Gonorrhea

Definition  
Gonorrhea is a sexually transmitted disease caused by the bacteria Neisseria gonorrhoeae that infect the lining of the urethra, cervix, rectum, throat, and the whites of the eye (conjunctiva). 

Cause  
The bacteria Neisseria gonorrhoeae. This bacteria can spread through the bloodstream to all parts of the body. Especially the skin and joints. In women, these bacteria can ascend to infect the genital tract and pelvis to pelvic pain and reproductive disorders. 

Symptom 
In men, symptoms occur more rapidly, ie, several days after infection. Early symptoms include discomfort in the urethra and pain when peeing and out pus from the penis.
The longer, the patient will urinate frequently and feel the urge to pee but not out of urine. Penis hole looked red and swollen. 

In women, symptoms occur within one to three weeks after infection. In fact, patients often show no symptoms for months. 

If symptoms develop, usually mild. But it has increasingly heavy and hold a desire to pee, vaginal discharge, and fever. If the infection has spread, can cause pain in various parts of the body such as the pelvis to interfere with enjoyment of sex. 

This disease can also infect the anus if the patient is the offender anal sex or anal intercourse. Patients will feel uncomfortable and out of fluid around the anus. The area around the anus will appear red and rough. Feces of the patient is often layered mucus and blood. 

Perform oral sex or sexual relationship with a patient through the mouth gonorrhea can also result in gonorrhea of ​​the throat. The infection can cause eating disorders. If the penis or vaginal fluids of infected bacteria gonorrhea of ​​the eye, there can be infection of the outer eye. Newborns can be infected with gonorrhea during the birth process until there is infection in the baby's eyes. If not treated, these infections can lead to blindness. 

Complication 
Bacteria can spread throughout the body. Infection is spread through the blood can cause red spots on the skin containing pus, fever, and joint pain, known as artitis dermatis syndrome. Not only that, can also be an infection of the heart (endocarditis) and infection of the liver wrapper (perihepatitis). 

Handling  
Gonorrhea is usually treated with injections of antibiotics by mouth or dive one week. If gonorrhea already spread through the bloodstream, the patient will usually be given antibiotics through a vein or infusion.

Gonorrhea

Definition  
Gonorrhea is a sexually transmitted disease caused by the bacteria Neisseria gonorrhoeae that infect the lining of the urethra, cervix, rectum, throat, and the whites of the eye (conjunctiva). 

Cause  
The bacteria Neisseria gonorrhoeae. This bacteria can spread through the bloodstream to all parts of the body. Especially the skin and joints. In women, these bacteria can ascend to infect the genital tract and pelvis to pelvic pain and reproductive disorders. 

Symptom 
In men, symptoms occur more rapidly, ie, several days after infection. Early symptoms include discomfort in the urethra and pain when peeing and out pus from the penis.
The longer, the patient will urinate frequently and feel the urge to pee but not out of urine. Penis hole looked red and swollen. 

In women, symptoms occur within one to three weeks after infection. In fact, patients often show no symptoms for months. 

If symptoms develop, usually mild. But it has increasingly heavy and hold a desire to pee, vaginal discharge, and fever. If the infection has spread, can cause pain in various parts of the body such as the pelvis to interfere with enjoyment of sex. 

This disease can also infect the anus if the patient is the offender anal sex or anal intercourse. Patients will feel uncomfortable and out of fluid around the anus. The area around the anus will appear red and rough. Feces of the patient is often layered mucus and blood. 

Perform oral sex or sexual relationship with a patient through the mouth gonorrhea can also result in gonorrhea of ​​the throat. The infection can cause eating disorders. If the penis or vaginal fluids of infected bacteria gonorrhea of ​​the eye, there can be infection of the outer eye. Newborns can be infected with gonorrhea during the birth process until there is infection in the baby's eyes. If not treated, these infections can lead to blindness. 

Complication 
Bacteria can spread throughout the body. Infection is spread through the blood can cause red spots on the skin containing pus, fever, and joint pain, known as artitis dermatis syndrome. Not only that, can also be an infection of the heart (endocarditis) and infection of the liver wrapper (perihepatitis). 

Handling  
Gonorrhea is usually treated with injections of antibiotics by mouth or dive one week. If gonorrhea already spread through the bloodstream, the patient will usually be given antibiotics through a vein or infusion.

