General information, not a diagnosis Method and limitations

Fact sheetBacteria

Legionellosis

Legionellosis is acquired by inhaling water aerosols contaminated with Legionella. It can cause pneumonia.

Documentary Enrichment: · General information

Essentials

Lung infection acquired by inhalation of contaminated water aerosols; transmission between people is exceptional.

Agent
Legionella spp.
Transmission or exposure
Environment · Respiratory tract

Situation and vulnerability

Older age, smoking, chronic diseases and immunosuppression can increase the risk of severe form.

Signs and limits of their interpretation

Fever, cough, shortness of breath and sometimes digestive disorders or confusion may occur. A major respiratory difficulty warrants urgent assistance.

Diagnosis and monitoring

The medical team can use urinary and respiratory tests. The choice of examinations influences the species or types of Legionella detected.

Check these benchmarks in the WHO reference →

Prevention and care

Prevention is based on the control of water installations. Pneumonia requires care; Legionella's presence cannot be judged by water transparency.

Practical issues

Is drinking water the main mode of acquisition?

Inhalation of contaminated aerosols is the usual route; suction can also occur. Inter-person transmission is not the common way.

Preparing for an exchange with a professional

  • Recent stays and frequented places
  • Exposure to aerosol-producing facilities
  • Start of signs and vulnerabilities

Bring the full minutes and dates. This information facilitates evaluation; its collection must not delay an urgent appeal.

Individual decisionThe choice of a test, treatment or prevention depends on the local situation and recommendations. In case of distress, call 911.
Spécialiste observant un récipient d’eau avec une loupe sur une paillasse. AI-generated illustration.
Observation of aquatic environments — Specialist observing a water container with a magnifying glass on a mat.
Image generated by artificial intelligence. Fictive scene; this visual illustrates an observational approach.

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Related fact sheets

These sheets share ways or contexts of exhibition in our catalogue. This reconciliation does not establish a differential diagnosis.

Compare Legionellosis with associated sheets →

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In practiceObserve and understand

Legionnaires’ disease: identify the device producing droplets

“Air conditioning” is too vague to describe exposure. The useful question is whether a device uses water that can be dispersed as fine droplets.

Legionnaires’ disease: identify the device producing droplets — explanations and limits
Report itemWhat it helps explainQuestion to ask
Showers, hot tubs, fountainsContaminated water systems can disperse inhalable droplets. Prevention involves water system management.Which locations and dates of stay should be reported?
Home or car air conditioner without a cooling-water circuitCDC distinguishes these from installations using water to cool air. They do not provide that same reservoir for Legionella.What exact type of installation is involved?

References for these explanations

Sources consulted on . Examples and diagrams are educational; the original guidance defines its scope.

Further reading

These publications help you verify the concepts discussed. Disease records and directory entries each identify their sources.

The content modification date does not mean that every source has undergone a new medical review. Verification method and scope.