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It is critical to diagnose and treat Legionella pneumonia ( LP ) immediately after infection because of the associated high mortality. The urine antigen test ( UAT ) is often used for the diagnosis of  LP ; however, it cannot detect the serogroups of all Legionella species. A detained medical history and several clinical findings such as liver enzyme elevation and hyponatremia are useful in diagnosis. Some specific types of  Legionella  are found in compost. Herein, we report a case of  LP  in which the patient's medical history and several clinical findings were useful for diagnosis.

Can we truly rely on the urinary antigen test for the diagnosis? Legionella case report