{"id":"https://openalex.org/W2018214923","doi":"https://doi.org/10.1086/653444","title":"Pandemic Influenza and Pneumonia Due toLegionella pneumophila:A Frequently Underestimated Coinfection","display_name":"Pandemic Influenza and Pneumonia Due toLegionella pneumophila:A Frequently Underestimated Coinfection","publication_year":2010,"publication_date":"2010-06-02","ids":{"openalex":"https://openalex.org/W2018214923","doi":"https://doi.org/10.1086/653444","mag":"2018214923","pmid":"https://pubmed.ncbi.nlm.nih.gov/20518675"},"language":"en","primary_location":{"id":"doi:10.1086/653444","doi":"https://doi.org/10.1086/653444","is_oa":false,"landing_page_url":"https://doi.org/10.1086/653444","pdf_url":null,"source":{"id":"https://openalex.org/S72350973","display_name":"Clinical Infectious Diseases","issn_l":"1058-4838","issn":["1058-4838","1537-6591"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Infectious Diseases","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5034671481","display_name":"Caterina Rizzo","orcid":"https://orcid.org/0000-0002-5583-7508","observed_orcids":["https://orcid.org/0000-0002-5583-7508"]},"institutions":[{"id":"https://openalex.org/I27897274","display_name":"Istituto Superiore di Sanit\u00e0","ror":"https://ror.org/02hssy432","country_code":"IT","type":"government","lineage":["https://openalex.org/I27897274"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Caterina Rizzo","raw_affiliation_strings":["National Center for Epidemiology, Surveillance and Health Promotion, Istituto Superiore di Sanit\u00e0, Roma, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Center for Epidemiology, Surveillance and Health Promotion, Istituto Superiore di Sanit\u00e0, Roma, Italy","institution_ids":["https://openalex.org/I27897274"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029685378","display_name":"Maria Grazia Caporali","orcid":"https://orcid.org/0000-0002-8806-0416","observed_orcids":["https://orcid.org/0000-0002-8806-0416"]},"institutions":[{"id":"https://openalex.org/I27897274","display_name":"Istituto Superiore di Sanit\u00e0","ror":"https://ror.org/02hssy432","country_code":"IT","type":"government","lineage":["https://openalex.org/I27897274"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Maria\u00a0Grazia Caporali","raw_affiliation_strings":["National Center for Epidemiology, Surveillance and Health Promotion, Istituto Superiore di Sanit\u00e0, Roma, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Center for Epidemiology, Surveillance and Health Promotion, Istituto Superiore di Sanit\u00e0, Roma, Italy","institution_ids":["https://openalex.org/I27897274"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5014938137","display_name":"Maria Cristina Rota","orcid":"https://orcid.org/0000-0002-9861-446X","observed_orcids":["https://orcid.org/0000-0002-9861-446X"]},"institutions":[{"id":"https://openalex.org/I27897274","display_name":"Istituto Superiore di Sanit\u00e0","ror":"https://ror.org/02hssy432","country_code":"IT","type":"government","lineage":["https://openalex.org/I27897274"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Maria\u00a0Cristina Rota","raw_affiliation_strings":["National Center for Epidemiology, Surveillance and Health Promotion, Istituto Superiore di Sanit\u00e0, Roma, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Center for Epidemiology, Surveillance and Health Promotion, Istituto Superiore di Sanit\u00e0, Roma, Italy","institution_ids":["https://openalex.org/I27897274"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5034671481"],"corresponding_institution_ids":["https://openalex.org/I27897274"],"apc_list":{"value":4763,"currency":"USD","value_usd":4763},"apc_paid":null,"fwci":0.8795,"has_fulltext":false,"cited_by_count":29,"citation_normalized_percentile":{"value":0.6856004,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":98},"biblio":{"volume":"51","issue":"1","first_page":"115","last_page":"115"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11916","display_name":"Legionella and Acanthamoeba research","score":0.7836999893188477,"subfield":{"id":"https://openalex.org/subfields/1310","display_name":"Endocrinology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T11916","display_name":"Legionella and Acanthamoeba