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Volume 27, Number 11—November 2021
Dispatch

Co-infection with Legionella and SARS-CoV-2, France, March 2020

Camille Allam, Alexandre Gaymard, Ghislaine Descours, Christophe Ginevra, Laurence Josset, Maud Bouscambert, Laetitia Beraud, Marine Ibranosyan, Camille Golfier, Arnaud Friggeri, Bruno Lina, Christine Campèse, Florence Ader, Sophie JarraudComments to Author , and COVID-19 diagnosis HCL consortium1
Author affiliations: Hospices Civils de Lyon, Lyon, France (C. Allam, A. Gaymard, G. Descours, C. Ginevra, L. Josset, L. Beraud, M. Ibranosyan, C. Golfier, A. Friggeri, B. Lina, F. Ader, S. Jarraud); Université de Lyon, Lyon (C. Allam, A. Gaymard, G. Descours, C. Ginevra, L. Josset, M. Ibranosyan, B. Lina, F. Ader, S. Jarraud); Centre International de Recherche en Infectiologie, Lyon (C. Allam, A. Gaymard, G. Descours, C. Ginevra, L. Josset, B. Lina, F. Ader, S. Jarraud); Santé Publique France, Saint-Maurice, France (C. Campèse)

Main Article

Table

Patient demographics, underlying conditions, and risk exposures for patients with LD, with and without co-occurring COVID-19, France, 2020*

Patient no.
LD-positive, COVID-19–negative
LD- and COVID-19–positive
LD- and COVID-19–positive patient details
1
2
3
4
5
6
7
Demographics†
Sex M:F ratio 23:18 M:F ratio 6:1 M M M F M M M
Age, y Median (range), 67 (36–96) Median (range), 72 (37–83) 72 71 71 83 73 73 37
ICU admission
10/31 (32)
7/7 (100)
Y
Y
Y
Y
Y
Y
Y
Outcome†
Recovered 7/42 (17) 1/7 (14) N N N Y N N N
Death 3/42 (7) 2/7 (29) N N Y N N Y N
Ongoing disease
32/42 (76)
4/7 (71)
Y
Y
N
N
Y
N
Y
Underlying conditions
Corticotherapy‡ 1/42 (2) 2/7 (29) Y Y N N N N N
Other immunosuppression‡ 5/42 (12) 0/7 (0) N N N N N N N
Smoking‡ 15/42 (36) 2/7 (29) N Y Y N N N N
Cardiovascular diseases 1/42 (2) 6/7 (90) Y Y Y Y Y Y N
Chronic respiratory disease 4/42 (10) 1/7 (14) N Y N N N N N
Chronic renal insufficiency 1/42 (2) 1/7 (14) N N N N N Y N
Diabetes‡ 10/42 (24) 2/7 (29) N Y N N Y N N
Hemopathy or cancer‡ 3/42 (7) 2/7 (29) Y N Y N N N N
≥1 underlying condition
25/42 (60)
6/7 (86)
Y
Y
Y
Y
Y
Y
N
Exposures§
Hospital‡ 1/42 (2) 2/7 (0) Y Y N N N N N
Nursing home‡ 2/42 (5) 0/7 (0) N N N N N N N
Travel associated/tourismঠ11/42 (26) 1/7 (29) N Y N N N N N
Professional exposure‡# 2/42 (5) 0/7 (0) N N N N N N N
Other exposure‡** 0/42 (0) 1/7 (29) N N N N Y N N
≥1 exposure 14/42 (33) 3/7 (43) Y Y N N Y N N

*Values are no. patients/total no. in category (%) except as indicated. COVID-19, coronavirus disease; ICU, intensive care unit; LD, Legionnaires’ disease. †Demographics and outcome at the LD notification date. ‡Elements indicated in mandatory LD notifications. LD risk exposures had to be reported if they occurred ≤14 d before LD symptom onset. §Exposures were indicated in LD mandatory notifications. ¶Travel-associated/tourism exposures include hotels, holiday resorts, rental houses, and cruises. #Professional exposures include using public showers during work hours. **Other exposure: in-house plumbing.

Main Article

1Members are listed at the end of this article.

Page created: August 12, 2021
Page updated: October 19, 2021
Page reviewed: October 19, 2021
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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