Cov lus piav qhia ntxaws
Legionnaires 'Diease, muaj npe tom qab muaj qhov tshwm sim xyoo 1976 ntawm American Legion convention nyob rau hauv Philadelphia, yog tshwm sim los ntawm Legionella pneumophila thiab yog ib tug mob febrile ua pa kab mob xws li mob hnyav los ntawm mob me mus rau mob ntsws ntsws.Tus kab mob no tshwm sim nyob rau hauv ob qho tib si kis kab mob thiab endemic cov ntaub ntawv thiab sporadic kis tsis tau yooj yim sib txawv los ntawm lwm yam kab mob ua pa los ntawm cov tsos mob.Kwv yees li ntawm 25000 txog 100000 tus neeg mob Legionella tshwm sim hauv Tebchaws Meskas txhua xyoo.Qhov tshwm sim ntawm kev tuag ntawm tus kab mob, xws li ntawm 25% mus rau 40%, tuaj yeem txo qis yog tias tus kab mob no tau kuaj pom sai thiab tsim nyog siv tshuaj tua kab mob ua ntej.Paub txog cov kev pheej hmoo muaj xws li kev tiv thaiv kab mob, kev haus luam yeeb, kev haus dej cawv thiab kab mob pulmonary concomitant.Cov tub ntxhais hluas thiab cov neeg laus muaj kev cuam tshuam tshwj xeeb.Legionella pneumophila yog lub luag haujlwm rau 80% -90% ntawm cov ntaub ntawv tshaj tawm ntawm Legionella kab mob nrog serpgroup 1 suav txog ntau dua 70% ntawm tag nrho cov legionellosis.Cov txheej txheem tam sim no rau kev kuaj pom tus mob ntsws los ntawm Legionella pneumophila xav tau cov qauv ua pa (xws li expectorated hnoos qeev, bronchial ntxuav, transtracheal aspirate, ntsws biopsy) los yog paired sera (mob thiab convalescent) kom paub tseeb tseeb.
Qhov zoo tshaj plaws Legionella tso cai rau kev kuaj mob ntxov ntawm Legionella pneumophila serogroup 1 infevtion los ntawm kev kuaj pom cov tshuaj tiv thaiv tshwj xeeb uas muaj nyob hauv cov zis ntawm cov neeg mob Legionnaires 'Tus Kab Mob.Legionella pneumophila serogroup 1 antigen tau kuaj pom hauv cov zis thaum ntxov li peb hnub tom qab pib cov tsos mob.Qhov kev ntsuam xyuas yog nrawm, muab cov txiaj ntsig hauv 15 feeb, thiab siv cov zis tso zis uas yooj yim rau kev sau, thauj, thiab tom qab kuaj pom thaum ntxov, nrog rau tom qab, theem ntawm cov kab mob.