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Residential water supply as a likely cause of community-acquired Legionnaires' disease in an immunocompromised host.

Authors :
Chen YS
Lin WR
Liu YC
Chang CL
Gan VL
Huang WK
Huang TS
Wann SR
Lin HH
Lee SS
Huang CK
Chin C
Lin YS
Yen MY
Source :
European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology [Eur J Clin Microbiol Infect Dis] 2002 Oct; Vol. 21 (10), pp. 706-9. Date of Electronic Publication: 2002 Oct 02.
Publication Year :
2002

Abstract

A 69-year-old man with Sweet's syndrome and myelodysplastic syndrome presented with pneumonia and respiratory distress. He had been taking corticosteroids and methotrexate. The diagnosis of Legionnaires' disease was established by the isolation of Legionella pneumophila serogroup 6 from sputum and a fourfold seroconversion of Legionella antibodies to 1:512. Legionella pneumophila serogroup 6 was isolated from faucets in two homes owned by the patient. Strains of Legionella pneumophila serogroup 6 isolated from the patient's sputum and from one home were demonstrated to be genetically identical by pulsed-field gel electrophoresis but different from strains found in the other home and in a hospital outpatient clinic that he visited. This case illustrates an emerging public health issue concerning acquisition of community-acquired Legionnaires' disease from the homes of immunocompromised hosts. This is the first such case reported in Asia.

Details

Language :
English
ISSN :
0934-9723
Volume :
21
Issue :
10
Database :
MEDLINE
Journal :
European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology
Publication Type :
Academic Journal
Accession number :
12415468
Full Text :
https://doi.org/10.1007/s10096-002-0815-0