Presentation
Focus on the practical guidance you need with the aid of a new, more templated format in which basic science content has been integrated within clinical chapters, and all procedural content has been streamlined for online presentation and paired with [books.google.com]
Furthermore, Legionella meningoencephalitis may present with findings on magnetic resonance imaging previously thought to be characteristic of herpes encephalitis. [ncbi.nlm.nih.gov]
clinical presentation may be altered by prior use of antibiotics. [rch.org.au]
Finding the exact antibody in the blood known to fight the Legionella pneumophila proves that it is present. [thelegionnaireslawyer.com]
Presentation The clinical hallmark of acute encephalitis is the triad of fever, headache and altered mental status. [ 6 ] Most patients with viral encephalitis present with the symptoms of meningitis (fever, headache, neck stiffness, vomiting) followed [patient.info]
Entire Body System
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Fever
The second disease is Pontiac fever. Pontiac fever is a milder respiratory illness without pneumonia. Symptoms of Pontiac fever usually start about 24 to 72 hours after exposure. [protect.iu.edu]
Rhinovirus Rickettsial fevers, tickborne (Rocky Mountain spotted fever, tickborne typhus fever) Rocky Mountain Spotted Fever Rotavirus infection (see Gastroenteritis) Rubeola (see Measles) S Severe acute respiratory syndrome (SARS) [* NOTIFY INFECTION [ww2.mc.vanderbilt.edu]
In addition, where Pontiac fever ends and Legionnaires’ disease begins is not well defined, so in some cases people suspected of having the former ailment might actually have a mild case of the latter and vise versa. Pontiac Fever vs. [thelegionnaireslawyer.com]
Persons with Pontiac fever experience fever and muscle aches without pneumonia. They generally recover in 2–5 days without treatment. For Pontiac fever, the time between exposure and symptoms is generally a few hours to 2 days. [en.wikipedia.org]
The non-pneumonic illness – also known as Pontiac Fever – includes flu-like symptoms such as fever, headache, malaise, chills, and muscle pain. [iamat.org]
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Malaise
The non-pneumonic illness – also known as Pontiac Fever – includes flu-like symptoms such as fever, headache, malaise, chills, and muscle pain. [iamat.org]
We describe a case of pneumonia caused by C. pneumoniae and associated with meningoencephalitis.An 18-year-old man who had been in good health had malaise, a high temperature, and a nonproductive cough. [nejm.org]
Constitutional symptoms, which usually are present, include headache exacerbated by a cough, malaise, myalgias, and sore throat. The cough is usually dry, paroxysmal, and worse at night. [aafp.org]
[…] four to six days after their initial onset: Chest pain Cough that does not produce much sputum or mucus (dry cough) Loss of appetite Coughing up blood Diarrhea, nausea, vomiting, and abdominal pain Fever General discomfort, uneasiness, or ill feeling ( malaise [thelegionnaireslawyer.com]
Symptoms of viral encephalitis The symptoms of viral encephalitis include: high temperature headache sensitivity to light (photophobia) general malaise stiff neck stiff back vomiting changes to personality confusion memory loss (amnesia) seizures paralysis [betterhealth.vic.gov.au]
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Chills
The non-pneumonic illness – also known as Pontiac Fever – includes flu-like symptoms such as fever, headache, malaise, chills, and muscle pain. [iamat.org]
Symptoms Symptoms of Legionellosis include: Fever Chills Lack of energy Cough Muscle aches Headache Loss of appetite Diarrhea and/or vomiting Transmission Legionellosis infection is transmitted when a person breathes water droplets from the air (i.e., [protect.iu.edu]
[…] dry cough) Loss of appetite Coughing up blood Diarrhea, nausea, vomiting, and abdominal pain Fever General discomfort, uneasiness, or ill feeling ( malaise ) Headache Joint pain Loss of energy Muscle aches and stiffness Problems with balance Shaking chills [thelegionnaireslawyer.com]
Legionnaires' disease is a serious lung infection (pneumonia) with chills, high temperature (fever) and muscle pains. You get the infection by breathing in droplets of water which contain legionella germs (bacteria) from contaminated water systems. [patient.info]
Twenty-nine cases were reported in the United States. 38 SARS presents with a prodrome of symptoms of a flu-like illness (fever, chills, myalgias, headache, diarrhea), followed in two to seven days by cough, dyspnea and, possibly, acute respiratory distress [aafp.org]
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Rigor
