![]() ![]() Twenty-five bulk water, swab, and cartridge filter samples were collected at the property. On February 3, VIDOH requested assistance from CDC’s Legionella program to conduct environmental sampling and testing for Legionella bacteria. The property owner reported that no routine chlorine treatment or water filtration systems were used to maintain the potable water source during the patient’s stay. Water is heated by a solar water heater, which does not allow for water temperature control. As is the case with most USVI residential properties, rainwater collected into a cistern under the home was the property’s potable water source ( 1), which supplies water for drinking, bathing, a swimming pool, and two hot tubs. ![]() Interviews with the patient indicated that he had stayed at a privately owned vacation rental property during January 15–22. The patient recovered and was discharged on February 2. Remdesivir was discontinued during inpatient treatment because of elevated liver enzymes. Inpatient treatment administered for COVID-19 pneumonia and Legionnaires disease included remdesivir, oral levofloxacin, oral and intravenous steroid therapy, and as-needed use of a bronchodilator inhaler and an expectorant. The combination of the patient’s symptoms and recent travel history prompted administration of a urinary antigen test (UAT) for Legionnaires disease specific to Legionella pneumophila serogroup 1 (Lp1) a positive result was returned on January 31. On January 29, he was hospitalized for shortness of breath and received a positive SARS-CoV-2 test result at admission. state of residence from leisure travel in USVI on January 22 and developed a cough, shortness of breath, and fatigue on January 23. The patient, a man aged 55 years, returned to his U.S. Virgin Islands (USVI) Department of Health (VIDOH) was notified of a confirmed case of Legionnaires disease in an adult U.S. ![]()
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