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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

    Over the 19-year period there was a dramatic decline in Legg-Calve ́-Perthes disease incidence, with annual rates among children 0–14 years old declining from 12.2 per 100,000 to 5.7 per 100,000 ( P < 0.001). There was also marked geographic variation, with incidence rates in Scotland more than twice those in London (10.39 [95% confidence interval 8.05– 13.2] versus 4.6 [95% confidence interval 3.4–6.1] per 100,000 0–14-year-olds). A more rapid decline in incidence was apparent in the Northern regions compared to Southern regions.

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