Legionellosis laboratory findings
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Laboratory Findings
- Complete blood count and differential count - lymphocytopenia and rarely pancytopenia
- Sputum Gram staining - gram negative rods
- Urine antigen test - the urine antigen test is simple, quick, and very reliable; however it will only detect Legionella pneumophila serogroup #1. Also the urine antigen test will not identify the specific subtyping so it cannot be used to match the patient with the environmental source of infection.
- Antibody test - compare antibody levels to Legionella in two blood samples obtained 3 to 6 weeks apart.
- Serum electrolytes - hyponatremia
- Liver function tests - elevated bilirubin levels
- Urinalysis - proteinuria
References