由嗜肺军团菌杜莫夫亚种在蒸馏水中引起的军团病。
Legionnaires' disease caused by Legionella dumoffii in distilled water.
作者信息
Joly J R, Déry P, Gauvreau L, Coté L, Trépanier C
出版信息
CMAJ. 1986 Dec 1;135(11):1274-7.
Abstract
Five cases of Legionnaires' disease caused by Legionella dumoffii were identified within an 11-month period in a hospital in the Quebec City area. In four cases bacterial isolates were obtained from clinical specimens, and in one case seroconversion was demonstrated. All the patients had been admitted to hospital within 10 days before diagnosis. Two of the patients were immunosuppressed children. Only 1 of the 40 hot water samples from the hospital yielded L. dumoffii; however, 6 of 11 distilled water samples contained the bacterium. All the patients had been exposed to distilled water, four through respiratory therapy equipment and one through a room humidifier. Following the use of sterile distilled water in the apparatus, no further cases were identified. This is the first reported outbreak of Legionnaires' disease caused by L. dumoffii, and it is the first time that nosocomial legionellosis has been linked to contaminated distilled water in Canada.
摘要
在魁北克市地区的一家医院，11个月内确诊了5例由杜莫夫军团菌引起的军团病。4例患者的临床标本中分离出细菌菌株，1例患者血清转化得到证实。所有患者在诊断前10天内入院。其中2例患者为免疫抑制儿童。医院40份热水样本中仅1份检出杜莫夫军团菌；然而，11份蒸馏水样本中有6份含有该细菌。所有患者均接触过蒸馏水，4例通过呼吸治疗设备接触，1例通过房间加湿器接触。在设备中使用无菌蒸馏水后，未再发现新病例。这是首次报告由杜莫夫军团菌引起的军团病暴发，也是加拿大首次将医院内军团菌病与受污染的蒸馏水联系起来。
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本文引用的文献
1
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J Infect Dis. 1980 Jun;141(6):727-32. doi: 10.1093/infdis/141.6.727.
2
An outbreak of Legionnaires' disease associated with a contaminated air-conditioning cooling tower.一起与受污染的空调冷却塔相关的军团病暴发。
N Engl J Med. 1980 Feb 14;302(7):365-70. doi: 10.1056/NEJM198002143020703.
3
Improved semiselective medium for isolation of Legionella pneumophila from contaminated clinical and environmental specimens.用于从受污染的临床和环境标本中分离嗜肺军团菌的改良半选择性培养基。
J Clin Microbiol. 1981 Sep;14(3):298-303. doi: 10.1128/jcm.14.3.298-303.1981.
4
Ubiquitousness of Legionella pneumophila in the water supply of a hospital with endemic Legionnaires' disease.嗜肺军团菌在一所存在军团病地方性流行的医院供水系统中的普遍存在。
N Engl J Med. 1982 Feb 25;306(8):466-8. doi: 10.1056/NEJM198202253060807.
5
Nosocomial Legionnaires' disease uncovered in a prospective pneumonia study.在一项前瞻性肺炎研究中发现医院获得性军团病。
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6
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J Infect Dis. 1984 May;149(5):819. doi: 10.1093/infdis/149.5.819.
7
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