pneumonias, a diagnostic and therapeutic approach. Postgrad Med. 1979;66:95–102
  3. Cunha BA, Ortega AM. Atypical pneumonia (Extrapulmonary clues guide the way to diagnosis). Postgrad Med. 1966;99:123–128
  4. Johnson DH, Cunha BA. Clinical and extrapulmonary features of Chlamydia, mycoplasmas, and Legionella infections. Postgrad Med. 1992;93:69–72
  5. Cunha BA. The atypical pneumonias: clinical diagnosis and importance. Clin Microbiol Infect. 2006;12:12–24
  6. Cunha BA. Atypical Pneumonias: Clinical Features, Diagnosis, and Management. Current Opinion in Pulmonary Medicine. 2008;14:183–194
  7. Cunha BA. Pneumonia essentials. Royal Oaks, MI: Physicians Press; 2008;55-63
  8. Sugihara E, Dambara T, Aiba M, et al. Clinical characteristics of 8 sporadic cases of community-acquired Legionella pneumonia in advanced age. Intern Med. 2007;46:461–465
  9. Sopena N, Pedro-Botet L, Mateu L, et al. Community-acquired Legionella pneumonia in elderly patients: characteristics and outcome. J Am Geriatr Soc. 2007;55:114–119
  10. Ben-Dror G, Mizerizky Y, Viar G, et al. The epidemiology and clinical features of Legionella pneumonia (LP) in patients older than 60 years old who were hospitalized with pneumonia in Northern Israel. Harefuah. 2002;141:680–682
  11. Cunha BA. Diagnostic Significance of relative bradycardia. Clin Microbiol & Infect Dis. 2000;6:633–634
  12. Franzin L, Cabodi D. Legionella pneumonia and serum procalcitonin. Curr Microbiol. 2005;50:43–46
  13. Cunha BA. Hypophosphatemia: diagnostic significance in Legionnaire's disease. Am J Med. 2006;119:5–6
  14. Cunha BA. Diagnostic Significance of Non-Specific Laboratory Tests in Infectious Diseases. In: Gorbach SL, Bartlett JB, Blacklow NR (Eds.). Infectious Diseases in Medicine and Surgery (3rd ed.). W.B. Saunders Co., Philadelphia, 2002, pp 116-127.
  15. Cunha BA. The Clinical Diagnosis of Legionnaires' Disease: Diagnostic Value of Combing Non-Specific Laboratory Tests. Journal of Infection. 2008;6:395–397
  16. Cunha BA. Clinical diagnosis of Legionnaire's disease. Semin Respir Infect. 1998;13:116–127
  17. Gupta SK, Imperiale TF, Sarosi GA. Evaluation of the Winthrop-University Hospital criteria to identify Legionella pneumonia. Chest. 2001;120:1064–1071
  18. Cunha BA. Severe community acquired pneumonia in the critical care unit. In:  Cunha BA editors. Infectious diseases in critical care medicine. (2nd ed.). New York: Informa Healthcare; 2007;p. 157–168
  19. Cunha BA. Legionella pneumonia: the value of clinical and laboratory findings. J Respir Dis. 2005;26:515–516
  20. Cunha BA. Legionnaire's disease. In:  Rackel ER,  Bope ED editor. Conn's current therapy–2005. (57th ed.). Philadelphia, PA: WB Saunders; 2005;
  21. Cunha BA. Serum Ferritin Levels in Legionella Community-acquired Pneumonia. Clinical Infectious Disease. 2008;46:1789–1791

PII: S0147-9563(07)00233-6

doi: 10.1016/j.hrtlng.2007.12.003

Heart & Lung: The Journal of Acute and Critical Care
Volume 37, Issue 4 , Pages 311-320 , July 2008

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