What organism causes Legionnaires’ disease?
Legionnaires’ disease is caused by bacteria that belong to the family Legionellaceae. This family now includes 48 species and over 70 serogroups. Approximately half of these species have been implicated in human disease. Legionella pneumophila is responsible for approximately 90% of infections. Most cases are caused by L. pneumophila, serogroup 1. Legionella species are small (0.3 to 0.9 μm in width and approximately 2 μm in length) faintly staining Gram-negative rods with polar flagella (except L. oakridgensis). They generally appear as small coccobacilli in infected tissue or secretions. They are distinguished from other saccharolytic bacteria by their requirement for L-cysteine and iron salts for primary isolation on solid media and by their unique cellular fatty acids and ubiquinones.