Dr. Schiffman received his B.S. degree with High Honors in biology from Hobart College in 1976. He then moved to Chicago where he studied biochemistry at the University of Illinois, Chicago Circle. He attended Rush Medical College where he received his M.D. degree in 1982 and was elected to the Alpha Omega Alpha Medical Honor Society. He completed his Internal Medicine internship and residency at the University of California, Irvine.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Legionnaires' disease can be very serious and can cause death in up to 5% to 30% of cases. Most cases can be treated successfully with antibiotics
(drugs that kill bacteria in the body), and healthy people usually recover from infection.
Where do Legionella bacteria come from?
The Legionella bacteria are found naturally in the environment, usually in water. The bacteria grow best in warm water, like the kind found in hot tubs, cooling towers, hot water tanks, large plumbing systems, or parts of the air-conditioning systems of large buildings. They do not seem to grow in car or window air-conditioners.
SOURCE: CDC
Legionellosis (Legionnaires' disease
and Pontiac fever) facts
Legionellosis is an infection that is caused by a bacterium.
The bacterium thrives in the mist that is sprayed from air-conditioning
ducts.
The bacterium can infest an entire building.
The illness takes two distinct forms: Legionnaires' disease and
Pontiac fever.
Legionnaires' disease is the more severe form and can be
fatal.
Pontiac fever is the far milder form of the illness.
Symptoms of Legionnaires' disease include
fever, chills, and a
cough.
Although antibiotics are effective for treatment, the most useful approach is prevention.
What is legionellosis? What is the history of Legionnaires' disease?
Legionellosis is an infection that is caused by the bacterium
Legionella pneumophila. The disease has two distinct forms:
Legionnaires' disease is the more severe form of the infection,
which may involve pneumonia. The onset of this form of the disease is usually two to 10 days after infection but can occur up to 16 days later. Legionnaires' disease acquired its name in 1976 after an outbreak of pneumonia occurred among people attending a convention of the American Legion in Philadelphia. Later, the bacterium causing the illness was named
Legionella pneumophila.
Pontiac fever is a milder illness that develops from hours to
two days after initial infection and resolves spontaneously.
X-ray image of lungs of patient with Legionnaires' disease; SOURCE: CDC
Pneumonia is inflammation of one or both lungs with consolidation. Pneumonia is frequently but not always due to infection. The infection may be bacterial, viral, fungal or parasitic. Symptoms may include fever, chills, cough with sputum production, chest pain, and shortness of breath.
Diarrhea is a change is the frequency and looseness of bowel movements. Cramping, abdominal pain, and the sensation of rectal urgency are all symptoms of diarrhea. Absorbents and anti-motility medications are used to treat diarrhea.
Headaches can be divided into two categories: primary headaches and secondary headaches. Migraine headaches, tension headaches, and cluster headaches are considered primary headaches. Secondary headaches are caused by disease. Headache symptoms vary with the headache type. Over-the-counter pain relievers provide short-term relief for most headaches.
Chronic cough is a cough that does not go away and is generally a symptom of another disorder such as asthma, allergic rhinitis, sinus infection, cigarette smoking, GERD, postnasal drip, bronchitis, pneumonia, medications, and less frequently tumors or other lung disease. Treatment of chronic cough is dependant upon the cause.
Although a fever technically is any body temperature above the normal of 98.6 degrees F. (37 degrees C.), in practice a person is usually not considered to have a significant fever until the temperature is above 100.4 degrees F (38 degrees C.). Fever is part of the body's own disease-fighting arsenal: rising body temperatures apparently are capable of killing off many disease- producing organisms.
Acute respiratory distress syndrome (ARDS) is a lung condition in which trauma to the lungs leads to inflammation of the lungs, accumulation of fluid in the alveolar air sacs, low blood oxygen, and respiratory distress. Causes of ARDS include: pneumonia, aspiration, severe blow to the chest, sepsis, severe injury with shock, drug overdose, and/or inflamed pancreas. Treatment for ARDS include extra oxygen, and/or medication.
Chronic cough is a cough that persists. Chronic cough is not a
disease in itself; rather it is a symptom of an underlying condition. Chronic
cough is a common
problem and the reason for many doctor visits.
What are causes of chronic cough?
Some common causes of chronic cough include
asthma,
allergic rhinitis, sinus
problems (for example sinus
infection), and esophageal reflux of stomach contents. In rare occasions, chronic
cough may be the result of aspiration of foreign objects into the lungs (usually
in children). It is very important to see a doctor who may order a chest
X-ray if a chronic cough is present. The following are common causes of
chronic coughing.
Cigarette smoking
actually is the most common cause of chronic cough.
Asthma is a disease of airways, resulting in difficulty breathing or
wheezing often characterized by abnormal breathing...
Infectious Disease RSS
Healthy Living Tips
