{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T11:48:27Z","timestamp":1761911307281,"version":"build-2065373602"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,31]]},"DOI":"10.7759\/cureus.95814","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T11:42:55Z","timestamp":1761910975000},"source":"Crossref","is-referenced-by-count":0,"title":["Community-Acquired Legionnaires\u2019 Disease Presenting With Gastrointestinal and Neurological Symptoms Without Respiratory Complaints in an Elderly Male"],"prefix":"10.7759","author":[{"given":"Sourav  K","family":"Saha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nedaa","family":"Haddad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","article-title":"Epidemiology and clinical management of Legionnaires' disease","volume":"14","author":"Phin N","year":"2014","unstructured":"Phin N, Parry-Ford F, Harrison T, et al.. Epidemiology and clinical management of Legionnaires' disease. The Lancet. 2014, 14:1011-1021.","journal-title":"The Lancet"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201908-1581ST","article-title":"Diagnosis and treatment of adults with community-acquired pneumonia. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America","volume":"200","author":"Metlay JP","year":"2019","unstructured":"Metlay JP, Waterer GW, Long AC, et al.. Diagnosis and treatment of adults with community-acquired pneumonia. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. Am J Respir Crit Care Med. 2019, 200:e45-67. 10.1164\/rccm.201908-1581ST","journal-title":"Am J Respir Crit Care Med"},{"key":"ref3","article-title":"Neurological manifestation of Legionnaires\u2019 disease: ataxic gait, slurred speech, urinary incontinence, transient corpus callosum lesion","volume":"25","author":"I\u015f\u0131k S","year":"2019","unstructured":"I\u015f\u0131k S, Arslan \u015e. Neurological manifestation of Legionnaires\u2019 disease: ataxic gait, slurred speech, urinary incontinence, transient corpus callosum lesion. Turk J Neurol. 2019, 25:95-7.","journal-title":"Turk J Neurol"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.15672","article-title":"A prolonged neurological presentation of Legionnaire's disease","volume":"13","author":"Patel S","year":"2021","unstructured":"Patel S, Sharma R, Attarha BO, Reddy P. A prolonged neurological presentation of Legionnaire's disease. Cureus. 2021, 13:e15672. 10.7759\/cureus.15672","journal-title":"Cureus"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.rppnen.2017.01.007","article-title":"The typical presentation of an atypical pathogen during an outbreak of Legionnaires' disease in Vila Franca de Xira, Portugal, 2014","volume":"23","author":"Dias A","year":"2017","unstructured":"Dias A, Cysneiros A, Lopes FT, et al.. The typical presentation of an atypical pathogen during an outbreak of Legionnaires' disease in Vila Franca de Xira, Portugal, 2014. Rev Port Pneumol (2006). 2017, 23:117-23. 10.1016\/j.rppnen.2017.01.007","journal-title":"Rev Port Pneumol (2006)"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.15.3.506-526.2002","article-title":"Legionella and Legionnaires' disease: 25 years of investigation","volume":"15","author":"Fields BS","year":"2002","unstructured":"Fields BS, Benson RF, Besser RE. Legionella and Legionnaires' disease: 25 years of investigation. Clin Microbiol Rev. 2002, 15:506-26. 