---
title: Legionellosis
description: legionellosis
image: https://www.ambimed-group.com/hubfs/282.jpg
---

- [Prevention](https://www.ambimed-group.com/en/ambimed-per-i-privati/tag/prevention)

# Legionellosis

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- September 8, 2025

![Francesco Spinazzola](https://app.hubspot.com/settings/avatar/d41d8cd98f00b204e9800998ecf8427e)

[ Francesco Spinazzola ](https://www.ambimed-group.com/en/ambimed-per-i-privati/author/francesco-spinazzola)

![282](https://www.ambimed-group.com/hs-fs/hubfs/282.jpg?width=499&height=337&name=282.jpg)

In recent years, general interest has been directed towardcovid. The same interest in fact has seemed to wane in regard to other diseases.

**Could this underestimation of the most commonly prevalent diseases be dangerous? Quite possibly, yes. **

Take for example one of the **potentially lethal respiratory diseases** that are in circulation: **legionellosis** caused by the bacterium Legionella pneumophila. These microorganisms precisely are Gram-negative, intracellular pathogenic bacteria, whose serotype 1 is the most commonly reported cause of infections in humans Worldwide. Legionella infections can present in most cases as a mild, self-limiting flu-like illness called Pontiac fever. In some cases, especially in the presence of risk factors, such as advanced age, smoking, and conditions of immunodepression of various kinds, they can be a major cause of community-acquired and nosocomial pneumonia: **legionnaires' disease**. Symptoms typically occur 2 to 10 days after exposure to the pathogen and can take a varied and worsening clinical course. **Acute respiratory failure is typical**, characterized by very low blood oxygen pressure values and lung localizations of various types, infiltrates, thickening, interstitiopathy, pleural effusions. Sufferings of other organs and apparatuses may be associated in a septic-type picture. Classic is cerebral involvement brought about by a toxin, rather than true organ localization. If treated in time with the right antibiotics, macrolides, quinolones, rifampin, etc., it generally tends to resolve.

Prevention lies in**avoiding exposure to humid and hot places** **where such bacteria can proliferate**, such as air conditioning systems where filters have not been periodically serviced and cleaned; showers in which water is not circulated at temperatures above 50-60 degrees**(temperature optimum for Legionella colony development is in fact 40 degrees or so**); soils site of recent earthworks where water turn-over and stagnation occur; abandoned and reoccupied rooms or entire buildings with toilets partially out of use; cooling towers of industrial plants. The cue for this simple disquisition comes to me from the **very recent notification of a post-lockdown case admitted to a Roman hospital** referred to in the following link

Source:

[Eurosurveillance Legionella pneumonia](https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2020.25.30.2001372).

I myself recall in my career having taken a successful interest in my younger years in the diagnostic recognition and treatment of **an epidemic outbreak that occurred among artists**, painters and sculptors staying **at the Danish Institute of Culture in Rome's Villa Borghese**.

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