Top
40
Doctor insights on: Legionellosis

Share
Dr. Frank Coletta
43 Doctors shared insights

Legionellosis (Overview)

Legionellosis = Legionnaires' disease = atypical pneumonia caused by a bacteria called Legionella pneumophila.


1

1
How common is it for somebody to get legionellosis?

How common is it for somebody to get legionellosis?

Uncommon, not rare: Legionnaires disease was discovered from an outbreak of pneumonia at a hotel in philly of veterans. The bacterium was found in the air-condition/heating ducts. Old, uncleaned, poorly filtered ducts are still a common source of infection by inhaling the organism. Fortunately, it is quite treatable. Symptoms would be the same as any pneumonia. Fever, shaking chills, prouductive cough, chest pain... ...Read more

Dr. Frank Coletta
43 Doctors shared insights

Legionellosis (Overview)

Legionellosis = Legionnaires' disease = atypical pneumonia caused by a bacteria called Legionella pneumophila.


2

2
What are the symptoms of legionellosis?

What are the symptoms of legionellosis?

Fever, Chills, cough: Patients with legionnaires' disease usually have fever, chills, and a cough, which may be dry or may produce sputum. Some patients also have muscle aches, headache, tiredness, loss of appetite, loss of coordination (ataxia), and occasionally diarrhea and vomiting. Confusion and impaired cognition may also occur as can a so-called 'relative bradycardia' in spite of high fever. ...Read more

3

3
What are the tests for legionellosis?

The most useful test: To detect the bacteria in sputum,

find legionella antigens in urine samples (due to renal fibrosis), or the comparison of legionella antibody levels in two blood samples taken 3 to 6 weeks apart. A urine antigen test which is simple, quick, and very reliable will only detect legionella pneumophila serogroup 1, which accounts for 70% of disease cause by l. Pneumophila. ...Read more

4

4
I have had legionnaire's disease and been treated with large doses of erythromycin. Is there any chance that the bacteria are still in my system, remaining a threat?

I have had legionnaire's disease and been treated with large doses of erythromycin. Is there any chance that the bacteria are still in my system, remaining a threat?

Illness: There is always a chance, but most likely not. Legionnaires is a disease that is treated with antibiotics, but if you have a strong immune system, you should develop antibodies to help protect if you were infected again. You could still get sick, but it would be much less serious. ...Read more

5

5
Cannot find anything about treatment of legionellosis. Any help?

Quinolones, Macrolide: Current treatments of choice are the respiratory tract quinolones (levofloxacin, moxifloxacin, gemifloxacin) or newer macrolides (azithromycin, clarithromycin, roxithromycin). The antibiotics used most frequently have been Levofloxacin and azithromycin. Macrolides are used in all age groups while tetracyclines are prescribed for children above the age of 12 and quinolones above the age of 18. ...Read more

6

6
Can legionellosis be cured easy?

Right antibiotic is: Very importenat. The mortality at the original american legion convention in 1976 was high (34 deaths in 180 infected individuals) because the antibiotics used (including penicillins, cephalosporins, and aminoglycosides) had poor intracellular penetration. Mortality has plunged to less than 5% if therapy is started quickly. Delay in giving the appropriate antibiotic leads to higher mortality. ...Read more

7

7
What is prevention for legionellosis?

Log on: Please log on to my web. Www. Drernie. Co.cc. ...Read more

8

8
Can legionellosis be cured easy?

Right antibiotic is: Very importenat. The mortality at the original american legion convention in 1976 was high (34 deaths in 180 infected individuals) because the antibiotics used (including penicillins, cephalosporins, and aminoglycosides) had poor intracellular penetration. Mortality has plunged to less than 5% if therapy is started quickly. Delay in giving the appropriate antibiotic leads to higher mortality. ...Read more

9

9
What are the tests for legionellosis?

The most useful test: To detect the bacteria in sputum,

find legionella antigens in urine samples (due to renal fibrosis), or the comparison of legionella antibody levels in two blood samples taken 3 to 6 weeks apart. A urine antigen test which is simple, quick, and very reliable will only detect legionella pneumophila serogroup 1, which accounts for 70% of disease cause by l. Pneumophila. ...Read more

10

10
What are the symptoms of legionellosis?

Fever, Chills, cough: Patients with legionnaires' disease usually have fever, chills, and a cough, which may be dry or may produce sputum. Some patients also have muscle aches, headache, tiredness, loss of appetite, loss of coordination (ataxia), and occasionally diarrhea and vomiting. Confusion and impaired cognition may also occur as can a so-called 'relative bradycardia' in spite of high fever. ...Read more

