Tiny germs live in water. 

Tiny germs live in water. 

These germs can grow inside small water bugs. This helps them stay safe. They can also hide in sticky layers in pipes.
Sometimes, water droplets spray into the air. We can breathe these tiny drops in. This can make a person sick.
A sick person might have a fever. They might also feel very hot. 
A doctor can test your pee to find the germ. Medicine can help you get well. It is good to stay healthy.
Legionella pneumophila is a tiny germ. It is a type of bacterium. 

This germ is very smart. It can hide inside tiny water bugs called protozoa. This helps the germ stay safe from the world. It can also hide in biofilms. A biofilm is a sticky layer of germs on a surface.
Sometimes, water sprays into the air in tiny drops. These are called aerosols. If we breathe these drops, the germ enters our lungs. It can then make us sick. This sickness is called Legionnaires’ disease. A person might have a fever or diarrhea. 
Doctors can find the germ with a urine antigen test. This is a test that looks for parts of the germ in pee. Doctors use antibiotics to treat the sickness. Antibiotics are medicines that fight germs.
Legionella pneumophila is a tiny bacterium that can cause a serious illness. This germ is the main cause of Legionnaires’ disease. 
The way this bacterium works is very clever. It has two different forms to help it survive. One form is called the transmissive phase. This form is used when food is hard to find in the environment. It acts like a spore to help the germ travel. The second form is the replicative phase. This form is used to make many more bacteria. 
This bacterium loves to live in water. It can grow in many man-made water systems. You might find it in cooling towers or large hotels. 
Sometimes, the germ gets into the air through water droplets. These tiny sprays are called aerosols. If a person breathes in these droplets, the germ enters the lungs. It then moves into special cells called alveolar macrophages. 
Scientists have studied this germ to learn how it adapts. They have looked at the genomes of several different strains. 
Legionella pneumophila is a complex, Gram-negative bacterium. It is the primary cause of Legionnaires’ disease, also known as legionellosis. This bacterium is aerobic, meaning it requires oxygen to grow. It is also pleomorphic, which means it can change its shape. As an intracellular bacterium, it lives inside the cells of other organisms. It prefers to infect freshwater protozoa and soil amoebae to replicate. 
The bacterium survives by switching between two distinct life stages. The first is the transmissive phase. This phase occurs when nutrients are low in the environment. In this state, the bacterium acts like a spore to survive and travel. It uses flagella, which are whip-like tails, to move. The second stage is the replicative phase. This phase is used for rapid proliferation, or making many more bacteria. The bacterium switches between these forms based on available metabolic resources. 
Legionella pneumophila has a unique cell membrane structure. Being Gram-negative, it possesses an outer membrane made of lipoproteins and phospholipids. A key feature is the presence of lipopolysaccharides, or LPS. These are sugars that extend from the outer membrane. LPS play a vital role in adhesion, which helps the bacteria stick to host cells. These lipopolysaccharides also act as surface antigens. This means they are used to identify the specific type of bacteria. The specific arrangement of these sugars helps scientists classify different strains.
This bacterium thrives in many different environments. It is a mesophilic organism, preferring temperatures between 20 °C and 59 °C. It can tolerate temperatures up to 66 °C, but it dies at or above 70 °C. It can also live in a wide pH range from 5.0 to 8.5. Legionella is often found in man-made water systems like cooling towers and hotels. It frequently lives within biofilms. A biofilm is a community of microbes attached to a surface. These biofilms protect the bacteria from environmental stressors and disinfectants. 
When people inhale aerosolized water droplets, the bacteria enter the respiratory tract. They target specific cells called alveolar macrophages in the lungs. Once inside, the bacteria use a system called Dot/Icm to invade the cells. This infection can cause fever, delirium, diarrhea, and decreased kidney or liver function. 

To grow, the bacterium requires specific nutrients. It is auxotrophic for seven essential amino acids. These include cysteine, leucine, methionine, valine, threonine, isoleucine, and arginine. It also needs cysteine and iron to thrive. The bacterium is very efficient at getting food. It can promote the degradation of host proteins to create an excess of amino acids. It also uses various pathways, such as the citric acid cycle, to generate energy. This ability to manipulate host cells makes it a very effective pathogen.
Scientists have studied the genome to understand how this bacterium adapts. The genome is about 3.5 mega base pairs in size. This large genome contains many genes that help it mimic eukaryotic hosts. There are 15 known serogroups, but serogroup 1 is the most common cause of disease. Research on strains like Philadelphia and Paris has helped map its biology. Through horizontal gene transfer, the bacteria can exchange genetic material. This allows it to evolve quickly and potentially develop resistance to drugs.
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