From: Subject: Disease Listing, Legionellosis, General Information | CDC Bacterial, Mycotic Diseases Date: Tue, 15 Jan 2008 12:29:15 +0100 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0000_01C85772.3DA06830" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.3198 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01C85772.3DA06830 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.cdc.gov/ncidod/dbmd/diseaseinfo/legionellosis_g.htm Disease Listing, Legionellosis, General Information | = CDC Bacterial, Mycotic Diseases
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Get Smart on the = Farm
11 Aug 2005
CDC Foundation interview with = Tom Chiller,=20 epidemiologist and medical director of CDC's Get = Smart=20 on the Farm program.
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Division of Bacterial and = Mycotic=20 Diseases
Home=20 > Home >=20 Disease=20 Listing > Legionellosis=20
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Legionellosis:
Legionnaires'=20 Disease (LD) and Pontiac Fever

Disease=20 Listing | General=20 Information | T= echnical=20 Information | A= dditional=20 = Information

Frequently Asked = Questions

3D"bulleted What=20 is Legionnaires=92 disease?
3D"bulleted What=20 are the usual symptoms of = legionellosis?
3D"bulleted How=20 serious is it? What is the = treatment?
3D"bulleted Where=20 doLegionella bacteria come = from?
3D"bulleted How=20 do people get Legionnaires=92 = disease?
3D"bulleted Who=20 gets this disease?
3D"bulleted What=20 should I do if I think I was exposed to=20 Legionella=20 bacteria?

Legionellosis is an infection = caused by=20 the bacterium Legionella pneumophila. = The=20 disease has two distinct forms:

3D'""' 3D'""'=20 Legionnaires' disease, the = more=20 severe form of infection which includes = pneumonia,=20 and
  3D'""'=20

Pontiac fever, a milder = illness.=20

Legionnaires' disease acquired its name in = 1976 when=20 an outbreak of pneumonia occurred among persons=20 attending a convention of the American Legion in = Philadelphia. Later, the bacterium causing the = illness=20 was named Legionella.

What is=20 Legionnaires=92 disease?

Legionnaires=92 disease = (LEE-juh-nares) is=20 caused by a type of bacteria called = Legionella.=20 The bacteria got its name in 1976, when many = people who=20 went to a Philadelphia convention of the = American Legion=20 suffered from an outbreak of this disease, a = type of=20 pneumonia (lung infection). Although this type = of=20 bacteria was around before1976, more illness = from=20 Legionnaires=92 disease is being detected now. = This is=20 because we are now looking for this disease = whenever a=20 patient has pneumonia.

Each year, between 8,000 and = 18,000 people=20 are hospitalized with Legionnaires' disease in = the U.S.=20 However, many infections are not diagnosed or = reported,=20 so this number may be higher. More illness is = usually=20 found in the summer and early fall, but it can = happen=20 any time of year.

Back=20 to Top

What are the=20 symptoms of Legionnaires=92 disease? =

Legionnaires' disease can have = symptoms=20 like many other forms of pneumonia, so it can be = hard to=20 diagnose at first. Signs of the disease can = include: a=20 high fever, chills, and a cough. Some people may = also=20 suffer from muscle aches and headaches. Chest = X-rays are=20 needed to find the pneumonia caused by the = bacteria, and=20 other tests can be done on sputum (phlegm), as = well as=20 blood or urine to find evidence of the bacteria = in the=20 body.

These symptoms usually begin 2 = to 14 days=20 after being exposed to the bacteria.

A milder infection caused by the = same type=20 of Legionella bacteria is called=20 Pontiac Fever. The = symptoms of=20 Pontiac Fever usually last for 2 to 5 days and = may also=20 include fever, headaches, and muscle aches; = however,=20 there is no pneumonia. Symptoms go away on their = own=20 without treatment and without causing further = problems.=20

Pontiac Fever and = Legionnaires=92 disease=20 may also be called =93Legionellosis=94 = (LEE-juh-nuh-low-sis)=20 separately or together.

Back=20 to Top

How serious is=20 it? What is the treatment?

Legionnaires' disease can be = very serious=20 and can cause death in up to 5% to 30% of cases. = Most=20 cases can be treated successfully with = antibiotics=20 [drugs that kill bacteria in the body], and = healthy=20 people usually recover from infection.

Back=20 to Top

Where=20 doLegionella bacteria come from? =

The Legionella bacteria = are found=20 naturally in the environment, usually in water. = The=20 bacteria grow best in warm water, like the kind = found in=20 hot tubs, cooling towers, hot water tanks, large = plumbing systems, or parts of the = air-conditioning=20 systems of large buildings. They do not seem to = grow in=20 car or window air-conditioners.

Back=20 to Top

How do people=20 get Legionnaires=92 disease?

People get Legionnaires' disease = when they=20 breathe in a mist or vapor (small droplets of = water in=20 the air) that has been contaminated with the = bacteria.=20 One example might be from breathing in the steam = from a=20 whirlpool spa that has not been properly cleaned = and=20 disinfected.

The bacteria are NOT spread from = one=20 person to another person.

Outbreaks are when two or more = people=20 become ill in the same place at about the same = time,=20 such as patients in hospitals. Hospital = buildings have=20 complex water systems, and many people in = hospitals=20 already have illnesses that increase their risk = for=20 Legionella infection.

Other outbreaks have been linked = to=20 aerosol sources in the community, or with cruise = ships=20 and hotels, with the most likely sources being = whirlpool=20 spas, cooling towers (air-conditioning units = from large=20 buildings), and water used for drinking and = bathing.

Back=20 to Top

Who gets this=20 disease?

People most at risk of getting = sick from=20 the bacteria are older people (usually 65 years = of age=20 or older), as well as people who are smokers, or = those=20 who have a chronic lung disease (like = emphysema).

People who have weak immune = systems from=20 diseases like cancer, diabetes, or kidney = failure are=20 also more likely to get sick from = Legionella=20 bacteria. People who take drugs to suppress = (weaken) the=20 immune system (like after a transplant operation = or=20 chemotherapy) are also at higher risk.

Back=20 to Top

What should I=20 do if I think I was exposed to Legionella = bacteria?

Most people exposed to the = bacteria do not=20 become ill. If you have reason to believe you = were=20 exposed to the bacteria, talk to your doctor or = local=20 health department. Be sure to mention if you = have=20 traveled in the last two weeks.

A person diagnosed with = Legionnaires=92=20 disease in the workplace is not a threat to = others who=20 share office space or other areas with him or = her.=20 However, if you believe that there your = workplace was=20 the source of the person=92s illness, contact = your local=20 health department.

Back=20 to Top

 
 
Date: October 12,=20 2005
Content source:=20 Coordinating Center for Infectious Diseases / Division = of=20 Bacterial and Mycotic=20 Diseases
 
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