A small outbreak of Legionnaires' disease in a cargo ship under repair.
Identifieur interne : 000660 ( Main/Exploration ); précédent : 000659; suivant : 000661A small outbreak of Legionnaires' disease in a cargo ship under repair.
Auteurs : J A Caylà [Espagne] ; R. Maldonado ; J. González ; T. Pellicer ; D. Ferrer ; C. Pelaz ; J. Gracia ; B. Baladr N ; A. PlasénciaSource :
- The European respiratory journal [ 0903-1936 ] ; 2001.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Erreurs de diagnostic (MeSH), Espagne (MeSH), Humains (MeSH), Legionella pneumophila (génétique), Legionella pneumophila (isolement et purification), Maladie des légionnaires (diagnostic), Maladie des légionnaires (mortalité), Maladies professionnelles (diagnostic), Maladies professionnelles (mortalité), Microbiologie de l'eau (MeSH), Mâle (MeSH), Navires (MeSH), Sérotypie (MeSH), Épidémies de maladies (MeSH).
- MESH :
- diagnostic : Maladie des légionnaires, Maladies professionnelles.
- génétique : Legionella pneumophila.
- isolement et purification : Legionella pneumophila.
- mortalité : Maladie des légionnaires, Maladies professionnelles.
- Adulte, Adulte d'âge moyen, Erreurs de diagnostic, Espagne, Humains, Microbiologie de l'eau, Mâle, Navires, Sérotypie, Épidémies de maladies.
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- Adult (MeSH), Diagnostic Errors (MeSH), Disease Outbreaks (MeSH), Humans (MeSH), Legionella pneumophila (genetics), Legionella pneumophila (isolation & purification), Legionnaires' Disease (diagnosis), Legionnaires' Disease (mortality), Male (MeSH), Middle Aged (MeSH), Occupational Diseases (diagnosis), Occupational Diseases (mortality), Serotyping (MeSH), Ships (MeSH), Spain (MeSH), Water Microbiology (MeSH).
- MESH :
- geographic : Spain.
- diagnosis : Legionnaires' Disease, Occupational Diseases.
- genetics : Legionella pneumophila.
- isolation & purification : Legionella pneumophila.
- mortality : Legionnaires' Disease, Occupational Diseases.
- Adult, Diagnostic Errors, Disease Outbreaks, Humans, Male, Middle Aged, Serotyping, Ships, Water Microbiology.
Abstract
It was reported that two mechanics working on a cargo ship under repair in the port of Barcelona had died after having fever. An investigation was made into the possibility of any additional cases and the presence of Legionella pneumophila in the ship they were repairing and in their hotel. The contaminated water system was treated with sodium hypochlorite. Both patients died after having been repeatedly diagnosed as having influenza. The two cases occurred among those who had been working with the pump of the ship's water system, while no cases were observed among the other workers (p = 0.02). Various serogroups of L. pneumophila were isolated from the ship's water pump and distribution system. However, organism of serogroup 1, subgroup Pontiac (Knoxville) were identified with identical deoxyribonucleic acid (DNA) patterns in the lung tissue of one patient and in the cooling water circuit valve of the ship's water pump. The first postintervention control water samples showed no further growth of legionella, but serogroups 4 and 8 were identified 8 months later. This legionellosis outbreak, although small, was highly lethal, probably due to the high levels of bacteria to which the patients were exposed and also because of the failure of correct diagnosis. International recommendations on prevention and control of legionellosis, which include ships under repair, are required.