12

12
How common is it for somebody to get legionellosis?

Uncommon, not rare: Legionnaires disease was discovered from an outbreak of pneumonia at a hotel in philly of veterans. The bacterium was found in the air-condition/heating ducts. Old, uncleaned, poorly filtered ducts are still a common source of infection by inhaling the organism. Fortunately, it is quite treatable. Symptoms would be the same as any pneumonia. Fever, shaking chills, prouductive cough, chest pain... ...Read more

13

13
What is the definition or description of: Legionellosis?

Legionellosis: Legionellosis = Legionnaires' disease = atypical pneumonia caused by a bacteria called Legionella pneumophila. ...Read more

14

14
What is prevention for legionellosis?

Log on: Please log on to my web. Www. Drernie. Co.cc. ...Read more

15

15
Cannot find anything about treatment of legionellosis. Any help?

Quinolones, Macrolide: Current treatments of choice are the respiratory tract quinolones (levofloxacin, moxifloxacin, gemifloxacin) or newer macrolides (azithromycin, clarithromycin, roxithromycin). The antibiotics used most frequently have been Levofloxacin and azithromycin. Macrolides are used in all age groups while tetracyclines are prescribed for children above the age of 12 and quinolones above the age of 18. ...Read more

16

16
What is m.R.S.A.?

What is m.R.S.A.?

See below: Methicillin-resistant staphylococcus aureus. It is a bacteria (s. Aureus) that is resistant to methicillin, an antibiotic. This makes it resistant to several other standard antibiotics and also gives it a unique virulence due to its genetics. ...Read more

17

17
Can you die from s.V.T?

Can you die from s.V.T?

Usually not serious: Death from svt must be extremely rare, if ever. It is usually managed as outpatient. ...Read more

18

18
What is sjögren’s syndrome?

What is sjögren’s syndrome?

Dryness arthritis: Typically it is dryness of eyes, mouth, arthritis, swelling of salivary glands. ...Read more

19

19
My b/s is 564 what should I do?

My b/s is 564 what should I do?

Need to seek trtmt: I am not an expert here but having elevated blood sugars this high for too long can be life threatening and lead to permanent organ damage. Could land you in a diabetic coma. You need to seek medical attention with an internist, family practice doc, or endocrinologist to get this under check. ...Read more

20

20
How is sjögren’s formally diagnosed?

How is sjögren’s formally diagnosed?

Several ways: History, physical examination, lab tests for sjogren's antibodies and on occasion a "lip biopsy" removing some minor salivary glands from inside the lower lip to examine them microscopically. ...Read more

21

21
Hello my name 's benz. I have a headag?

Sorry: Sorry, you're going to have to clarify your question. ...Read more

22

22
What medicines should be taken in i.b.s?

What medicines should be taken in i.b.s?

Depends: Depends on what type of IBS you have… Constipation type we have a few different medications, for diarrhea type there are fewer options. Before diagnosing yourself with IBS though, make sure you have colonoscopy and EGD and labs done and an examination as IBS is what we call a diagnosis of exclusion, where we "rule Out" other causes then call it IBS. ...Read more

23

23
What are some of the manifestations of p.T.S.D?

What are some of the manifestations of p.T.S.D?

PTSD symptoms: Persistent re-experiencing of a traumatic event that threatened death or serious injury, or that one witnessed in another. Persistent avoidance of stimuli which might remind one of the event, and generalized numbing. Symptoms of increased arousal such as intense anxiety, difficulty falling asleep, nightmares if you do sleep, exaggerated "startle" responses, and hypervigolance are also common. ...Read more

24

24
What are the chances of getting military waiver (s)?

What are the chances of getting military waiver (s)?

Possible MOS reclass: Are you asking about a waiver to get in, or to stay in? Regs to get in are of course more stringent than regs to stay in. After you've gone through Basic, AIT, and spent time serving, the military will rightly try to keep you, since you have valuable training & experience. It all boils down to safety. You've got to pass the PFT & perform basic soldiering duties in an austere environment to stay in ...Read more

25

25
Is there any contraindicatios /ri s k s w I t h b 12 shots?

Is there any contraindicatios /ri s k s w I t h b 12 shots?

Risk of B12 shots: No. Except it is an injection and may cause some pain. Vitamin b 12 is a water soluble vitamin, which means if you have enough in your body the excess will pass in the urine.It can also be given in oral form, but absorption is unpredictable, and nasal spray which is comparable to shots but costs more. There is no contradiction except I don't recommend in children and young adults as they don't need it. ...Read more

26

26
What’s a fitbit?

What’s a fitbit?

A pedometer: This is a small clip like device that measures the number of steps you take. It also measures the flights of stairs that you climb and estimates calories burned. It is synced with your computer and keeps track of calories eaten if you fill that in by computer or smart phone.
You can look at how you do compared to others your age. ...Read more

27

27
What’s a panacea?

What’s a panacea?

