4.6 Flashcards
legionella found in
- Ubiquitous inhabitants of aquatic environments - both natural and man made
genus legionella
- 45 species
- Difficult to see on the gram stain
- Fastidious in their nutritional requirements
○ Will not grow in the lab unless specialised agar plates are used
2 species genus legionella
legionella pneumophila
legionella longbeachae
most legionella disease caused by
legionella pneumophila
legionella pneumophila infection acquired from
○ Outbreaks occur when peopl inhale water vapour from a man made water osurce eg. Cooling tower which has been poorly maintained
legionella pneumophila discovered because
○ Discovered following outbreak at legionnaires conference
legionella pneumophila causes
legionaries disease
legionaries disease symptoms
§ Pneumonia, often severe and with a significant mortality
§ High fever
§ GI symptoms - nausea, vomiting, diarrhoea
§ Headache, myalgia
legionaries disease more likely in
§ More likely in smokers, those with pre existing lung disease or a compromised immune system
legionaries disease contracted form
§ May be community acquired or occur in clusters in hospitals or residential care facilities (if hot water system becomes a source)
- Legionella longbeachae causes
community acquired pneumonia
legionella longebeachae contracted from
potting mix
legionella longbeachae risk factors
§ Smoking, pre existing lung disease and comprimised immune system