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1 and 5. 0% establish the disease, while amongst those in hospital, in between 0. 4 and 14% establish the illness. Those with Legionnaires' illness usually have fever, chills, and a cough, which might be dry or may produce sputum. Almost all experience fever, while around half have cough with sputum, and one-third cough up blood or bloody sputum.

As much as half of those with Legionnaires' illness have intestinal signs, and almost half have neurological signs, including confusion and impaired cognition. "Relative bradycardia" might also be present, which is low to normal heart rate in spite of the existence of a fever. Laboratory tests might show that kidney functions, liver functions, and electrolyte levels are unusual, which might consist of low salt in the blood.

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Identifying Legionnaires' illness from other kinds of pneumonia by symptoms or radiologic findings alone is difficult; other tests are needed for conclusive diagnosis. [] Individuals with Pontiac fever, a much milder disease brought on by the very same germs, experience fever and muscle pains without pneumonia. They generally recuperate in 25 days without treatment.

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Other types consist of,,, and. Transmission [modify] Legionnaires' disease is normally spread out by the breathing in of aerosolized water or soil polluted with the Legionella bacteria. Professionals have stated that Legionnaires' disease is not sent from individual to individual. In 2014, one case of possible spread from somebody ill to the caregiver took place.

The bacteria grow best at warm temperatures and grow at water temperatures in between 25 and 45 C (77 and 113 F), with an optimum temperature level of 35 C (95 F). Temperatures above 60 C (140 F) kill the bacteria. Source s where temperature levels permit the germs to flourish include hot water tanks, cooling towers, and evaporative condensers of big a/c systems, such as those frequently found in hotels and big office structures.

Reservoirs [modify] L. pneumophila grows in aquatic systems, where it is established within amoebae in a symbiotic relationship. Legionella germs survive in water as intracellular parasites of water-dwelling protozoa, such as amoebae. Amoebae are frequently part of biofilms, and once Legionella and infected amoebae are safeguarded within a biofilm, they are particularly challenging to destroy.