research","score":0.7836999893188477,"subfield":{"id":"https://openalex.org/subfields/1310","display_name":"Endocrinology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10167","display_name":"Influenza Virus Research Studies","score":0.16769999265670776,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.01489999983459711,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/legionella-pneumophila","display_name":"Legionella pneumophila","score":0.8330000042915344},{"id":"https://openalex.org/keywords/pandemic-influenza","display_name":"pandemic influenza","score":0.6389999985694885},{"id":"https://openalex.org/keywords/2009-h1n1-influenza","display_name":"2009 H1N1 influenza","score":0.9010000228881836},{"id":"https://openalex.org/keywords/bacterial-coinfection","display_name":"bacterial co-infection","score":0.9359999895095825},{"id":"https://openalex.org/keywords/secondary-bacterial-pneumonia","display_name":"secondary bacterial pneumonia","score":0.9210000038146973},{"id":"https://openalex.org/keywords/legionnaires-disease","display_name":"Legionnaires' disease","score":0.7390000224113464},{"id":"https://openalex.org/keywords/hospitalized-influenza-patients","display_name":"hospitalized influenza patients","score":0.6890000104904175},{"id":"https://openalex.org/keywords/sentinel-surveillance","display_name":"sentinel surveillance","score":0.4300000071525574},{"id":"https://openalex.org/keywords/italy","display_name":"Italy","score":0.3540000021457672}],"concepts":[{"id":"https://openalex.org/C2776118409","wikidata":"https://www.wikidata.org/wiki/Q147885","display_name":"Legionella pneumophila","level":3,"score":0.8385549783706665},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8356808423995972},{"id":"https://openalex.org/C2777813720","wikidata":"https://www.wikidata.org/wiki/Q1243018","display_name":"Coinfection","level":3,"score":0.8082829117774963},{"id":"https://openalex.org/C2777914695","wikidata":"https://www.wikidata.org/wiki/Q12192","display_name":"Pneumonia","level":2,"score":0.7362563610076904},{"id":"https://openalex.org/C89623803","wikidata":"https://www.wikidata.org/wiki/Q12184","display_name":"Pandemic","level":5,"score":0.6395573019981384},{"id":"https://openalex.org/C2779164008","wikidata":"https://www.wikidata.org/wiki/Q158013","display_name":"Legionella","level":3,"score":0.6362981200218201},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.5631604790687561},{"id":"https://openalex.org/C2780295090","wikidata":"https://www.wikidata.org/wiki/Q154882","display_name":"Legionnaires' disease","level":4,"score":0.5364767909049988},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.47333958745002747},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.3538646101951599},{"id":"https://openalex.org/C2522874641","wikidata":"https://www.wikidata.org/wiki/Q808","display_name":"Virus","level":2,"score":0.12765923142433167},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.11396881937980652},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.08855679631233215},{"id":"https://openalex.org/C523546767","wikidata":"https://www.wikidata.org/wiki/Q10876","display_name":"Bacteria","level":2,"score":0.0814749002456665},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.06458145380020142},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.05072200298309326},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004196","descriptor_name":"Disease Outbreaks","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007251","descriptor_name":"Influenza, Human","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D007251","descriptor_name":"Influenza, Human","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D007558","descriptor_name":"Italy","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D007877","descriptor_name":"Legionnaires' Disease","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D007877","descriptor_name":"Legionnaires' Disease","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011159","descriptor_name":"Population Surveillance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016952","descriptor_name":"Legionella pneumophila","qualifier_ui":"Q000302","qualifier_name":"isolation & purification","is_major_topic":false},{"descriptor_ui":"D053118","descriptor_name":"Influenza A Virus, H1N1 