Goldberg D J, Wrench J G, Collier P W, Emslie J A, Fallon R J, Forbes G I, McKay T M, Macpherson A C, Markwick T A, Reid D
Communicable Diseases Scotland Unit, Ruchill Hospital, Glasgow.
Lancet. 1989 Feb 11;1(8633):316-8. doi: 10.1016/s0140-6736(89)91319-6.
Analysis of case histories from 187 people who had visited a hotel and leisure complex in Lochgoilhead, a village on the west coast of Scotland, indicated that 170 had had an acute illness characterised by headache, fatigue, arthralgia, myalgia, cough, and breathlessness. These symptoms were consistent with Pontiac fever-like illness. Legionella micdadei was isolated from the leisure complex whirlpool spa at the time that 60 of 72 individuals with symptoms seroconverted to L micdadei antigen. This outbreak is thought to be the first of a Pontiac fever-like illness ascribed to L micdadei and the first large-scale outbreak of its kind to have occurred outside North America. Whirlpool spas can be a major reservoir of legionella organisms; they must therefore be properly maintained and operated to prevent outbreaks of infection.
对曾到访苏格兰西海岸村庄洛赫戈伊黑德一家酒店及休闲中心的187人的病历分析表明，170人曾患急性疾病，其特征为头痛、疲劳、关节痛、肌痛、咳嗽和呼吸急促。这些症状与庞蒂亚克热样疾病相符。在72名出现症状的个体中有60人血清转化为嗜肺军团菌米克戴德亚种抗原时，从该休闲中心的漩涡式按摩浴缸中分离出了嗜肺军团菌米克戴德亚种。此次疫情被认为是首例归因于嗜肺军团菌米克戴德亚种的庞蒂亚克热样疾病，也是此类疾病在北美以外地区首次大规模爆发。漩涡式按摩浴缸可能是军团菌的主要储存源；因此，必须对其进行妥善维护和操作，以防止感染爆发。
