| Pontiac fever | |
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| Specialty | Infectious diseases  |
Pontiac fever is an acute, nonfatal respiratory disease caused by various species of Gram-negative bacteria in the genus Legionella . It causes a mild upper respiratory infection that resembles acute influenza. Pontiac fever resolves spontaneously and often goes undiagnosed. Both Pontiac fever and the more severe Legionnaire's disease may be caused by the same bacterium, but Pontiac fever does not include pneumonia. [1] [2] [3] [4]
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Species of Legionella known to cause Pontiac fever include Legionella pneumophila , Legionella longbeachae , Legionella feeleii , Legionella micdadei , and Legionella anisa . [5] Sources of the causative agents are aquatic systems and potting soil. The first outbreak caused by inhalation of aerosolized potting soil was discovered in New Zealand in January 2007. A total of 10 workers at a nursery came down with Pontiac fever. It was the first identification of L. longbeachae. [6] Pontiac fever does not spread from person to person. It is acquired through aerosolization of water droplets and/or potting soil containing Legionella bacteria. [7]
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Pontiac fever is known to have a short incubation period of 1 to 3 days. No fatalities have been reported and cases resolve spontaneously without treatment. [8] It is often not reported. [9] Age, gender, and smoking do not seem to be risk factors. Pontiac fever seems to affect young people in the age medians of 29 to 32. Pathogenesis of the Pontiac fever is poorly known. [10] [11]
Pontiac fever was named after the city of Pontiac, Michigan, where the first case was recognized. In 1968, several workers at the county's department of health came down with a fever and mild flu symptoms, but not pneumonia. After the 1976 Legionnaires' outbreak in Philadelphia, the Michigan health department re-examined blood samples and discovered the workers had been infected with the newly identified Legionella pneumophila . [12] [13] An outbreak caused by Legionella micdadei in early 1988 in the UK became known as Lochgoilhead fever. [14] Since that time, other species of Legionella that cause Pontiac fever have been identified, most notably in New Zealand, in 2007 where Legionella longbeachae was discovered. The New Zealand outbreak also marked the first time Pontiac fever had been traced to potting soil.[ citation needed ]
Plague is an infectious disease caused by the bacterium Yersinia pestis. Symptoms include fever, weakness and headache. Usually this begins one to seven days after exposure. There are three forms of plague, each affecting a different part of the body and causing associated symptoms. Pneumonic plague infects the lungs, causing shortness of breath, coughing and chest pain; bubonic plague affects the lymph nodes, making them swell; and septicemic plague infects the blood and can cause tissues to turn black and die.
Q fever or query fever is a disease caused by infection with Coxiella burnetii, a bacterium that affects humans and other animals. This organism is uncommon, but may be found in cattle, sheep, goats, and other domestic mammals, including cats and dogs. The infection results from inhalation of a spore-like small-cell variant, and from contact with the milk, urine, feces, vaginal mucus, or semen of infected animals. Rarely, the disease is tick-borne. The incubation period can range from 9 to 40 days. Humans are vulnerable to Q fever, and infection can result from even a few organisms. The bacterium is an obligate intracellular pathogenic parasite.
Legionella is a genus of pathogenic gram-negative bacteria that includes the species L. pneumophila, causing legionellosis including a pneumonia-type illness called Legionnaires' disease and a mild flu-like illness called Pontiac fever.
Atypical pneumonia, also known as walking pneumonia, is any type of pneumonia not caused by one of the pathogens most commonly associated with the disease. Its clinical presentation contrasts to that of "typical" pneumonia. A variety of microorganisms can cause it. When it develops independently from another disease, it is called primary atypical pneumonia (PAP).
Legionella pneumophila is an aerobic, pleomorphic, flagellated, non-spore-forming, Gram-negative bacterium. There are fourteen serotypes of L. pneumophila.L. pneumophila is a facultative intracellular parasite that infects soil amoebae and freshwater amoeboflagellates for replication. This pathogen is thus found commonly near freshwater environments and invades the unicellular life, using them to carry out metabolic functions. Due to L. pneumophila’s ability to thrive in water, it can grow in water filtration systems, leading to faucets, showers, and other fixtures and then spread through aerosolized water droplets.
