Tsanangudzo yakadzama
Legionnaires 'Diease, yakatumidzwa mushure mekuputika muna 1976 pamusangano weAmerican Legion muPhiladelphia, inokonzerwa neLegionella pneumophila uye inoonekwa sechirwere chekufema chinopisa chinobva mukuomarara kubva kuhurwere hunyoro kusvika kubayo inouraya.Chirwere ichi chinoitika mune zvese denda uye endemic mafomu uye sporadic zviitiko hazvisi nyore kusiyaniswa kubva kune zvimwe zvirwere zvekufema nezviratidzo zvekiriniki.Inofungidzirwa 25000 kusvika ku100000 zviitiko zveLegionella chirwere chinoitika muUnited States gore negore.Huwandu hwevanhu vanofa, kubva pa25% kusvika 40%, hunogona kudzikiswa kana chirwere chikaonekwa nekukasika uye kurapa kwakakodzera kwemishonga inorwisa utachiona rikatangwa pachine nguva.Zvinozivikanwa njodzi zvinhu zvinosanganisira immunosuppression, kuputa fodya, kunwa doro uye concomitant pulmonary chirwere.Vaduku nevakuru ndivo vanonyanya kubatwa.Legionella pneumophila inokonzera 80% -90% yezviitiko zvakashumwa zveLegionella utachiona ne serpgroup 1 inoverengera kupfuura 70% yelegionellosis yose.Nzira dziripo iyezvino dzekuona murabhoritari mabayo anokonzerwa neLegionella pneumophila dzinoda mufananidzo wekufema (semuenzaniso expectorated sputum, kugeza bronchial, transtracheal aspirate, lung biopsy) kana paired sera (acute uye convalescent) kuti zvinyatsoongororwa.
Iyo BESTest Legionella inobvumira kuongororwa kwekutanga kweLegionella pneumophila serogroup 1 infevtion kuburikidza nekuonekwa kweimwe soluble antigen iripo muweti yevarwere vane Legionnaires 'Chirwere.Legionella pneumophila serogroup 1 antigen yaonekwa muweti kutanga kwemazuva matatu mushure mekutanga kwezviratidzo.Muedzo unokurumidza, uchipa mhedzisiro mukati memaminitsi gumi nemashanu, uye unoshandisa weti sampuli iyo iri nyore kuunganidza, kutakurwa, uye kunotevera kuonekwa kwekutanga, pamwe nekuzotevera, nhanho dzechirwere.