Legionnaires' disease typically begins with headache, muscle aches, rapid rise in temperature, confusion, and shaking chills. A dry cough develops that later produces small amounts of sputum, sometimes streaked with blood. Pleurisy, manifest as chest pain brought on by coughing or deep breathing, can also occur. About one-fourth of the cases also have some alimentary tract symptoms such as diarrhea, abdominal pain, and vomiting. Shortness of breath is common, and oxygen therapy is often needed. Recovery is slow, and weakness and fatigue last for weeks.

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