[…] ice-making machines, and misting systems typically found in grocery-store produce sections. [15] [25] The bacteria may also be transmitted from contaminated aerosols generated in hot tubs if the disinfection and maintenance programs are not followed rigorously [en.wikipedia.org]
Respiratoric
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Respiratory Distress
Inside, you’ll find totally updated coverage of vital topics, such as coagulation and apoptosis in certain critical care illnesses, such as acute lung injury and adult respiratory distress syndrome; sepsis and other serious infectious diseases; specific [books.google.com]
Sudden acute respiratory syndrome begins with a flu-like illness, followed two to seven days later by cough, dyspnea and, in some instances, acute respiratory distress. [aafp.org]
Neurologic
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Headache
The non-pneumonic illness – also known as Pontiac Fever – includes flu-like symptoms such as fever, headache, malaise, chills, and muscle pain. [iamat.org]
Patients with the usual form of meningitis (bacterial or viral) get very ill quickly and usually develop fever, headache, and neck stiffness. [moldbacteria.com]
Patients present with headache and papilledema, while CSF is unremarkable. [karger.com]
Meningitis can produce mild symptoms — such as headache, low-grade fever and tiredness lasting two to three days — in some patients. [dph.illinois.gov]
Presentation The clinical hallmark of acute encephalitis is the triad of fever, headache and altered mental status. [ 6 ] Most patients with viral encephalitis present with the symptoms of meningitis (fever, headache, neck stiffness, vomiting) followed [patient.info]
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Confusion
These primary symptoms can be accompanied by nausea, vomiting, photophobia, confusion and irritability. Some of these classic signs and symptoms cannot be detected in an infant in whom lethargy and irritability are important signs. [ehagroup.com]
The next day he arrived at a New Orleans hospital disoriented, confused and combative. [consumer.healthday.com]
Encephalitis may begin with a flu-like illness or with a headache, followed by a rapid development of altered consciousness, with confusion, drowsiness, seizures and coma. [patient.info]
Symptoms of viral encephalitis The symptoms of viral encephalitis include: high temperature headache sensitivity to light (photophobia) general malaise stiff neck stiff back vomiting changes to personality confusion memory loss (amnesia) seizures paralysis [betterhealth.vic.gov.au]
In other patients, the symptoms can be severe and begin suddenly with fever, headache and stiff neck accompanied by some combination of other symptoms: decreased appetite, nausea, vomiting, and sensitivity to bright light, confusion and sleepiness. [dph.illinois.gov]
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Altered Mental Status
mental status, neck stiffness there may be variations in clinical presentation due to the type of pathogen, patient age, host immune status Bacterial causes of meningitis by age 1 month Group B streptococcus (GBS), E. coli, L. monocytogenes prominent [medbullets.com]
The woman was admitted to a hospital on Sept. 28 with nausea, vomiting, neck stiffness and "altered mental status." She died Oct. 2 and an autopsy revealed amebic meningoencephalitis. [consumer.healthday.com]
Presentation The clinical hallmark of acute encephalitis is the triad of fever, headache and altered mental status. [ 6 ] Most patients with viral encephalitis present with the symptoms of meningitis (fever, headache, neck stiffness, vomiting) followed [patient.info]
Instead, they may have altered mental status or a history of falls. 32 Elderly patients also are more likely to have significant comorbid conditions, such as chronic obstructive pulmonary disease, congestive heart failure, or renal disease, and are particularly [aafp.org]
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Cognitive Impairment
Epilepsy, focal neurological signs and cognitive impairment may develop. Subacute sclerosing panencephalitis is a late complication of measles and presents four to ten years after the initial infection. [patient.info]
Workup
X-Ray
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Pulmonary Infiltrate
These patients can also present fever alone, with no other symptoms of pneumonia, despite radiological evidence of pulmonary infiltrates. [elsevier.es]
Treatment
Constructed from Skeletal Muscle 759 Multicenter Clinical Trials 767 87 Cultured Cardiomyocytes 775 88 Myocardial Regeneration with Skeletal Muscle Satellite Cells 785 89 Lung Volume Reduction Surgery in Patients with Emphysema 789 90 Pulmonary Endarterectomy Treatment [books.google.com]
Dose Adjustments Resistant organism development AND no response to treatment: Treatment should be modified. [drugs.com]
Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. [betterhealth.vic.gov.au]
