一般社団法人日本呼吸器学会 公式サイト
日本呼吸器学会英文誌 Respiratory Investigation
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集

Abstract

Full Text of PDF Full Text of PDF (453k)
Article in Japanese

Original Article

Report on a mail survey of an outbreak of Legionnaires’ disease in the eastern area of Hiroshima Prefecture

Hideto Oshitaa  Shoko Isoyamaa  Ayaka Yoshidaa  Takaya Kodamaa  Keiko Osakia  Kohei Kawasakia  Ken Okusakia  Ken-ichi Aritab 

aDepartment of Internal Medicine, Mihara Medical Associations Hospital
bDepartment of Respiratory Medicine, Japanese Red Cross Mihara Hospital

ABSTRACT

From March to April 2017, an outbreak of Legionnaires’ disease occurred in the eastern area of Hiroshima Prefecture, Japan. We administered a mail survey in May 2017 and obtained clinical information from 39 patients with Legionella pneumonia (5 probable and 34 confirmed cases, including 1 mortality) from 12 hospitals. Twenty-nine patients were diagnosed via urinary antigen test, which requires less time for diagnosis than other tests, such as antibody titer, polymerase chain reaction (PCR), and culture. Because of the widespread use of the urinary antigen test, the proportion of confirmed cases was markedly increased relative to the proportion in past outbreaks. Corticosteroids were used mainly in patients with hypoxia.

KEYWORDS

Legionella pneumonia  Outbreak  Mail survey  Urinary antigen test 

Received 15 Sep 2017 / Accepted 22 Nov 2017

AJRS, 7(2): 85-89, 2018

Google Scholar