Nosocomial Infection with Legionella pneumophila Serogroup 1 and 8 in a Neonate
A case of pneumonia related to 2 serogroups (1 and 8) of Legionella pneumophila (Lp) in a 10-day-old boy is described together with the epidemiological survey in the maternity ward which made it possible to establish its nosocomial origin. Rodshaped bacteria reacting with an Lp genus-specific monocl...
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| Veröffentlicht in: | Scandinavian journal of infectious diseases 1990, Vol.22 (3), p.367-370 |
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| container_title | Scandinavian journal of infectious diseases |
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| creator | Aubert, Gerald Bornstein, Nicole Rayet, Isabelle Pozzetto, Bruno Lenormand, Philippe H. |
| description | A case of pneumonia related to 2 serogroups (1 and 8) of Legionella pneumophila (Lp) in a 10-day-old boy is described together with the epidemiological survey in the maternity ward which made it possible to establish its nosocomial origin. Rodshaped bacteria reacting with an Lp genus-specific monoclonal antibody and serogroup 1 and 8 polyclonal sera were detected in bronchoalveolar lavages (BAL) collected on day 13. Serogroups 1 and 8 were recovered from cultures of BAL collected on days 12 and 13. Fourfold or more antibody rises to serogroups 1, 5, 8 and 10 of Lp were observed in sequential serum specimens. Water samples collected from the tank and mixer of the maternity ward grew serogroups 1 and 8 of Lp. Serogroup 1 was detected in large amounts in water samples taken at several points of the hot water supply system and from the oxygen nebulizers and the feeding-bottle heater. Analysis of the Lp serogroup 1 strains isolated from the water by subgroup-specific monoclonal antibodies revealed the presence of 4 different subgroups, one of which was identical to the Lp 1 subgroup isolated from the neonate's BAL. This latter subgroup, reactive with McKinney monoclonal antibody Mab 2, has been described as highly virulent. No other case of legionellosis was recorded in the maternity ward. |
| doi_str_mv | 10.3109/00365549009027062 |
| format | Article |
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Rodshaped bacteria reacting with an Lp genus-specific monoclonal antibody and serogroup 1 and 8 polyclonal sera were detected in bronchoalveolar lavages (BAL) collected on day 13. Serogroups 1 and 8 were recovered from cultures of BAL collected on days 12 and 13. Fourfold or more antibody rises to serogroups 1, 5, 8 and 10 of Lp were observed in sequential serum specimens. Water samples collected from the tank and mixer of the maternity ward grew serogroups 1 and 8 of Lp. Serogroup 1 was detected in large amounts in water samples taken at several points of the hot water supply system and from the oxygen nebulizers and the feeding-bottle heater. Analysis of the Lp serogroup 1 strains isolated from the water by subgroup-specific monoclonal antibodies revealed the presence of 4 different subgroups, one of which was identical to the Lp 1 subgroup isolated from the neonate's BAL. This latter subgroup, reactive with McKinney monoclonal antibody Mab 2, has been described as highly virulent. 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Rodshaped bacteria reacting with an Lp genus-specific monoclonal antibody and serogroup 1 and 8 polyclonal sera were detected in bronchoalveolar lavages (BAL) collected on day 13. Serogroups 1 and 8 were recovered from cultures of BAL collected on days 12 and 13. Fourfold or more antibody rises to serogroups 1, 5, 8 and 10 of Lp were observed in sequential serum specimens. Water samples collected from the tank and mixer of the maternity ward grew serogroups 1 and 8 of Lp. Serogroup 1 was detected in large amounts in water samples taken at several points of the hot water supply system and from the oxygen nebulizers and the feeding-bottle heater. Analysis of the Lp serogroup 1 strains isolated from the water by subgroup-specific monoclonal antibodies revealed the presence of 4 different subgroups, one of which was identical to the Lp 1 subgroup isolated from the neonate's BAL. This latter subgroup, reactive with McKinney monoclonal antibody Mab 2, has been described as highly virulent. No other case of legionellosis was recorded in the maternity ward.