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Legionnaires' disease outbreak in Murcia, Spain.
Emerg Infect Dis. 2003 Aug; 9(8):915-21.EI

Abstract

An explosive outbreak of Legionnaires' disease occurred in Murcia, Spain, in July 2001. More than 800 suspected cases were reported; 449 these cases were confirmed, which made this the world's largest outbreak of the disease reported to date. Dates of onset for confirmed cases ranged from June 26 to July 19, with a case-fatality rate of 1%. The epidemic curve and geographic pattern from the 600 competed epidemiologic questionnaires indicated an outdoor point-source exposure in the northern part of the city. A case-control study matching 85 patients living outside the city of Murcia with two controls each was undertaken to identify to outbreak source; the epidemiologic investigation implicated the cooling towers at a city hospital. An environmental isolate from these towers with an identical molecular pattern as the clinical isolates was subsequently identified and supported that epidemiologic conclusion.

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Authors+Show Affiliations

García-Fulgueiras A
Regional Health Council of Murcia, Murcia, Spain. anam.garcia9@carm.es
Navarro C
No affiliation info available
Fenoll D
No affiliation info available
García J
No affiliation info available
González-Diego P
No affiliation info available
Jiménez-Buñuales T
No affiliation info available
Rodriguez M
No affiliation info available
Lopez R
No affiliation info available
Pacheco F
No affiliation info available
Ruiz J
No affiliation info available
Segovia M
No affiliation info available
Balandrón B
No affiliation info available
Pelaz C
No affiliation info available

MeSH

AdultAgedCase-Control StudiesDisease OutbreaksEnvironmental MicrobiologyFemaleHumansLegionella pneumophilaLegionnaires' DiseaseLogistic ModelsMaleMiddle AgedPrevalenceRisk FactorsSpainSurveys and QuestionnairesTravel

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12967487

Citation

García-Fulgueiras, Anna, et al. "Legionnaires' Disease Outbreak in Murcia, Spain." Emerging Infectious Diseases, vol. 9, no. 8, 2003, pp. 915-21.
García-Fulgueiras A, Navarro C, Fenoll D, et al. Legionnaires' disease outbreak in Murcia, Spain. Emerg Infect Dis. 2003;9(8):915-21.
García-Fulgueiras, A., Navarro, C., Fenoll, D., García, J., González-Diego, P., Jiménez-Buñuales, T., Rodriguez, M., Lopez, R., Pacheco, F., Ruiz, J., Segovia, M., Balandrón, B., & Pelaz, C. (2003). Legionnaires' disease outbreak in Murcia, Spain. Emerging Infectious Diseases, 9(8), 915-21.
García-Fulgueiras A, et al. Legionnaires' Disease Outbreak in Murcia, Spain. Emerg Infect Dis. 2003;9(8):915-21. PubMed PMID: 12967487.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Legionnaires' disease outbreak in Murcia, Spain. AU - García-Fulgueiras,Anna, AU - Navarro,Carmen, AU - Fenoll,Daniel, AU - García,José, AU - González-Diego,Paulino, AU - Jiménez-Buñuales,Teresa, AU - Rodriguez,Miguel, AU - Lopez,Rosa, AU - Pacheco,Francisco, AU - Ruiz,Joaquín, AU - Segovia,Manuel, AU - Balandrón,Beatriz, AU - Pelaz,Carmen, PY - 2003/9/12/pubmed PY - 2003/11/6/medline PY - 2003/9/12/entrez SP - 915 EP - 21 JF - Emerging infectious diseases JO - Emerg Infect Dis VL - 9 IS - 8 N2 - An explosive outbreak of Legionnaires' disease occurred in Murcia, Spain, in July 2001. More than 800 suspected cases were reported; 449 these cases were confirmed, which made this the world's largest outbreak of the disease reported to date. Dates of onset for confirmed cases ranged from June 26 to July 19, with a case-fatality rate of 1%. The epidemic curve and geographic pattern from the 600 competed epidemiologic questionnaires indicated an outdoor point-source exposure in the northern part of the city. A case-control study matching 85 patients living outside the city of Murcia with two controls each was undertaken to identify to outbreak source; the epidemiologic investigation implicated the cooling towers at a city hospital. An environmental isolate from these towers with an identical molecular pattern as the clinical isolates was subsequently identified and supported that epidemiologic conclusion. SN - 1080-6040 UR - https://www.unboundmedicine.com/medline/citation/12967487/Legionnaires'_disease_outbreak_in_Murcia_Spain_ DB - PRIME DP - Unbound Medicine ER -