Severe Legionnaires’ disease
Jordi Rello, Camille Allam, Alfonsina Ruiz-Spinelli, Sophie Jarraud
Annals of Intensive Care
Abstract
Numerous factors influence the mortality rate of LD, such as ICU admission, the underlying immune status, and the nosocomial source of the infection. The host immune response (hyperinflammation and/or immunoparalysis) may also be associated with increased severity. Given that the incidence of LD is rising, studies on specific biomarkers of severity may be of great interest. Further assessments comparing different regimens and/or evaluating host-directed therapies are nowadays needed.