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Outbreak of Legionnaires' disease on a cruise ship linked to spa-bath filter stones contaminated with Legionella pneumophila serogroup 5.
Epidemiol Infect. 2006 Apr; 134(2):385-91.EI

Abstract

In January 2003, two cases of Legionnaires' disease associated with a ship's cruise were registered in the database of National Epidemiological Surveillance of Infectious Diseases. A 70-year-old male heavy smoker with mild emphysema contracted the disease during a cruise. Legionella pneumophila serogroup (sg) 5 was isolated from the patient's sputum and the ship's indoor spa. The isolate from the spa matched the patient's isolate by genotyping performed by pulsed-field gel electrophoresis (PFGE). The second case was in a 73-year-old female. During epidemiological investigation, a third case of Legionnaire's disease in a 71-year-old male was subsequently diagnosed among passengers on the same ship on the following cruise. Environmental investigation revealed that porous natural stones (Maifanshi) in the filters of the spas had harboured L. pneumophila, a phenomenon which has not been reported except in Japan. This is the first documented evidence of L. pneumophila sg 5 infection on a ship and of porous stones as a source of Legionella infection.

Authors+Show Affiliations

Department of Bacteriology, National Institute of Infectious Diseases, Tokyo, Japan. fkura@nih.go.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16490144

Citation

Kura, F, et al. "Outbreak of Legionnaires' Disease On a Cruise Ship Linked to Spa-bath Filter Stones Contaminated With Legionella Pneumophila Serogroup 5." Epidemiology and Infection, vol. 134, no. 2, 2006, pp. 385-91.
Kura F, Amemura-Maekawa J, Yagita K, et al. Outbreak of Legionnaires' disease on a cruise ship linked to spa-bath filter stones contaminated with Legionella pneumophila serogroup 5. Epidemiol Infect. 2006;134(2):385-91.
Kura, F., Amemura-Maekawa, J., Yagita, K., Endo, T., Ikeno, M., Tsuji, H., Taguchi, M., Kobayashi, K., Ishii, E., & Watanabe, H. (2006). Outbreak of Legionnaires' disease on a cruise ship linked to spa-bath filter stones contaminated with Legionella pneumophila serogroup 5. Epidemiology and Infection, 134(2), 385-91.
Kura F, et al. Outbreak of Legionnaires' Disease On a Cruise Ship Linked to Spa-bath Filter Stones Contaminated With Legionella Pneumophila Serogroup 5. Epidemiol Infect. 2006;134(2):385-91. PubMed PMID: 16490144.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outbreak of Legionnaires' disease on a cruise ship linked to spa-bath filter stones contaminated with Legionella pneumophila serogroup 5. AU - Kura,F, AU - Amemura-Maekawa,J, AU - Yagita,K, AU - Endo,T, AU - Ikeno,M, AU - Tsuji,H, AU - Taguchi,M, AU - Kobayashi,K, AU - Ishii,E, AU - Watanabe,H, PY - 2005/06/22/accepted PY - 2006/2/24/pubmed PY - 2006/4/6/medline PY - 2006/2/24/entrez SP - 385 EP - 91 JF - Epidemiology and infection JO - Epidemiol Infect VL - 134 IS - 2 N2 - In January 2003, two cases of Legionnaires' disease associated with a ship's cruise were registered in the database of National Epidemiological Surveillance of Infectious Diseases. A 70-year-old male heavy smoker with mild emphysema contracted the disease during a cruise. Legionella pneumophila serogroup (sg) 5 was isolated from the patient's sputum and the ship's indoor spa. The isolate from the spa matched the patient's isolate by genotyping performed by pulsed-field gel electrophoresis (PFGE). The second case was in a 73-year-old female. During epidemiological investigation, a third case of Legionnaire's disease in a 71-year-old male was subsequently diagnosed among passengers on the same ship on the following cruise. Environmental investigation revealed that porous natural stones (Maifanshi) in the filters of the spas had harboured L. pneumophila, a phenomenon which has not been reported except in Japan. This is the first documented evidence of L. pneumophila sg 5 infection on a ship and of porous stones as a source of Legionella infection. SN - 0950-2688 UR - https://www.unboundmedicine.com/medline/citation/16490144/Outbreak_of_Legionnaires'_disease_on_a_cruise_ship_linked_to_spa_bath_filter_stones_contaminated_with_Legionella_pneumophila_serogroup_5_ L2 - https://www.cambridge.org/core/product/identifier/S095026880500508X/type/journal_article DB - PRIME DP - Unbound Medicine ER -