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Argentina’s Mystery Pneumonia Outbreak Linked To Legionnaires' Disease: Symptoms, Causes And Treatments

By Devika

On 3 September 2022, the Argentine Ministry of Health announced that Legionellosis was the cause of a recent outbreak of pneumonia that had already infected 11 people and killed four.

Pneumonia can be a life-threatening illness if immediate medical care is not provided. One of its severest forms is Legionnaires' disease. It is an infection that causes severe lung inflammation. Although not contagious, immediate medical attention is necessary if a person contracts this illness.

What Is Legionnaires' Disease?

This illness is caused by a bacterium called Legionella. People usually catch this illness by inhaling the bacteria. This bacterium can also cause another mild illness called Pontiac fever (resembling flu). Sometimes Legionnaires' disease shows these flu symptoms along with the inflammation of the lungs. This illness was first identified in the year 1977. This disease does not spread from person to person.

 Legionnaires Disease And Its Causes

How Do You Contract Legionnaires' Disease?

The bacterium causing this ailment is usually found in freshwater settings that include river, lakes and streams. This bacterium is known to thrive in warm water. It mostly spreads through the supply of contaminated water.

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This airborne disease is caused by a bacterium that is so small that it can be present inside a tiny droplet of water (mist or water vapour). The bacterium gets into your lungs when you inhale it, such as during steam from a sauna bath or when in a hot tub.

Legionella can also be found in not so well-maintained decorative water fountains, swimming pools, cruise ships and gyms. Mist sprayers and air conditioning units can also be contaminated. Although less common, this bacterium can occur by drinking tainted water when it goes down your trachea instead of the oesophagus.

What Are The Symptoms Of Legionnaires' Disease?

Once exposed to this bacterium, you will begin to show symptoms of this disease usually between 2 to 10 days.

The initial signs of this illness are:

• Muscle pain
• Chills
• High fever
• Headache

The signs that develop by the third day are:

• Mental changes such as confusion
• Gastrointestinal issues such as vomiting, diarrhoea and nausea
• Chest pain
• Cough (with mucus, sometimes with blood as well)
• Shortness of breath

This disease can cause infections in wounds that might have occurred in any part of the body.

Legionnaires Disease

How Is Legionnaires' Disease Diagnosed?

As Legionnaires' disease is a kind of pneumonia, to exactly determine this illness, a few specific tests might be necessary.

Your doctor would conduct a urine test to determine the presence of Legionella antigens. You could also be prescribed to undergo blood tests, a CT scan in case of neurological symptoms, a chest X-ray to check the infection severity in your lungs and tests on a sample of sputum.

Chest X-rays are usually conducted to see the extent of infection in the lungs.

In case of problems such as excessive confusion and difficulty in concentrating, your doctor would recommend a CT scan that would be based on taking X-ray images from various angles. A spinal tap might also be received. This involves a kind of lumbar puncture.

Legionnaires Disease

Is Legionnaires' Disease Curable?

When medical attention is obtained at the right time, this ailment can be successfully treated. Antibiotics can treat this condition quickly. Usually, any one of the following might be prescribed by your doctor to treat this disease.

• Moxifloxacin
• Fluoroquinolones
• Macrolides

Each case is different and your doctor is the best person to take the decision on the treatment plan that will be best suitable for you.

However, you should ensure that you approach your doctor as soon as you begin to see symptoms of this ailment; the sooner, the better, so that the conditions and the accompanying symptoms do not worsen. In certain major cases, the person might need to be hospitalized.

There is no need to worry about the flu-like Pontiac fever that is usually seen to occur along with this disease. No specific treatment is required for this and it usually subsides soon on its own.

A general physician is capable enough to treat this illness. However, if the severity is seen to have worsened, you might be advised to meet a specialist.

Pulmonologists are specialists in treating lung diseases. Seeking help from a pulmonologist in severe cases of Legionnaires' disease is recommended.

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It is a good practice to make a note of all your symptoms before you head to the doctor. Also, use a thermometer to note down your temperature accurately. Mentioning facts such as if you have been eating outside food or went out of town could help your doctor assess your condition and symptoms better.

Do inform the doctor about all the other medications that you are already taking. This would include supplements and vitamins as well. You wouldn't want any medication to interfere with the functionality of your body. As you might be feeling weak, it is always advisable to have a family member or friend accompany you when you visit the doctor.