Potassium Rich Foods

All people need a lot of potassium in the diet. Potassium or potassium is one of the most important minerals for the health and efficiency of our body. It is important for the function of neurons in your brain and nerves, and is also required for other activities and muscle contraction. For this reason, eating potassium-rich foods are very important for athletes and people who do a lot of physical work daily. 

According to researchers from Italy, eat plenty of potassium-rich foods like green vegetables, potatoes and bananas can reduce the risk of coronary heart disease and stroke.
Other potassium-rich foods include soybeans, apricots, papaya, melon, mango, pumpkin, tomato, avocado, carrots, spinach, nonfat yogurt, prune juice, dried beans, peas, salmon, tuna and many more. 

From the results of a study of nearly 44,000 adults, with a 9-food eating potassium-rich foods every day for a year, has suffered a stroke risk of 38% smaller than that just eat 4 meals. Potassium serves to improve blood circulation in the body, thus lowering the risk of blood clots that can cause a stroke. Some studies also show, getting adequate nutrition numbers on a regular basis for potassium can lower the risk of kidney stones up to half. 

Based on the 2004 study, Americans consume only half servings of potassium supposed to keep their bodies still operate at full capacity. The lack of intake of foods rich in potassium can cause many problems such as fatigue, cramps and even minor problems at heart. Disorder that occurs when potassium deficiency is known as hypokalemia, this will be a problem because it brings a lot of harmful side effects. And if your potassium levels drop then a stroke and heart disease may also occur. So be careful. Consider your daily eating habits and see if you get enough potassium in your diet. 

Green Vegetable 

Foods that are rich in potassium:

    * Potatoes, 1 fruit contains about 900 mg potassium. Should be consumed in a way cooked with skin
    * Prune, ½ cup contains about 630 mg of potassium
    * Raisins, ½ cup contains about 600 mg of potassium
    * Orange juice, 1 cup medium (180ml) - 450 mg potassium
    * Spinach, ½ cup cooked - 420 mg potassium
    * Tomatoes, 1 - 290 mg potassium
    * Banana, 1 - 420 mg potassium
    * Sunflower seeds, 1 oz - 241 mg potassium
    * Almonds, 1 oz - 200 mg potassium 

The portion above to meet the nutritional adequacy rate 4700 mg potassium. Cheaper and easier to prevent than to cure. Prevent the risk of heart disease and stroke early on by eating foods rich in potassium.

Potassium Rich Foods

All people need a lot of potassium in the diet. Potassium or potassium is one of the most important minerals for the health and efficiency of our body. It is important for the function of neurons in your brain and nerves, and is also required for other activities and muscle contraction. For this reason, eating potassium-rich foods are very important for athletes and people who do a lot of physical work daily. 

According to researchers from Italy, eat plenty of potassium-rich foods like green vegetables, potatoes and bananas can reduce the risk of coronary heart disease and stroke.
Other potassium-rich foods include soybeans, apricots, papaya, melon, mango, pumpkin, tomato, avocado, carrots, spinach, nonfat yogurt, prune juice, dried beans, peas, salmon, tuna and many more. 

From the results of a study of nearly 44,000 adults, with a 9-food eating potassium-rich foods every day for a year, has suffered a stroke risk of 38% smaller than that just eat 4 meals. Potassium serves to improve blood circulation in the body, thus lowering the risk of blood clots that can cause a stroke. Some studies also show, getting adequate nutrition numbers on a regular basis for potassium can lower the risk of kidney stones up to half. 

Based on the 2004 study, Americans consume only half servings of potassium supposed to keep their bodies still operate at full capacity. The lack of intake of foods rich in potassium can cause many problems such as fatigue, cramps and even minor problems at heart. Disorder that occurs when potassium deficiency is known as hypokalemia, this will be a problem because it brings a lot of harmful side effects. And if your potassium levels drop then a stroke and heart disease may also occur. So be careful. Consider your daily eating habits and see if you get enough potassium in your diet. 

Green Vegetable 

Foods that are rich in potassium:

    * Potatoes, 1 fruit contains about 900 mg potassium. Should be consumed in a way cooked with skin
    * Prune, ½ cup contains about 630 mg of potassium
    * Raisins, ½ cup contains about 600 mg of potassium
    * Orange juice, 1 cup medium (180ml) - 450 mg potassium
    * Spinach, ½ cup cooked - 420 mg potassium
    * Tomatoes, 1 - 290 mg potassium
    * Banana, 1 - 420 mg potassium
    * Sunflower seeds, 1 oz - 241 mg potassium
    * Almonds, 1 oz - 200 mg potassium 

The portion above to meet the nutritional adequacy rate 4700 mg potassium. Cheaper and easier to prevent than to cure. Prevent the risk of heart disease and stroke early on by eating foods rich in potassium.

