Zell L, Mack U, Sommerfeld A, Buchter A, Sybrecht G W
Institut und Poliklinik für Arbeitsmedizin, Universität des Saarlandes, Homburg.
Pneumologie. 1999 Dec;53(12):620-5. doi: 10.1055/s-1999-9052.
We report the case of a 29-year-old man without immunodeficiency who acquired Pseudomonas aeruginosa pneumonia complicated by pulmonary abscess. The source of infection could be identified as aerosolized metalworking fluid at his workplace contaminated with Pseudomonas aeruginosa. A high titer of specific IgG antibodies (type-III-sensitization, Gell & Coombs) against Pseudomonas aeruginosa has been identified in the patients serum as an indicator for longstanding occupational airborne exposure to contaminated metalworking fluid. This community-acquired pneumonia has been reported to the industrial injuries insurance as an occupational disease for discussion of legal consequences and development of effective measures of prevention.
我们报告了一例29岁无免疫缺陷的男性患者,其感染铜绿假单胞菌肺炎并伴有肺脓肿。感染源可确定为其工作场所被铜绿假单胞菌污染的雾化金属加工液。在患者血清中已鉴定出高滴度的针对铜绿假单胞菌的特异性IgG抗体(III型致敏,盖尔和库姆斯分类法),作为长期职业性空气传播暴露于受污染金属加工液的指标。该社区获得性肺炎已作为职业病报告给工业伤害保险,以讨论法律后果并制定有效的预防措施。