Legionnaires' disease in Vermont. 1972-1976.
Legionnaires' disease in Vermont. 1972-1976.
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佛蒙特州的退伍军人病。
DOI：
10.1093/ajcp/76.6.816
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发表时间：
1981
影响因子：
3.5
通讯作者：
W. Winn
中科院分区：
文献类型：
--
作者：
J. Gerber;C. Casey;P. Martin;W. Winn
对104例先前诊断为肺炎的尸检病例进行了检查，以寻找军团病的证据。在1977年佛蒙特州流行病之前的五年中，7月、8月和9月是流行病的高峰期。通过直接免疫荧光和Dieterle银浸渍染色证实肺组织中存在嗜肺军团菌（血清组1）。退伍军人症在任何一年都没有聚集性。临床表现和肺部病理学与以前在佛蒙特州报道的军团病相似。在104例病例中，有7例被确定为以前未确诊的军团病。在这一时间范围内，可以得出结论，该疾病已在佛蒙特州流行。
One hundred four autopsy cases with previously diagnosed pneumonitis were examined for evidence of Legionnaires' disease. The peak epidemic months of July, August, and September in the five years before the 1977 Vermont epidemic were chosen for study. The bacterium, Legionella pneumophila (serogroup 1) was demonstrated in lung tissue by direct immunofluorescence and the Dieterle silver impregnation stain. There was no clustering of Legionnaires' disease in any one year., The clinical presentation and pulmonary pathology were similar to that of Legionnaires' disease previously reported in Vermont. Seven out of 104 cases were identified as previously undiagnosed Legionnaire's disease. In this time frame, it can be concluded that the disease has been endemic in Vermont.