The Legionellales are an order of Pseudomonadota ("Proteobacteria"). Like all Pseudomonadota, they are Gram-negative. They comprise two families, typified by Legionella and Coxiella, both of which include notable pathogens. For example, Q fever is caused by Coxiella burnetii and Legionella pneumophila causes Legionnaires' disease and Pontiac fever.
Legionella longbeachae is one species of the family Legionellaceae. It was first isolated from a patient in Long Beach, California. It is found predominantly in potting soil and compost. Human infection from L. longbeachae is particularly common in Australia, but cases have been documented in other countries including the United States, Japan, Greece and the UK.
Waterborne diseases are conditions caused by pathogenic micro-organisms that are transmitted by water. These diseases can be spread while bathing, washing, drinking water, or by eating food exposed to contaminated water. They are a pressing issue in rural areas amongst developing countries all over the world. While diarrhea and vomiting are the most commonly reported symptoms of waterborne illness, other symptoms can include skin, ear, respiratory, or eye problems. Lack of clean water supply, sanitation and hygiene (WASH) are major causes for the spread of waterborne diseases in a community. Therefore, reliable access to clean drinking water and sanitation is the main method to prevent waterborne diseases.
The Centers for Disease Control and Prevention, formed in 1946, is the leading national public health institute of the United States. It is a United States federal agency, under the United States Department of Health and Human Services. Its main goal is to protect public health and safety through the control and prevention of disease, injury, and disability in the US and internationally.
Airborne transmission or aerosol transmission is transmission of an infectious disease through small particles suspended in the air. Infectious diseases capable of airborne transmission include many of considerable importance both in human and veterinary medicine. The relevant infectious agent may be viruses, bacteria, or fungi, and they may be spread through breathing, talking, coughing, sneezing, raising of dust, spraying of liquids, flushing toilets, or any activities which generate aerosol particles or droplets.
The 1976 Legionnaires' disease outbreak, occurring in the late summer in Philadelphia, Pennsylvania, United States at an annual American Legion convention, was the first occasion in which a cluster of a particular type of pneumonia cases were determined to be caused by the Legionella pneumophila bacteria. Previous outbreaks were retroactively diagnosed as being most probably caused by Legionella bacteria.
The Bovenkarspel legionellosis outbreak began on 25 February 1999 in Bovenkarspel, the Netherlands, and was one of the largest outbreaks of legionellosis in history. With at least 32 dead and 206 severe infections, it was the deadliest legionellosis outbreak since the original 1976 outbreak in Philadelphia, United States.
Legionella anisa is a Gram-negative bacterium, one of more than 40 species in the family Legionellaceae. After Legionella pneumophila, this species has been isolated most frequently from water samples. This species is also one of the several pathogenic forms of Legionella having been associated with rare clinical cases of illness including Pontiac fever and Legionnaires' disease.
Legionella jordanis is a Gram-negative bacterium from the genus Legionella which was isolated from the Jordan River in Bloomington, Indiana and from the sewage in DeKalb County, Georgia. L. jordanis is a rare human pathogen and can cause respiratory tract infections.
Legionnaires' disease is a form of atypical pneumonia caused by any species of Legionella bacteria, quite often Legionella pneumophila. Signs and symptoms include cough, shortness of breath, high fever, muscle pains, and headaches. Nausea, vomiting, and diarrhea may also occur. This often begins 2–10 days after exposure.
In 2015, there were two outbreaks of Legionnaires' disease in the Bronx, New York City, United States. Between January and August 2015, one hundred and thirty people in New York City were infected with Legionnaires', but the majority of them were in the Bronx.
The 2022 Tucumán legionellosis outbreak refers to an epidemic that originated in San Miguel de Tucumán, Argentina. It was first identified on Saturday, 20 August 2022, when 7 people arrived at the Tucumán Hospital with fever, malaise, shortness of breath, and headache.
Sheila Sue Moriber Katz was an American pathologist and writer, dean of the Hahnemann University School of Medicine, and co-founder of the School of Public Health at Drexel. She is sometimes described as the first person to see the bacterium Legionella pneumophila, which causes Legionnaires' disease.
Infectious disease on cruise ships is a hazard associated with cruises. Outbreaks of contagious diseases can spread quickly due to the confined cruise ship environment, reliance on shared spaces, the lack of healthcare facilities, and the large number of passengers and crew members from disparate points of origin.
