1976 Philadelphia Legionnaires' disease outbreak States Center for Disease Control and Prevention (CDC) in 2017 only use the term Legionnaires' disease to refer to the serious version with pneumonia. CDC investigators quickly discovered outbreaks of respiratory disease caused by "L. pneumophila" dating back to 1959. An outbreak of what was dubbed Pontiac fever occurred in a health department in Pontiac, Michigan in July 1967. No one died. Although caused by the same bacterium, Pontiac fever is a milder ailment than Legionnaires' disease. Pneumonia is absent in those with Pontiac fever. An outbreak of pneumonia in July–August, 1965, at St. Elizabeths Hospital in Washington, DC, which
Hospital-acquired pneumonia day case for regular hemodialysis or intravenous infusion (for example, chemotherapy). Especially in the very old and in demented patients, HCAP is likely to present with atypical symptoms. Among the factors contributing to contracting HAP are mechanical ventilation (ventilator-associated pneumonia), old age, decreased filtration of inspired air, intrinsic respiratory, neurologic, or other disease states that result in respiratory tract obstruction, trauma, (abdominal) surgery, medications, diminished lung volumes, or decreased clearance of secretions may diminish the defenses of the lung. Also, poor hand-washing and inadequate disinfection of respiratory devices cause cross-infection and are important factors. Most nosocomial respiratory infections are caused