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瑞典军团病暴发:68例病例报告。

An outbreak of Legionnaires' disease in Sweden: report of sixty-eight cases.

作者信息

Nordström K, Kallings I, Dahnsjö H, Clemens F

出版信息

Scand J Infect Dis. 1983;15(1):43-55. doi: 10.3109/inf.1983.15.issue-1.08.

DOI:10.3109/inf.1983.15.issue-1.08
PMID:6844878
Abstract

From August 27 to September 21, 1979, 58 patients fell ill with Legionnaires' disease (LD) in the town Västerås, Sweden. All patients had been staying in the town some time during 2 weeks preceding their illness, as had 10 LD patients who fell ill from mid-June to mid-August the same year. Clinically, high fever, headache, dizziness and gastrointestinal symptoms were dominating. Respiratory symptoms were moderate, radiologically verified pneumonia was seen in 59 of 64 patients examined. One patient died. The diagnosis was verified by serology, using the IFL method, in all cases. Legionella pneumophila serogroup 1 was isolated from a closed lung biopsy from 3 patients. Isolates of identical strains were made from the cooling tower on the roof of an indoor shopping centre in Västerås, visited by 57 of the patients during the incubation period.

摘要

1979年8月27日至9月21日,瑞典韦斯特罗斯镇有58名患者罹患军团病(LD)。所有患者在发病前两周内都在该镇停留过一段时间,同年6月中旬至8月中旬发病的10名军团病患者也是如此。临床上,高热、头痛、头晕和胃肠道症状较为突出。呼吸道症状较轻,在64例接受检查的患者中,有59例经放射学证实患有肺炎。1例患者死亡。所有病例均通过血清学检测(采用IFL法)确诊。从3例患者的肺组织活检中分离出嗜肺军团菌血清1型。在韦斯特罗斯一家室内购物中心屋顶的冷却塔中分离出相同菌株,57例患者在潜伏期内曾到访过该购物中心。

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