Kawasaki Disease

Kawasaki Disease, What Is It? 
 
DAY was still early when a luxury car with a hardness of sliding down the freeway in Europe. Suddenly the car hit the curb and overturned. Eyewitnesses who saw the suspected drunk driver. Police arrived and found the driver of a 19-year-old girl, died. 

An autopsy showed the girl's sudden coronary heart attack, so could no longer control the car. Apparently, her medical records show, he had Kawasaki disease at age 2 years unnoticed by the doctor or his family.
Joni experienced similar tragedies, cute babies aged 8 months. It has been over 10 days he had fever and her mother had changed doctors. Eventually discovered that he suffered from Kawasaki disease. Unfortunately it was too late. Heart valves were severely damaged and his life was beyond help. 

Is it Kawasaki disease?


 Kawasaki disease was discovered by Dr. Tomisaku Kawasaki in Japan in 1967 and was then known as mucocutaneous lymphnode syndrome. In honor of its discoverer, then called Kawasaki disease. In Indonesia, many of us who do not understand this deadly disease, even though the medical community. This has led to a diagnosis often late with all the consequences. 

The apparition of this disease can also fool the eye so it can be diagnosed as measles, drug allergies, viral infection, mumps or even disease. The disease is more frequently attacked the Mongol race is mainly affected infants and most often in children aged 1-2 years. In fact, the author never found a PK on a 3-month-old infant who suffered from fever for 18 days. 

The incidence per year in Japan the highest in the world, ranging from 1 case per 1,000 children under five, followed by Korea and Taiwan. In the United States ranges from 0.09 (in the white race) to 0.32 (in the Asian-Pacific) per thousand children under five. In Indonesia, the authors found a case of PK since 1996, but there are doctors who declared already found previously. 

Indonesian Official new maps are recorded in the world after Kawasaki disease case report PK series of Advani et al filed on an international symposium to the 8th Kawasaki disease in San Diego, USA, early 2005. Allegedly, the case in Indonesia was not a bit and according to rough calculations, based on the number of global events and ethnicity in our country, every year there will be 3300-6600 cases of Kawasaki disease. 

But the reality of the detected cases are still very far below this figure. Approximately 20-40 percent of them suffered damage to the cardiac coronary vessels. Some will recover but others are forced to live with heart defects caused by coronary blood flow is disturbed. A small percentage will die of heart damage. 

The cause of Kawasaki disease are as yet not known, although allegedly caused by an infection, but no convincing evidence. Therefore prevention is also unknown. The disease is also not proved contagious. 

Early symptoms 

 Early symptoms in the acute phase is a sudden high fever and can reach 41 ° C. Fluctuating fever for at least 5 days but never reached normal. In children who are not treated, the fever can last for 1-4 weeks without a break. Antibiotics do not help. About 2-3 days after fever, other symptoms began to appear gradually the patches of red spots on the body like the measles. 

However, cough and cold symptoms are dominant in measles is usually mild or nonexistent in Kawasaki Disease. Other symptoms that arise are the two red eyes, but without the dirt (belekan), swollen lymph nodes on one side of the neck so that the disease is sometimes suspected mumps (parotitis), resembles a strawberry red tongue, lips red as well and sometimes cracked, palm and legs red and slightly swollen. Sometimes a child complains of pain in the joints. In the healing phase exfoliation occurs at the fingertips of the hands and feet and then come across the line-shaped depressions on the feet and hands nails (Beau's lines). 

Patients with Kawasaki disease should be admitted to hospital and receive supervision from the child's cardiologist. The most feared complication is in the heart (occurs in 20-40 percent of patients) because it can damage the coronary arteries. Complications to the heart usually takes effect after 7-8 days since the beginning of the onset of fever. 

At first this may occur vessel dilation and constriction can occur inside or blockage. As a result blood flow to the heart muscle disturbed so that it can cause damage to the heart muscle known as myocardial infarction. Examination of the heart becomes very important, including ECG and echocardiography (cardiac ultrasound). Sometimes ultrafast CT scan, MRA (Magnetic Resonance Angiography) and cardiac catheterization is required in severe cases. Laboratory tests for the disease is not typical. 