Panacea: Something that can cure everything. Example: antibiotics are not the panacea of the common cold. ...Read more

28

28
What's the outcome of behcet’s syndrome?

What's the outcome of behcet’s syndrome?

Behcet's: Behcet's disease may come and go on its own in periods of flares and remissions. Your doctor works to control any signs and symptoms you experience during flares with medications such as: topical agents to oral steroids to immunosuppressants to interferon. What is the outcome of life? Death....Doesn't mean we stop trying to treat an illness. ...Read more

30

30
What is the objective of the Asperger"s Syndrome?

What is the objective of the Asperger"s Syndrome?

Huh? AS is an out-: Dated diagnosis subsumed into Autistic Spectrum Disorder in the DSM-V. Deficits in joint attention, facial recognition & Theory of Mind cause impaired social reciprocity/communication & narrow, repetitive areas of interest. If your? Is why it was a preferred diagnosis, one criterion for AS was an IQ of 70 or >, in the normal range. The myth was that everyone with AS had an above-average IQ. ...Read more

31

31
How can I be sure it´s fms and not something else?

How can I be sure it´s fms and not something else?

Rheumatologist: ? How to know if fibromyalgia (FM) is correct diagnosis? Rheumatologists are expert at diagnosis of FM. FM is diagnosis of exclusion; laboratory & imaging studies are used to rule out other possible causes of symptoms being experienced. Diagnosis requires chronic widespread pain; including both upper & lower back regions. Depression, confused mentation, & restless sleep are common symptoms. ...Read more

32

32
Is it necessary for my nanny to be a u.S. Resident?

Is it necessary for my nanny to be a u.S. Resident?

No: This could be a tricky question that the federal eeoc would be happy to answer for you. However, a nanny could be here on a work visa, or an au pair from another country looking for an experience here in the United States. The essential thing is that they should be here legally to avoid future trouble. However, you need to make sure that your nanny is somebody you trust to leave children with. ...Read more

33

33
What are the chances of surviving lymphoma in the u.S.?

What are the chances of surviving lymphoma in the u.S.?

More info: More information is needed. Hl or nhl? B cell or t cell? Subtype? Patient characteristics (young and health or old and ill)? There is no one simple answer at the individual patient level. See http://www.Cancer.Net/cancer-types/lymphoma-hodgkin and http://www. Cancer. Net/cancer-types/lymphoma-non-hodgkin. ...Read more

34

34
If you have crohn's, what medication (s) should you be on?

If you have crohn's, what medication (s) should you be on?

Immune suppression: 1. 5-asa medications (sulfasalazine, asacol, (mesalamine) pentasa) may take the edge of symptoms, they do not adequately treat crohn's disease.
2. Steroids work, but are only useful for short course because of side effects.
3. Azathioprine (imuran), 6-mp, Methotrexate are often effective, and reduce the need for steroids
4. Remicade, Humira are very effective at treating fistulas or severe crohn's. ...Read more

36

36
I'm just wondering, if you have crohn's, what medication (s) are you on?

I'm just wondering, if you have crohn's, what medication (s) are you on?

Immune suppression: 1. 5-asa medications (sulfasalazine, asacol, (mesalamine) pentasa) may take the edge of symptoms, they do not adequately treat crohn's disease.
2. Steroids work, but are only useful for short course because of side effects.
3. Azathioprine (imuran), 6-mp, Methotrexate are often effective, and reduce the need for steroids
4. Remicade, Humira are very effective at treating fistulas or severe crohn's. ...Read more

37

37
In your 30's 40's and 50's, what are the chances of needing any kind of surgery?

In your 30's 40's and 50's, what are the chances of needing any kind of surgery?

Not rare: I can't give you a percentage, but if you consider all the variety of procedures possible, from oral extractions to skin lesions to orthopoedic repairs to simple hernias to the complex GI procedure to cardiothoracic procedures, there's a good chance something will be needed, and I'm not even including colonoscopy and other endoscopic procedures. Good luck. ...Read more

38

38
What’s an enema?

What’s an enema?

Rectal: Liquid (usually medication) introduced into the rectum. Most commonly used for constipation. ...Read more

39

39
What, s is fever?

What, s is fever?

Fever: A temperature, which in the course of a 24 hour period, either reaches 100 f or fails to get as low as 98.6 f is fever. That is the definition, but whether it is related to a particular condition or is significant are different issues. ...Read more

40

40
What is raynaud’s?

What is raynaud’s?

Constricted vessels: Raynaud's phenomenon is a symptom caused by constriction of small blood vessels, usually in the fingers and toes, leading to a lack of nutrients and oxygen going to the fingers and toes. Raynaud's phenomenon can be due to auto-immune disorders, hormonal imbalances, medication effects, etc... A primary care doctor, endocrinologist, or rheumatologist can evaluate a person with such symptoms. ...Read more

Find us on Facebook