Fatal Pseudomonas aeruginosa pneumonia in a previously healthy woman was most likely associated with a contaminated hot tub
Microbiology (medical)
0301 basic medicine
Hot Temperature
Stem Cells
Case Report
Middle Aged
Health Resorts
6. Clean water
Anti-Bacterial Agents
Electrophoresis, Gel, Pulsed-Field
3. Good health
Community-Acquired Infections
03 medical and health sciences
Infectious Diseases
Fatal Outcome
Germany
Pseudomonas aeruginosa
Humans
Female
Pseudomonas Infections
Amplified Fragment Length Polymorphism Analysis
Water Microbiology
DOI:
10.1007/s15010-011-0096-6
Publication Date:
2011-03-31T17:28:11Z
AUTHORS (9)
ABSTRACT
Community-acquired pneumonia due to Pseudomonas aeruginosa in previously healthy individuals is a rare disease that associated with high fatality. On 14 February 2010 49-year-old woman presented an emergency room signs and symptoms of pneumonia, 2 days after returning from spa holiday wellness hotel. Blood cultures respiratory specimens grew P. aeruginosa. Despite adequate antimicrobial therapy, the patient died septic multiorgan failure on day nine hospitalization. 26, water samples were taken hotel facilities used by patient: In hot tub sample 37,000 colony-forming units aeruginosa/100 ml detected. Two five individual colonies primary plate for this found be genetically closely related patients' isolates. Results PFGE, AFLP MLST analysis allowed two lung isolates gained at autopsy whirlpool bathtub allocated into one cluster. The most likely acquired contaminated hotel's tub. detection numbers indicates massive biofilm formation bath circulation severe deficiencies hygienic maintenance. increasing popularity tubs hotels private homes demands increased awareness about potential health risks deficient
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