Which systemic symptom is commonly seen with Legionella pneumonia?

• A. Sudden rash and joint swelling
• B. Vision loss and hearing impairment
• C. Only productive cough with green sputum
• D. Severe headache, muscle aches, fatigue

Answer: (D)

Legionella pneumonia often presents with systemic, or constitutional, symptoms in addition to the lung infection. Headache, muscle aches, and fatigue reflect this widespread inflammatory response and malaise that accompany the illness. Rashes with joint swelling aren’t typical features of Legionella, and a cough described as a productive green sputum points more toward a classic bacterial pneumonia without emphasizing the systemic symptoms. In Legionella, the sputum can be scant or nonproductive, but the systemic symptoms like headache and myalgias are characteristic clues. So this combination best illustrates the broader, systemic impact of the infection.