Antibiotic treatment is empiric and includes coverage for both typical and atypical organisms. [aafp.org]
Treatment The treatment again depends on the causative organism. [ehagroup.com]
Prognosis
Prognosis Encephalitis causes high rates of illness and death. [ 1 ] The prognosis depends on the age of the patient and the underlying aetiology. [patient.info]
FLAIR : hyperintense DWI : hyperintense ADC: hypointense T1 C (Gd) : linear cranial nerve enhancement ring enhancement (abscess) heterogeneous if extensive inflammation MR spectroscopy : allows differentiation between abscess from tumor Treatment and prognosis [radiopaedia.org]
Treatment and prognosis Macrolides or quinolones are the treatment of choice. [elsevier.es]
[…] contaminated mist ) [3] [4] Risk factors Older age, history of smoking, chronic lung disease, poor immune function [5] Diagnostic method Urinary antigen test, sputum culture [6] Prevention Good maintenance of water systems [7] Treatment Antibiotics [8] Prognosis [en.wikipedia.org]
Etiology
Naegleria fowleri is the etiological agent of primary amoebic meningoencephalitis (PAM), a rapidly fatal disease. [asu.pure.elsevier.com]
Depending on their ages, individuals are also predisposed to certain etiologic agents. Incubation Period The incubation period depends on the causative agent. [ehagroup.com]
In search of encephalitis etiologies: diagnostic challenges in the California Encephalitis Project, 1998-2000. Clin Infect Dis. 2003; 36(6): 731-42. PubMed Hunt G. Meningitis and encephalitis in adolescents. [arupconsult.com]
Rhombencephalitis refers to inflammatory diseases affecting the hindbrain ( brainstem and cerebellum ) and has a wide variety of etiologies including infection, autoimmune disease, and paraneoplastic syndrome, with Listeria monocytogenes being cited as [radiopaedia.org]
An epidemic of unknown etiology in a health department. I. Clinical and epidemiologic aspects. Am. J. Epidemiol. 107 : 149 – 160. 7. Institute of Medicine. 1992. Emerging Infections: Microbial Threats to Health in the United States. [asmscience.org]
Epidemiology
Harrison Abstract The aims of this work were to assess (i) the intercentre reproducibility and epidemiological concordance of amplified fragment length polymorphism analysis for epidemiological typing of Legionella pneumophila serogroup 1, and (ii) the [link.springer.com]
There is scant reference in the literature to epidemiological studies on the prevalence of atypical pneumonias in Mexico, and what little information is available is out-dated. [elsevier.es]
Currently, no prospective studies have been conducted in Sabah, East Malaysia to define the epidemiology and aetiology of CNS infections. [bmcinfectdis.biomedcentral.com]
Clinical and epidemiologic aspects. Am. J. Epidemiol. 107 : 149 – 160. 7. Institute of Medicine. 1992. Emerging Infections: Microbial Threats to Health in the United States. National Academy Press, Washington, D.C.. 8. Kuhn, T. S. 1996. [asmscience.org]
Epidemiology of Meningitis Infection of the meninges can be by direct infection but more probably is secondary to an ascending infection from another part of the body. [ehagroup.com]
Pathophysiology
Herpes Simplex Virus-1 Encephalitis in Adults: Pathophysiology, Diagnosis, and Management. Neurotherapeutics. 2016; 13(3): 493-508. PubMed George BP, Schneider EB, Venkatesan A. [arupconsult.com]
The pathophysiology of amoebic meningoencephalitis is still an enigma, and of late, the mechanisms appear to be shifting from agent-based pathogenic potential to host-based immunogenic response. [4] A short summary of the features based on the published [neurologyindia.com]
Leakage from damaged pial vessels, leading to focal extravasation of the contrast agent into the CSF adjacent to the brain, is the most likely pathophysiological explanation for leptomeningeal enhancement on FLAIR images [ 15 ], indicating blood-CSF barrier [karger.com]
Legionellosis refers to 2 distinct clinical syndromes: Legionnaires disease, which most often manifests as severe pneumonia accompanied by multisystemic disease, and Pontiac fever, which is an acute, febrile, self-limited, viral-like illness. [1, 2] Pathophysiology [emedicine.medscape.com]
Prevention
The Centers for Disease Control and Prevention (CDC) is a United States federal agency under the Department of Health and Human Services headquartered in Atlanta, Georgia. Gary W. [books.google.com]
INFECTION PREVENTION ASAP* ] Croup (see Respiratory infections in infants and young children) Cryptococcosis Cryptosporidiosis (see Gastroenteritis) Cytomegalovirus infection, neonatal or immunosuppressed D Diarrhea, acute-infective etiology suspected [ww2.mc.vanderbilt.edu]
Prevention Check if your planned accommodation has had an outbreak of Legionellosis in the past. Ask what prevention measures the company is taking to prevent infection. [iamat.org]