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Legionella transmission is thought to occur via inhalation of aerosolized mist from water sources such as....
First seen at a convention of the American Legion at the Bellevue-Stratford Hotel in Philadelphia where 182 cases were reported, and 29 died
Legionella pneumophila is the causative agent of Pontiac Fever
In the U.S. there are an estimated 6000 cases a year
Atypical Organisms cause 10-20% of community acquired pneumonia
A hot tub exhibit is suspected to have developed and spread the bacteria
In September of this year (2019) there was a Legionella pneumophila outbreak in the mountains of North Carolina following the Western North Carolina Mountain State Fair
Cough is present in ~90% of cases
About 33% of cases report dyspnea, pleuritic chest pain, and hemoptysis (coughing up blood)
GI symptoms (nausea, vomiting, watery diarrhea, pain)
Neurologic Symptoms
(headache, lethargy, encephalopathy, altered mental status-which is the most common)
Musculoskeletal symptoms include myalgias
Mycoplasma pneumoniae
Chlamydia pneumoniae
initiating an aggressive antibiotic therapy
For more severe cases: consider IV administration and progression to oral therapy
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