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BACTERIOLOGY
Legionella pneumophila
CLASSIFICATION VIRULENCE FACTORS ENVIRONMENTAL
BIOCHEMISTRY NORMAL FLORA INDUSTRIAL USES
GENETICS PATHOGENS VACCINES
SEROLOGY LABORATORY ID  

 

CLASSIFICATION

They are Gram-negative non-acid fast non-capsulated rods 0.3-0.9 µm x 2-20µm. They are aerobic and do not hydrolyse gelatin or produce urease. They are non-fermentative.

BIOCHEMISTRY

L. pneumophila is neither pigmented nor does it autofluoresce. It is oxidase and catalase positive, produces beta-lactamase. It is a strict aerobe. It hydrolyses hippurate and liquifies gelatin but does not ferment any carbohydrates. It requires specialised media for growth.

GENETICS

There is up 67% relatedness between the species on the basis of DNA hybridization studies.

DNA probes specific for rRNA sequences of Legionella have been produced, as have ones for other specific genes.

Plasmids have been demonstrated in many species and plasmid profile analysis has been used to characterise relationships between strains.

SEROLOGY

At least 14 different serovars of L. pneumophila have been described as well as several other species being subdivided into a number of serovars. Sera have been used both for slide agglutination studies as well as for direct detection of bacteria in tissues using fluorescent-labelled antibody.

Specific antibody in patients can be determined by the indirect fluorescent antibody test. ELISA and microagglutination tests have also been successfully applied.

VIRULENCE FACTORS

L. pneumophila is an intracellar pathogen. The internalisation of the bacteria is enhanced by the presence of antibody and complement. A pseudopod coils around the bacterium in this unique form of phagocytosis. Once Internalised, the bacteria surround themselves by a membrane-bound phagolysosome. This becomes a vescicle, within which the bacteria multiply.

They produce a 39kDa metalloprotease into culture fluids, which is cytotoxic for some cultured tissue culture cells. This may be a virulence factor.

A novel cytotoxin consisting of small peptides, which are acid and heat resistant has also been described.

L. pneumophila may also have a unique iron scavanging system.

NORMAL FLORA

Apart from carriers Legionallae do not form part of the normal flora of humans or animals.

PATHOGENS

Intestinal Infections:

These may only occur as part of respiratory infections, where gastrointestinal symptoms have on occasion been described.

Extraintestinal Infections:

L. pneumophila is specifically considered as a pathogen of the respiratory tract, where it is a cause of atypical pneumonia, also known as Legionnaires' disease.

Other infections have also been reported, including haemodialysis fistulae, pericarditis and wound and skin infections. Bacteraemia is often associated with Legionnaires' disease.

Animal Infections:

None specifically recorded.

Infections of Protozoa:

Protozoa such as Harmanella vermiformis and related protozoa have been shown to be able to support the growth of L. pneumophila in tap water. Also Acanthamoeba , Naegleria and Tetrahymena can be infected by L. pneumophila . It is considered that this may be how these fastidious organisms survive in the environment.

LABORATORY ID

The methods of choice are cultivation of specimens on specific media and testing for the presence of L. pneumophila colonies by their characteristic ground-glass appearance.

Otherwise direct fluorescent staining, detection of specific antigen in blood or urine have been successfully used.

Determination of a rise in antibody levels by indirect fluorescent antibody techniques is also a useful diagnostic tool.

ENVIROMENTAL

They appear to occur ubiquitously in soils and particularly non-marine aqueous environments. They have been even found in pristine waters in tropical rain forests. Industrial water sources including airconditioning cooling towers and potable water systems have yielded L. pneumophila and been associated with outbreaks.

INDUSTRIAL USES

None are currently described.

VACCINES

None developed.


Legionellaceae

 

GRAM NEGATIVE
FAMILIES
Acetobacteriaceae
Alcaligenaceae
Bacteroidaceae
Chromatiaceae
Enterobacteriaceae
Legionellaceae
Neisseriaceae
Nitrobacteriaceae
Pseudomonadaceae
Rhizobiaceae
Rickettsiaceae
Spirochaetaceae
Vibrionaceae
 
Genera of Unestablished Relationships
Brucella
Chromobacterium

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