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Legionaire's Disease

Symptoms
  • initial symptoms include malaise, headache, myalgias, fever, chills and cough.
  • fever rises rapidly within 1 day and may precede the development of pulmonary symptoms.
  • changes in mental status may occur in 25 to 75% of patients.
  • complications include renal failure, lung abscesses and extrapulmonary infection.
Infectious agent
  • Legionella pneumophila, a bacterium
Mode of transmission
  • aerosol transmission via aerosol-producing devices (especially air cooling systems).
  • person to person transmissions have not been documented.
Distribution
  • documented as an important cause of pneumonia in N. America, Europe, Asia & Australia.
  • also identified in S. America and Africa.
Incubation period
  • 2 to 10 days
Treament
  • antibiotics

Thanks to the World Health Organisation
for much of this information.

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