Subtype","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1086/653444","doi":"https://doi.org/10.1086/653444","is_oa":false,"landing_page_url":"https://doi.org/10.1086/653444","pdf_url":null,"source":{"id":"https://openalex.org/S72350973","display_name":"Clinical Infectious Diseases","issn_l":"1058-4838","issn":["1058-4838","1537-6591"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Infectious Diseases","raw_type":"journal-article"},{"id":"pmid:20518675","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/20518675","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical infectious diseases : an official publication of the Infectious Diseases Society of America","raw_type":"Case Reports"},{"id":"pmh:oai:CiteSeerX.psu:10.1.1.897.7085","doi":null,"is_oa":false,"landing_page_url":"http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.897.7085","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"http://cid.oxfordjournals.org/content/51/1/115.2.full.pdf","raw_type":"text"},{"id":"pmh:oai:arpi.unipi.it:11568/1142896","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/11568/1142896","pdf_url":null,"source":{"id":"https://openalex.org/S4377196265","display_name":"CINECA IRIS Institutial research information system (University of Pisa)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I108290504","host_organization_name":"University of Pisa","host_organization_lineage":["https://openalex.org/I108290504"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":2,"referenced_works":["https://openalex.org/W15403295","https://openalex.org/W1986764425"],"related_works":["https://openalex.org/W2014317349","https://openalex.org/W7097128514","https://openalex.org/W2343558654","https://openalex.org/W2584997754","https://openalex.org/W3159485754","https://openalex.org/W2090045305","https://openalex.org/W2112332584","https://openalex.org/W2904662596","https://openalex.org/W7096842371","https://openalex.org/W2564915973"],"abstract_inverted_index":{"To":[0],"the":[1,10,35,51,66,94,99,110,128,148,152,178],"Editor\u2014Secondary":[2],"bacterial":[3,54,122,135],"pneumonia":[4,132],"is":[5,60,169],"recognized":[6],"as":[7,197],"one":[8],"of":[9,14,25,53,65,68,81,88,102],"most":[11,37],"common":[12],"causes":[13],"death":[15],"in":[16,23,29,56,76,124,174,185],"influenza":[17,27,47,83],"cases.":[18,126],"Coinfection":[19],"has":[20],"been":[21],"found":[22],"\u223c30%":[24],"all":[26],"cases":[28,80,87,101,130],"persons":[30],"with":[31,116,131],"seasonal":[32],"influenza,":[33,104],"and":[34,45,84,146,151,171,193,202],"pathogens":[36],"often":[38],"involved":[39],"are":[40],"Streptococcus":[41],"pneumoniae,":[42],"Staphylococcus":[43],"aureus,":[44],"Haemophilus":[46],"[1,":[48],"2].":[49],"However,":[50],"role":[52],"coinfection":[55,123],"complicating":[57],"pandemic":[58,82,103],"flu":[59],"not":[61],"well":[62],"described,":[63],"because":[64],"scarcity":[67],"data.":[69],"From":[70],"July":[71,175],"2009":[72,155,164],"through":[73],"February":[74],"2010":[75],"Italy,":[77],"2500":[78],"confirmed":[79,100],"4.5":[85],"million":[86],"influenza-like":[89],"illnesses":[90],"were":[91,107,139,161],"reported":[92],"to":[93,121,134],"sentinel":[95],"surveillance":[96,158,181],"system.":[97],"Of":[98,109,127],"1278":[105],"(\u223c50%)":[106],"hospitalized.":[108],"patients":[111],"hospitalized,":[112],"271":[113],"(21%)":[114],"presented":[115],"pneumonia,":[117],"which":[118],"was":[119,172,183],"attributed":[120],"33":[125,129],"due":[133],"coinfection,":[136],"6":[137],"(18%)":[138],"caused":[140],"by":[141],"Legionella":[142],"pneumophila":[143],"serogroup":[144],"1,":[145],"both":[147],"national":[149,179],"legionellosis":[150,180],"Italian":[153],"mandatory":[154],"A(H1N1)":[156,165],"virus":[157,166],"systems":[159,188],"[3]":[160],"notified.":[162],"The":[163],"reporting":[167],"system":[168,182],"Web-based":[170],"established":[173,184],"2009,":[176],"whereas":[177],"1983.":[186],"Both":[187],"include":[189],"information":[190],"about":[191],"symptoms":[192],"risk":[194],"factors,":[195],"such":[196],"chronic":[198],"illness,":[199],"previous":[200],"hospitalization,":[201],"travel.":[203]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":5},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":2}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}