10.1128\/CMR.15.3.506-526.2002","journal-title":"Clin Microbiol Rev"},{"key":"ref7","doi-asserted-by":"crossref","DOI":"10.1001\/archinte.1993.00410220113013","article-title":"Hot tub legionellosis: Legionnaires\u2019 disease and Pontiac fever after a point-source exposure","volume":"153","author":"Thomas DL","year":"1993","unstructured":"Thomas DL, Mundy LM, Tucker PC. Hot tub legionellosis: Legionnaires\u2019 disease and Pontiac fever after a point-source exposure. Arch Intern Med. 1993, 153:2597-9.","journal-title":"Arch Intern Med"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2023.1137470","article-title":"A community outbreak of Legionnaires' disease caused by outdoor hot tubs for private use in a hotel","volume":"14","author":"Gum\u00e1 M","year":"2023","unstructured":"Gum\u00e1 M, Drasar V, Santandreu B, et al.. A community outbreak of Legionnaires' disease caused by outdoor hot tubs for private use in a hotel. Front Microbiol. 2023, 14:1137470. 10.3389\/fmicb.2023.1137470","journal-title":"Front Microbiol"},{"key":"ref9","article-title":"Two outbreaks of Legionnaires\u2019 disease associated with outdoor hot tubs \u2014 two cruise ships, November 2022-July","volume":"73","author":"Lee S","year":"2024","unstructured":"Lee S, Edens C, Ritter T, et al.. Two outbreaks of Legionnaires\u2019 disease associated with outdoor hot tubs \u2014 two cruise ships, November 2022-July. MMWR. 2024, 73:950-4.","journal-title":"MMWR"},{"key":"ref10","unstructured":"Control of Legionella in hot tubs. (2025). Accessed. 12 August 2025: https:\/\/www.cdc.gov\/control-legionella\/php\/toolkit\/hot-tub-module.html."},{"key":"ref11","unstructured":"Disinfection of hot tubs contaminated with Legionella. (2016). Accessed. 12 August 2025: https:\/\/stacks.cdc.gov\/view\/cdc\/37587."},{"key":"ref12","article-title":"Stagnant water and warm temperature promote Legionella growth: review","volume":"6","author":"Declerq NL","year":"2019","unstructured":"Declerq NL, Vangronsveld J, Ryckeboer J, Vanhooren PT. Stagnant water and warm temperature promote Legionella growth: review. Curr Epidemiol Rep. 2019, 6:342-9.","journal-title":"Curr Epidemiol Rep"},{"key":"ref13","article-title":"Severe Legionnaires\u2019 disease presenting with hepatic injury and cutaneous manifestations","volume":"152","author":"Mastroeni MF","year":"2017","unstructured":"Mastroeni MF, Venturini E, Barni S, Montagnani C. Severe Legionnaires\u2019 disease presenting with hepatic injury and cutaneous manifestations. Chest. 2017, 152:666.","journal-title":"Chest"},{"key":"ref14","article-title":"Atypical presentation of Legionnaires\u2019 disease: neurologic, cardiac, gastrointestinal symptoms","volume":"124","author":"New York Medical Journal","year":"2021","unstructured":"New York Medical Journal.  Atypical presentation of Legionnaires\u2019 disease: neurologic, cardiac, gastrointestinal symptoms. N Y Med J. 2021, 124:101-5.","journal-title":"N Y Med J"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1128\/AEM.02912-13","article-title":"High-sensitivity monoclonal antibodies specific for homoserine lactones protect mice from lethal Pseudomonas aeruginosa infections","volume":"80","author":"Palliyil S","year":"2014","unstructured":"Palliyil S, Downham C, Broadbent I, Charlton K, Porter AJ. High-sensitivity monoclonal antibodies specific for homoserine lactones protect mice from lethal Pseudomonas aeruginosa infections. Appl Environ Microbiol. 2014, 80:462-9. 10.1128\/AEM.02912-13","journal-title":"Appl Environ Microbiol"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/415494-community-acquired-legionnaires-disease-presenting-with-gastrointestinal-and-neurological-symptoms-without-respiratory-complaints-in-an-elderly-male","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T11:42:58Z","timestamp":1761910978000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/415494-community-acquired-legionnaires-disease-presenting-with-gastrointestinal-and-neurological-symptoms-without-respiratory-complaints-in-an-elderly-male"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,31]]},"references-count":15,"URL":"https:\/\/doi.org\/10.7759\/cureus.95814","relation":{},"ISSN":["2168-8184"],"issn-type":[{"type":"print","value":"2168-8184"}],"subject":[],"published":{"date-parts":[[2025,10,31]]}}}