The symptoms of legionella disease are:
- dry cough
- GI upset
Complications of legionella which may show up in the blood results include:
- SIADH - low sodium
- hepatitis - deranged LFTs
Legionella is killed above 60c, cannot multiply between 50 and 60c and are happiest between roughly 35 to 45 c
Males are more affected than females, 3:1
CXR may show bibasal consolidation.
Treatment is with antibiotics which achieve a high intracellular concentration, such as clarithromycin, rifampicin or fluroquinolone.
Legionella has a 10% mortality.
Lets now trot on to pleural calcification...