Usually the white blood cell count, erythrocyte sedimentation rate and C reactive protein is increased in acute phase. So the diagnosis is established on the basis of clinical symptoms and signs alone, so the experience of physicians are urgently needed. In the healing phase, increased blood platelets, and this will facilitate the occurrence of thrombus, or blood clots that clog coronary arteries. 

Treatment 

The drug is an absolute must given immunoglobulin intravenously for 10-12 hours. Drugs derived from the plasma of blood donors is effective to relieve symptoms of Kawasaki disease and reduce the risk of heart damage, but the expensive price constraints. The price of a gram of around Rp 1 million. Kawasaki Disease Patients require immunoglobulin 2 g per kg of body weight. 

For example, a child weighing 15 kg for example, requires 30 grams or costing about USD 30 million. Patients are also given salicylic acid to prevent heart damage and blockage of coronary arteries. If there are no complications the child can be discharged within a few days. In the case of a late and already there is damage to the coronary vessels longer hospitalization and intensive treatment to prevent further heart damage. 

If the drugs do not work, sometimes required coronary bypass operation (coronary bypass) or even, though very rarely, a heart transplant. Death can occur in 1-5 percent of patients who are generally delayed and the peak occurs at 15-45 days after the initial onset of fever. Nevertheless, sudden death may occur many years after the acute phase. PK can also damage the heart valves (especially mitral valve) that can cause sudden death a few years later. Possible recurrence of this disease is about 3 percent. 

In patients who clinically have been recovered though, is said to be abnormal coronary vessels in the inner layer that facilitates the occurrence of coronary heart disease in young adulthood later. If found acute coronary heart attacks in young adults, may need to consider the possibility of Kawasaki disease ever exposed while still a child. May we all need to be aware of this disease in order not to cause further casualties.

Kawasaki Disease

Kawasaki Disease, What Is It? 
 
DAY was still early when a luxury car with a hardness of sliding down the freeway in Europe. Suddenly the car hit the curb and overturned. Eyewitnesses who saw the suspected drunk driver. Police arrived and found the driver of a 19-year-old girl, died. 

An autopsy showed the girl's sudden coronary heart attack, so could no longer control the car. Apparently, her medical records show, he had Kawasaki disease at age 2 years unnoticed by the doctor or his family.
Joni experienced similar tragedies, cute babies aged 8 months. It has been over 10 days he had fever and her mother had changed doctors. Eventually discovered that he suffered from Kawasaki disease. Unfortunately it was too late. Heart valves were severely damaged and his life was beyond help. 

Is it Kawasaki disease?


 Kawasaki disease was discovered by Dr. Tomisaku Kawasaki in Japan in 1967 and was then known as mucocutaneous lymphnode syndrome. In honor of its discoverer, then called Kawasaki disease. In Indonesia, many of us who do not understand this deadly disease, even though the medical community. This has led to a diagnosis often late with all the consequences. 

The apparition of this disease can also fool the eye so it can be diagnosed as measles, drug allergies, viral infection, mumps or even disease. The disease is more frequently attacked the Mongol race is mainly affected infants and most often in children aged 1-2 years. In fact, the author never found a PK on a 3-month-old infant who suffered from fever for 18 days. 

The incidence per year in Japan the highest in the world, ranging from 1 case per 1,000 children under five, followed by Korea and Taiwan. In the United States ranges from 0.09 (in the white race) to 0.32 (in the Asian-Pacific) per thousand children under five. In Indonesia, the authors found a case of PK since 1996, but there are doctors who declared already found previously. 

Indonesian Official new maps are recorded in the world after Kawasaki disease case report PK series of Advani et al filed on an international symposium to the 8th Kawasaki disease in San Diego, USA, early 2005. Allegedly, the case in Indonesia was not a bit and according to rough calculations, based on the number of global events and ethnicity in our country, every year there will be 3300-6600 cases of Kawasaki disease. 

But the reality of the detected cases are still very far below this figure. Approximately 20-40 percent of them suffered damage to the cardiac coronary vessels. Some will recover but others are forced to live with heart defects caused by coronary blood flow is disturbed. A small percentage will die of heart damage. 

The cause of Kawasaki disease are as yet not known, although allegedly caused by an infection, but no convincing evidence. Therefore prevention is also unknown. The disease is also not proved contagious. 

