Evidence map›Paper›PMID 42299392›Full record

ArticleAME case reports2026

The spectrum of legionnaires' disease: a case series illustrating clinical diversity and outcomes.

Gerson De Freitas, Jacek Jodelka, Amit Toor

Abstract readCase Reports
In one paragraph

Article in AME case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Gerson De FreitasDepartment of Internal Medicine, St. Luke's University Health Network, Bethlehem, PA, USA.ORCID https://orcid.org/0009-0000-5752-4321
Jacek JodelkaDepartment of Internal Medicine, St. Luke's University Health Network, Bethlehem, PA, USA.
Amit ToorPulmonary & Critical Care Medicine, Tampa Pulmonary & Sleep Specialists, Tampa, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Case Description: We present five patients with confirmed Legionnaires' disease in a community hospital setting. Patients' ages ranged from 38 to 83 years old with varied comorbidities. Clinical presentations included respiratory symptoms (cough, dyspnea), systemic manifestations (fever, fatigue, malaise), and extrapulmonary features (diarrhea, hyponatremia). Hyponatremia was present in 40% of the cohort. Chest imaging revealed unilateral or bilateral infiltrates. Diagnosis was confirmed via urinary antigen testing detecting Conclusions: This case series reinforces the variable clinical presentation of Legionnaires' disease and emphasizes the critical importance of clinical suspicion in patients with atypical pneumonia, particularly those with risk factors including advanced age, comorbidities, or exposure to aerosolized water sources. Early recognition and appropriate antimicrobial therapy are essential to reduce morbidity and mortality.

Indexed as

atypical pneumoniacase seriesLegionella pneumonialegionellosisLegionnaires’ disease

Identifiers

PMID42299392
PMCPMC13264779

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.