ArticleBMC infectious diseases2010
Two Legionnaires' disease cases associated with industrial waste water treatment plants: a case report.
Article in BMC infectious diseases, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 38 citations in OpenAlex.
- Detection ofJournal of water and health · 2024Article
- The Presence ofMicroorganisms · 2023Article
- Tap water as the source of a Legionnaires' disease outbreak spread to several residential buildings and one hospital, Finland, 2020 to 2021.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023Article
- Multiple intertwined crises facing humanity necessitate a European Environmental Research Organization.Microbial biotechnology · 2022Article
- Probabilistic Analysis of a French Legionellosis Outbreak Shows Potential Role of Wastewater Basin.Microorganisms · 2022Article
- Two Community Clusters of Legionnaires' Disease Directly Linked to a Biologic Wastewater Treatment Plant, the Netherlands.Emerging infectious diseases · 2018Article
- Ten Questions Concerning the Aerosolization and Transmission of Legionella in the Built Environment.Building and environment · 2017Article
- Industrial Cooling Tower Disinfection Treatment to Prevent Legionella spp.International journal of environmental research and public health · 2017Article
- Occurrence of Legionella in wastewater treatment plants linked to wastewater characteristics.Environmental science and pollution research international · 2016Article
- Current and emerging Legionella diagnostics for laboratory and outbreak investigations.Clinical microbiology reviews · 2015Review
- Cross-reactions in IgM ELISA tests to Legionella pneumophila sg1 and Bordetella pertussis among children suspected of legionellosis; potential impact of vaccination against pertussis?Central-European journal of immunology · 2015Article
- Detection of Legionella spp. by a nested-PCR assay in air samples of a wastewater treatment plant and downwind distances in Isfahan.Advanced biomedical research · 2015Article
- Biologically hazardous agents at work and efforts to protect workers' health: a review of recent reports.Safety and health at work · 2014Review
- Isolation of Legionella pneumophila from pluvial floods by amoebal coculture.Applied and environmental microbiology · 2012Article
- Ciprofloxacin- and azithromycin-resistant bacteria in a wastewater treatment plant.Journal of occupational and environmental hygieneArticle
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Authors and funding
8 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFinnish and Swedish waste water systems used by the forest industry were found to be exceptionally heavily contaminated with legionellae in 2005. CASE PRESENTATION: We report two cases of severe pneumonia in employees working at two separate mills in Finland in 2006. Legionella serological and urinary antigen tests were used to diagnose Legionnaires' disease in the symptomatic employees, who had worked at, or close to, waste water treatment plants. Since the findings indicated a Legionella infection, the waste water and home water systems were studied in more detail. The antibody response and Legionella urinary antigen finding of Case A indicated that the infection had been caused by Legionella pneumophila serogroup 1. Case A had been exposed to legionellae while installing a pump into a post-clarification basin at the waste water treatment plant of mill A. Both the water and sludge in the basin contained high concentrations of Legionella pneumophila serogroup 1, in addition to serogroups 3 and 13. Case B was working 200 meters downwind from a waste water treatment plant, which had an active sludge basin and cooling towers. The antibody response indicated that his disease was due to Legionella pneumophila serogroup 2. The cooling tower was the only site at the waste water treatment plant yielding that serogroup, though water in the active sludge basin yielded abundant growth of Legionella pneumophila serogroup 5 and Legionella rubrilucens. Both workers recovered from the disease.
conclusionThese are the first reported cases of Legionnaires' disease in Finland associated with industrial waste water systems.
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