Early symptoms 

 Early symptoms in the acute phase is a sudden high fever and can reach 41 ° C. Fluctuating fever for at least 5 days but never reached normal. In children who are not treated, the fever can last for 1-4 weeks without a break. Antibiotics do not help. About 2-3 days after fever, other symptoms began to appear gradually the patches of red spots on the body like the measles. 

However, cough and cold symptoms are dominant in measles is usually mild or nonexistent in Kawasaki Disease. Other symptoms that arise are the two red eyes, but without the dirt (belekan), swollen lymph nodes on one side of the neck so that the disease is sometimes suspected mumps (parotitis), resembles a strawberry red tongue, lips red as well and sometimes cracked, palm and legs red and slightly swollen. Sometimes a child complains of pain in the joints. In the healing phase exfoliation occurs at the fingertips of the hands and feet and then come across the line-shaped depressions on the feet and hands nails (Beau's lines). 

Patients with Kawasaki disease should be admitted to hospital and receive supervision from the child's cardiologist. The most feared complication is in the heart (occurs in 20-40 percent of patients) because it can damage the coronary arteries. Complications to the heart usually takes effect after 7-8 days since the beginning of the onset of fever. 

At first this may occur vessel dilation and constriction can occur inside or blockage. As a result blood flow to the heart muscle disturbed so that it can cause damage to the heart muscle known as myocardial infarction. Examination of the heart becomes very important, including ECG and echocardiography (cardiac ultrasound). Sometimes ultrafast CT scan, MRA (Magnetic Resonance Angiography) and cardiac catheterization is required in severe cases. Laboratory tests for the disease is not typical. 

Usually the white blood cell count, erythrocyte sedimentation rate and C reactive protein is increased in acute phase. So the diagnosis is established on the basis of clinical symptoms and signs alone, so the experience of physicians are urgently needed. In the healing phase, increased blood platelets, and this will facilitate the occurrence of thrombus, or blood clots that clog coronary arteries. 

Treatment 

The drug is an absolute must given immunoglobulin intravenously for 10-12 hours. Drugs derived from the plasma of blood donors is effective to relieve symptoms of Kawasaki disease and reduce the risk of heart damage, but the expensive price constraints. The price of a gram of around Rp 1 million. Kawasaki Disease Patients require immunoglobulin 2 g per kg of body weight. 

For example, a child weighing 15 kg for example, requires 30 grams or costing about USD 30 million. Patients are also given salicylic acid to prevent heart damage and blockage of coronary arteries. If there are no complications the child can be discharged within a few days. In the case of a late and already there is damage to the coronary vessels longer hospitalization and intensive treatment to prevent further heart damage. 

If the drugs do not work, sometimes required coronary bypass operation (coronary bypass) or even, though very rarely, a heart transplant. Death can occur in 1-5 percent of patients who are generally delayed and the peak occurs at 15-45 days after the initial onset of fever. Nevertheless, sudden death may occur many years after the acute phase. PK can also damage the heart valves (especially mitral valve) that can cause sudden death a few years later. Possible recurrence of this disease is about 3 percent. 

In patients who clinically have been recovered though, is said to be abnormal coronary vessels in the inner layer that facilitates the occurrence of coronary heart disease in young adulthood later. If found acute coronary heart attacks in young adults, may need to consider the possibility of Kawasaki disease ever exposed while still a child. May we all need to be aware of this disease in order not to cause further casualties.

Symptoms of Legionnaire's disease (Legionella pneumonia; Pontiac Fever)

DEFINITION Legionnaire's disease (Legionella pneumonia; Pontiac fever) is an acute respiratory tract infection caused by Legionella bacteria Pneumophilia and other species of Legionella; which could lead to a series of illnesses, ranging from mild cough and fever to pneumonia.
This disease is 1-8% of all pneumonia cases and approximately 4% of severe pneumonia acquired in hospital. This disease tends to occur in late summer and early autumn.