</description><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Cross Infection - etiology</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infectious diseases</subject><subject>Legionella - classification</subject><subject>Legionnaires' Disease - etiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Water Microbiology</subject><subject>Water Supply</subject><issn>0036-5548</issn><issn>1651-1980</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEFL5TAUhYOM6Bv1B7gQshjcdbw3adMGV4OoIzx0oa5LXnrri7RJTVrEf28f7-FGmFndA-c7l8Nh7BTht0TQFwBSFUWuATSIEpTYYwtUBWaoK_jBFhs_m4HqkP1M6RUAciXhgB0IWeKcW7CH-5CCDb0zHb_zLdnRBc_f3bjmS3qZNXWd4YOnqQ_D2s36kWJ4iWEaOHLjG15x57nh9xS8GemY7bemS3Syu0fs-eb66epvtny4vbv6s8ysFHLMKp2Xpli1pIUkAYSlUGiJGlgRQVWQyC0pKUSpGigatLqxK9Vq0og5mUoesfPt3yGGt4nSWPcu2U1ZT2FKdamrSkhQ_wWxKLUSOcwgbkEbQ0qR2nqIrjfxo0aoN2vX39aeM2e759Oqp-YrsZt39n_tfJOs6dpovHXpC8uVQFSbjpdbzPk2xN6syXTj2ppI9WuYop-H_EeJT17CmBY</recordid><startdate>1990</startdate><enddate>1990</enddate><creator>Aubert, Gerald</creator><creator>Bornstein, Nicole</creator><creator>Rayet, Isabelle</creator><creator>Pozzetto, Bruno</creator><creator>Lenormand, Philippe H.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>1990</creationdate><title>Nosocomial Infection with Legionella pneumophila Serogroup 1 and 8 in a Neonate</title><author>Aubert, Gerald ; Bornstein, Nicole ; Rayet, Isabelle ; Pozzetto, Bruno ; Lenormand, Philippe H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c323t-8947a5bfe923e20e17261ceed0bee085e24ce632276d05d1c9dcb6f9e9114ea83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Cross Infection - etiology</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infectious diseases</topic><topic>Legionella - classification</topic><topic>Legionnaires' Disease - etiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Water Microbiology</topic><topic>Water Supply</topic><toplevel>online_resources</toplevel><creatorcontrib>Aubert, Gerald</creatorcontrib><creatorcontrib>Bornstein, Nicole</creatorcontrib><creatorcontrib>Rayet, Isabelle</creatorcontrib><creatorcontrib>Pozzetto, Bruno</creatorcontrib><creatorcontrib>Lenormand, Philippe H.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aubert, Gerald</au><au>Bornstein, Nicole</au><au>Rayet, Isabelle</au><au>Pozzetto, Bruno</au><au>Lenormand, Philippe H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nosocomial Infection with Legionella pneumophila Serogroup 1 and 8 in a Neonate</atitle><jtitle>Scandinavian journal of infectious diseases</jtitle><addtitle>Scand J Infect Dis</addtitle><date>1990</date><risdate>1990</risdate><volume>22</volume><issue>3</issue><spage>367</spage><epage>370</epage><pages>367-370</pages><issn>0036-5548</issn><eissn>1651-1980</eissn><coden>SJIDB7</coden><abstract>A case of pneumonia related to 2 serogroups (1 and 8) of Legionella pneumophila (Lp) in a 10-day-old boy is described together with the epidemiological survey in the maternity ward which made it possible to establish its nosocomial origin. Rodshaped bacteria reacting with an Lp genus-specific monoclonal antibody and serogroup 1 and 8 polyclonal sera were detected in bronchoalveolar lavages (BAL) collected on day 13. Serogroups 1 and 8 were recovered from cultures of BAL collected on days 12 and 13. Fourfold or more antibody rises to serogroups 1, 5, 8 and 10 of Lp were observed in sequential serum specimens. Water samples collected from the tank and mixer of the maternity ward grew serogroups 1 and 8 of Lp. Serogroup 1 was detected in large amounts in water samples taken at several points of the hot water supply system and from the oxygen nebulizers and the feeding-bottle heater. Analysis of the Lp serogroup 1 strains isolated from the water by subgroup-specific monoclonal antibodies revealed the presence of 4 different subgroups, one of which was identical to the Lp 1 subgroup isolated from the neonate's BAL. This latter subgroup, reactive with McKinney monoclonal antibody Mab 2, has been described as highly virulent. No other case of legionellosis was recorded in the maternity ward.</abstract><cop>Basingstoke</cop><pub>Informa UK Ltd</pub><pmid>2371549</pmid><doi>10.3109/00365549009027062</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Scandinavian journal of infectious diseases, 1990, Vol.22 (3), p.367-370 |
| issn | 0036-5548 1651-1980 |
| language | eng |
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| source | Taylor & Francis CRKN Medical; MEDLINE; Taylor & Francis E-Journals |
| subjects | Bacterial diseases Biological and medical sciences Cross Infection - etiology Humans Infant, Newborn Infectious diseases Legionella - classification Legionnaires' Disease - etiology Male Medical sciences Water Microbiology Water Supply |
| title | Nosocomial Infection with Legionella pneumophila Serogroup 1 and 8 in a Neonate |
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