The causative agent of Legionnaires’ disease is L. pneumophila, an intracellular pathogen that infects aquatic amoebae and alveolar macrophages. L. pneumophila expresses virulence factors that are important for growth in mammalian macrophages and transmission from one host cell to the next, specifically motility, stress resistance and cytotoxicity to macrophages. A correlative study of nosocomial Legionnaires’’ disease and colonization of the corresponding hospital water systems provided the opportunity to determine how well widely used laboratory assays correlate with the virulence potential of Legionella isolates. I found that disease incidence of the L. pneumophila isolates correlated with one laboratory test of virulence, the ability...