CAUSE The cause is a bacterium Legionella Pneumophilla and other species of Legionella. These bacteria are found in water and drainage systems can survive in air conditioning systems are warm and humid in office buildings, including hospitals. Therefore, if the organism is spread through air conditioning systems in hotels or hospitals, then it could be a widespread outbreak.
Starting from the onset of symptoms, the situation will worsen in the first 4-6 days, 4-5 days and then began to improve. Most infections attack the middle age or old age, although it could also explain the kids. In children, the disease is usually not too heavy.
Legionnaire's disease risk factors:

    * Smoking sigarret
    * Certain diseases (eg renal failure, cancer, diabetes or chronic obstructive pulmonary disease)
    * Patients with impaired immune systems due to chemotherapy, corticosteroids or disease (eg cancer and leukemia)
    * Alcoholic
    * Middle age or old age

SYMPTOMS Symptoms include: - Pain and stiffness of muscles, - Painful joints, - No-powered, - Feeling unwell, - Headache, - Fever, - Shivering, - Dry cough, - Coughing up blood, - Shortness of breath, - Chest pain, - Diarrhea, and - Ataxia (coordination problems).

DIAGNOSIS Diagnosis based on examination results of the following:


    * Physical examination with a stethoscope will sound fine crackles
    * Examination of sputum by staining DFA (direct fluorescent antibody) showed the existence of Legionella
    * Cultures of bacteria from the respiratory tract
    * Urine antigen test showed positive results
    * Chest X-rays showed pneumonia
    * Arterial blood gas analysis showed low concentrations of oxygen
    * Calculate the blood types showed an increase in the number of white blood cells
    * Erythrocyte sedimentation rate increases
    * Low serum sodium.

TREATMENT Erythromycin is an antibiotic selected for treatment of Legionnaire's disease. In less severe cases, can be given by mouth (orally); if not possible, can be given intravenously (through a vein).
If there is a very severe respiratory problems, then the patient should be hospitalized to get fluids and electrolytes as well as additional oxygen (either through a facemask or through a mechanical ventilator). Most of the patients treated with erythomycin will show improvement, but the healing process takes a long time. The death rate is about 20%. Higher mortality rates found in those who get this disease in hospitals or in people with immune system disorders.

Symptoms of Legionnaire's disease (Legionella pneumonia; Pontiac Fever)

DEFINITION Legionnaire's disease (Legionella pneumonia; Pontiac fever) is an acute respiratory tract infection caused by Legionella bacteria Pneumophilia and other species of Legionella; which could lead to a series of illnesses, ranging from mild cough and fever to pneumonia.
This disease is 1-8% of all pneumonia cases and approximately 4% of severe pneumonia acquired in hospital. This disease tends to occur in late summer and early autumn.

CAUSE The cause is a bacterium Legionella Pneumophilla and other species of Legionella. These bacteria are found in water and drainage systems can survive in air conditioning systems are warm and humid in office buildings, including hospitals. Therefore, if the organism is spread through air conditioning systems in hotels or hospitals, then it could be a widespread outbreak.
Starting from the onset of symptoms, the situation will worsen in the first 4-6 days, 4-5 days and then began to improve. Most infections attack the middle age or old age, although it could also explain the kids. In children, the disease is usually not too heavy.
Legionnaire's disease risk factors:

    * Smoking sigarret
    * Certain diseases (eg renal failure, cancer, diabetes or chronic obstructive pulmonary disease)
    * Patients with impaired immune systems due to chemotherapy, corticosteroids or disease (eg cancer and leukemia)
    * Alcoholic
    * Middle age or old age

SYMPTOMS Symptoms include: - Pain and stiffness of muscles, - Painful joints, - No-powered, - Feeling unwell, - Headache, - Fever, - Shivering, - Dry cough, - Coughing up blood, - Shortness of breath, - Chest pain, - Diarrhea, and - Ataxia (coordination problems).

DIAGNOSIS Diagnosis based on examination results of the following:


    * Physical examination with a stethoscope will sound fine crackles
    * Examination of sputum by staining DFA (direct fluorescent antibody) showed the existence of Legionella
    * Cultures of bacteria from the respiratory tract
    * Urine antigen test showed positive results
    * Chest X-rays showed pneumonia
    * Arterial blood gas analysis showed low concentrations of oxygen
    * Calculate the blood types showed an increase in the number of white blood cells
    * Erythrocyte sedimentation rate increases
    * Low serum sodium.

TREATMENT Erythromycin is an antibiotic selected for treatment of Legionnaire's disease. In less severe cases, can be given by mouth (orally); if not possible, can be given intravenously (through a vein).
If there is a very severe respiratory problems, then the patient should be hospitalized to get fluids and electrolytes as well as additional oxygen (either through a facemask or through a mechanical ventilator). Most of the patients treated with erythomycin will show improvement, but the healing process takes a long time. The death rate is about 20%. Higher mortality rates found in those who get this disease in hospitals or in people with immune system disorders.