DOI: 10.1183/09031936.01.00046801
PubMed: 11491180
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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An investigation was made into the possibility of any additional cases and the presence of Legionella pneumophila in the ship they were repairing and in their hotel. The contaminated water system was treated with sodium hypochlorite. Both patients died after having been repeatedly diagnosed as having influenza. The two cases occurred among those who had been working with the pump of the ship's water system, while no cases were observed among the other workers (p = 0.02). Various serogroups of L. pneumophila were isolated from the ship's water pump and distribution system. However, organism of serogroup 1, subgroup Pontiac (Knoxville) were identified with identical deoxyribonucleic acid (DNA) patterns in the lung tissue of one patient and in the cooling water circuit valve of the ship's water pump. The first postintervention control water samples showed no further growth of legionella, but serogroups 4 and 8 were identified 8 months later. This legionellosis outbreak, although small, was highly lethal, probably due to the high levels of bacteria to which the patients were exposed and also because of the failure of correct diagnosis. International recommendations on prevention and control of legionellosis, which include ships under repair, are required.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">11491180</PMID><DateCompleted><Year>2001</Year><Month>12</Month><Day>18</Day></DateCompleted><DateRevised><Year>2019</Year><Month>08</Month><Day>22</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0903-1936</ISSN><JournalIssue CitedMedium="Print"><Volume>17</Volume><Issue>6</Issue><PubDate><Year>2001</Year><Month>Jun</Month></PubDate></JournalIssue><Title>The European respiratory journal</Title><ISOAbbreviation>Eur. Respir. J.</ISOAbbreviation></Journal><ArticleTitle>A small outbreak of Legionnaires' disease in a cargo ship under repair.</ArticleTitle><Pagination><MedlinePgn>1322-7</MedlinePgn></Pagination><Abstract><AbstractText>It was reported that two mechanics working on a cargo ship under repair in the port of Barcelona had died after having fever. An investigation was made into the possibility of any additional cases and the presence of Legionella pneumophila in the ship they were repairing and in their hotel. The contaminated water system was treated with sodium hypochlorite. Both patients died after having been repeatedly diagnosed as having influenza. The two cases occurred among those who had been working with the pump of the ship's water system, while no cases were observed among the other workers (p = 0.02). Various serogroups of L. pneumophila were isolated from the ship's water pump and distribution system. However, organism of serogroup 1, subgroup Pontiac (Knoxville) were identified with identical deoxyribonucleic acid (DNA) patterns in the lung tissue of one patient and in the cooling water circuit valve of the ship's water pump. The first postintervention control water samples showed no further growth of legionella, but serogroups 4 and 8 were identified 8 months later. This legionellosis outbreak, although small, was highly lethal, probably due to the high levels of bacteria to which the patients were exposed and also because of the failure of correct diagnosis. International recommendations on prevention and control of legionellosis, which include ships under repair, are required.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Caylà</LastName><ForeName>J A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Servei d'Epidemiologia, Institut Municipal de Salut Pública, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maldonado</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>González</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Pellicer</LastName><ForeName>T</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Ferrer</LastName><ForeName>D</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Pelaz</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Gracia</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Baladrón</LastName><ForeName>B</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Plaséncia</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><CollectiveName>Legionellosis study group</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur Respir J</MedlineTA><NlmUniqueID>8803460</NlmUniqueID><ISSNLinking>0903-1936</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003951" MajorTopicYN="N">Diagnostic Errors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="Y">Disease Outbreaks</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016952" MajorTopicYN="N">Legionella pneumophila</DescriptorName><QualifierName UI="Q000235" MajorTopicYN="N">genetics</QualifierName><QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007877" MajorTopicYN="N">Legionnaires' Disease</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009784" MajorTopicYN="N">Occupational Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012703" MajorTopicYN="N">Serotyping</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012767" MajorTopicYN="Y">Ships</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014871" MajorTopicYN="N">Water Microbiology</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2001</Year><Month>8</Month><Day>9</Day><Hour>10</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2002</Year><Month>1</Month><Day>5</Day><Hour>10</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2001</Year><Month>8</Month><Day>9</Day><Hour>10</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">11491180</ArticleId><ArticleId IdType="doi">10.1183/09031936.01.00046801</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country><region><li>Catalogne</li></region><settlement><li>Barcelone</li></settlement></list><tree><noCountry><name sortKey="Baladr N, B" sort="Baladr N, B" uniqKey="Baladr N B" first="B" last="Baladr N">B. Baladr N</name><name sortKey="Ferrer, D" sort="Ferrer, D" uniqKey="Ferrer D" first="D" last="Ferrer">D. Ferrer</name><name sortKey="Gonzalez, J" sort="Gonzalez, J" uniqKey="Gonzalez J" first="J" last="González">J. González</name><name sortKey="Gracia, J" sort="Gracia, J" uniqKey="Gracia J" first="J" last="Gracia">J. Gracia</name><name sortKey="Maldonado, R" sort="Maldonado, R" uniqKey="Maldonado R" first="R" last="Maldonado">R. Maldonado</name><name sortKey="Pelaz, C" sort="Pelaz, C" uniqKey="Pelaz C" first="C" last="Pelaz">C. Pelaz</name><name sortKey="Pellicer, T" sort="Pellicer, T" uniqKey="Pellicer T" first="T" last="Pellicer">T. Pellicer</name><name sortKey="Plasencia, A" sort="Plasencia, A" uniqKey="Plasencia A" first="A" last="Plaséncia">A. Plaséncia</name></noCountry><country name="Espagne"><region name="Catalogne"><name sortKey="Cayla, J A" sort="Cayla, J A" uniqKey="Cayla J" first="J A" last="Caylà">J A Caylà</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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