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Legionnaires Disease

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  • Legionnaires Disease

    Pathophysiology: Legionnaires’ disease is a serious lung infection caused by Legionella bacteria. Legionnaires' disease, also known as legionellosis or Legion fever. Over 90% of cases of Legionnaires'disease are caused by Legionella pneumophila. These bacterial species can be water-borne or present in soil, whereas L. pneumophila has only been found in aquatic systems, where it is symbiotically present in aquatic-borne amoebae. It thrives in temperatures between 25 and 45 °C (77 and 113 °F), with an optimum temperature of 35 °C (95 °F).

  • Legionnaires Disease

    Treatment: People of any age may suffer from Legionnaires' disease, but the illness most often affects middle-aged and older persons, particularly those who smoke cigarettes or have chronic lung disease. Immunocompromised people are also at higher risk. Pontiac fever most commonly occurs in persons who are otherwise healthy. A significant under-reporting problem occurs with legionellosis. Even in countries with effective health services and readily available diagnostic testing, about 90 percent of cases of Legionnaires' disease are missed.

  • Legionnaires Disease

    Twenty patients with LCPD were studied with left hand and wrist anteroposterior simple X- rays to determine bone vs. chronologic age. They were also studied with anteroposterior pelvis simple X-rays to determine the modified lateral pillar Herring classification. Seventeen (17/20) patients with LCPD presented with chronologic mean age of 8.15-years-old in comparison to mean bone age of 6.62-years-old (delay in bone age of 22.89 months). We found a delay in bone age; mean of 28 months in children 6 to 10-years-old, mean of 8 months in children 10 years and older by quadratic regression. 

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