Top 10 Insurance Companies

Listed here are the top 10 insurance companies, that cover the most important types of insurance. Find out how you can get yourself insured, for any problems that are likely to arise in the future, that you can digress from...


Insurance is a very important asset that you need today, to help secure finances, and avoid heavy losses due to damage or other factors. It is a form of risk management, where one can stay clear from bumping into inconceivable losses. It is defined as 'the equitable transfer of the risk of loss, from one entity to another, in exchange for payment'. The one who sells the insurance is known as the insurer, and those that buy the insurance policy, are known as policyholders or the insured. The insurance coverage is decided after the amount is determined by an insurance rate. This is known as the premium. We'll get more into how this takes place, and also which top 10 insurance companies are making it big among the insured, and those interested in buying insurance policies. If you haven't insured yet in a company, this write up should help you determine which company would best suit your needs.

How is an Insurance Policy Prepared?
In the case of losing large sums of finances, if ever such a situation should arise, the company that is insuring the insured, must make it clear in the arrangement that a payment will be made to compensate for those very losses. This is known as indemnification. The conditions and policies are outlined in the insurance policy, stating terms that the insured must oblige to. Depending on what type of insurance you apply for, the benefits will pertain accordingly. The insurance company will evaluate documents and past records, and will need the necessary documents from you. Verification then takes place, to solidify your claims, and run a background check on any credits that you may have running in debt. Health insurance companies will check medical reports and files, and each one will run similar checks. If the company you work for offers insurance, it is an easier process, than doing it yourself, although it is imperative you do on your own if the company doesn't provide it. Having insurance safeguards you, and others that are involved in the insurance policy.

Top 10 Insurance Companies in the US
The following top 10 insurance companies range from three kinds of insurance policies - health, auto and life insurance. These companies are known for consistently catering to those who need policies that are secure, and reliable.

Top Insurance Companies in the US
1.	Prudential Insurance Company
2.	AIG Insurance Company
3.	State Farm Insurance Company
4.	Fidelity Insurance Company
5.	The Hartford Insurance Company
6.	Lincoln National
7.	Principal Financial
8.	MassMutual Insurance Company
9.	Travelers Insurance Company
10.	MetLife Insurance Company

Top 10 Health Insurance Companies
Health insurance plans cover cases, like accidents or injuries. Dental insurance needs to taken, since this isn't usually covered under health; it would require a separate policy undertaking. Here's giving you some of the best health insurance companies out there.

Top Health Insurance Companies
1.	Aetna Group
2.	Highmark Group
3.	Independence Blue Cross Group
4.	UnitedHealth Group
5.	Health Care Service Corporation
6/	CIGNA HealthCare of New Hampshire
7.	Harvard Pilgrim HealthCare
8.	Coventry Corp. Group
9.	Humana Group
10.	WellPoint Inc. Group

Top 10 Life Insurance Companies
When the policy matures, or when the policy holder/insured passes away, the company then pays this insurance to the nominees mentioned at the time of application. Also look into life insurance types, for an extended overview, of options.

Top Life Insurance Companies
1.	Genworth Financial
2.	Prudential Financial
3.	TIAA-CREF
4.	Lincoln National
5.	MetLife
6.	NorthWestern Mutual
7.	Principal Financial
8.	Massachusetts Mutual Life Insurance
9.	AFLAC
10.	New York Life Insurance

Top 10 Auto Insurance Companies
Listed are some of the top companies that cater to auto insurance. These top auto insurance companies cover any accidents that damage the vehicle, aiding you in any financial loss. Sometimes even medical bills and medicines are covered by the auto insurance company.

Top Auto Insurance Companies
1.	State Farm
2.	AIG
3.	AllState
4.	Progressive
5.	Esurances
6.	Bristol West Insurance Group
7.	Unitrin
8.	GMAC Insurance
9.	Access Insurance Company
10.	The Explorer Insurance Company

The top 10 insurance companies, in the above mentioned types of insurance, have a good streak when it comes to availing their services to the masses. Find out more about them, and do ample research before getting involved in an insurance company's policies and plans. It is advisable to always go to a known source for help, or others that are insured by trusted companies. Stay insured, stay safe.

By Naomi Sarah