Fatal Pseudomonas aeruginosa pneumonia in a previously healthy woman was most likely associated with a contaminated hot tub

Infection

Volumn 39, Issue 3, 2011, Pages 265-269

  Huhulescu, S ^a   Simon, M ^b   Lubnow, M ^c   Kaase, M ^d   Wewalka, G ^a   Pietzka, A T ^a   Stoger A ^a   Ruppitsch, W ^a   Allerberger, F ^a,e  

^a AUSTRIAN AGENCY FOR HEALTH AND FOOD SAFETY   (Austria)

^b UNIVERSITY OF REGENSBURG   (Germany)

^c UNIVERSITY HOSPITAL REGENSBURG   (Germany)

^d National Reference Laboratory for Multidrug Resistant Gram Negative Bacteria   (Germany)

^e PARACELSUS MEDICAL UNIVERSITY   (Austria)

Author keywords

AFLP; Community acquired; Hot tub; Jacuzzi; MLST; PFGE; Pneumonia; Pseudomonas aeruginosa; Whirlpool

Indexed keywords

ANTIINFECTIVE AGENT; BACTERIAL DNA; CIPROFLOXACIN; GENTAMICIN; MOXIFLOXACIN; PIPERACILLIN; PIPERACILLIN PLUS SULBACTAM; UNCLASSIFIED DRUG;

ADULT; AMPLIFIED FRAGMENT LENGTH POLYMORPHISM; ANTIBIOTIC SENSITIVITY; ARTICLE; AUTOPSY; BACTERIUM DETECTION; BACTERIUM ISOLATE; BLOOD CARBON DIOXIDE TENSION; BLOOD CULTURE; CASE REPORT; CAUSE OF DEATH; CHILL; COLONY FORMING UNIT; COMPUTER ASSISTED TOMOGRAPHY; COUGHING; ENVIRONMENTAL FACTOR; EXTRACORPOREAL OXYGENATION; FEMALE; FEVER; HUMAN; HUMAN TISSUE; LABORATORY DIAGNOSIS; LUNG INFILTRATE; MULTILOCUS SEQUENCE TYPING; MULTIPLE ORGAN FAILURE; PNEUMONIA; PSEUDOMONAS PNEUMONIA; PULSED FIELD GEL ELECTROPHORESIS; RESPIRATORY ACIDOSIS; THORAX RADIOGRAPHY; WATER CONTAMINATION;

AMPLIFIED FRAGMENT LENGTH POLYMORPHISM ANALYSIS; ANTI-BACTERIAL AGENTS; COMMUNITY-ACQUIRED INFECTIONS; ELECTROPHORESIS, GEL, PULSED-FIELD; FATAL OUTCOME; FEMALE; GERMANY; HEALTH RESORTS; HOT TEMPERATURE; HUMANS; MIDDLE AGED; PSEUDOMONAS AERUGINOSA; PSEUDOMONAS INFECTIONS; STEM CELLS; WATER MICROBIOLOGY;

EID: 79961170865     PISSN: 03008126     EISSN: 14390973     Source Type: Journal    
DOI: 10.1007/s15010-011-0096-6     Document Type: Article

References (20)

1. Pier GB, Ramphal R. Pseudomonas aeruginosa. In: Mandell GL, Bennett JE, Dolin R, editors. Principles and practice of infectious diseases, 7th edn. Philadelphia: Churchill Livingstone Elsevier; 2010. p. 2835-60.
2. CJ Crnich B Gordon D Andes 2003 Hot tub-associated necrotizing pneumonia due to Pseudomonas aeruginosa Clin Infect Dis 36 55 57 10.1086/345851
3. Clinical and Laboratory Standards Institute. Performance standards for antimicrobial disk susceptibility testing. Approved standard M100-S14, 15th edn. Clinical and Laboratory Standards Institute, Wayne, Pa. 2005.
4. JK Johnson SM Arduino OC Stine JA Johnson AD Harris 2007 Multilocus sequence typing compared to pulsed-field gel electrophoresis for molecular typing of Pseudomonas aeruginosa J Clin Microbiol 45 3707 3712 17881548 10.1128/JCM.00560-07 1:CAS:528:DC%2BD2sXhsVWrtLvE (Pubitemid 350156870)
5. FC Tenover RD Arbeit RV Goering PA Mickelsen BE Murray DH Persing B Swaminathan 1995 Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing J Clin Microbiol 33 2233 2339 7494007 1:CAS:528:DyaK2MXoslSisLc%3D
6. P Vos R Hogers M Bleeker M Reijans T van de Lee M Hornes A Frijters J Pot J Peleman M Kuiper M Zabeau 1995 AFLP: a new technique for DNA fingerprinting Nucleic Acids Res 23 4407 4414 7501463 10.1093/nar/23.21.4407 1:CAS:528:DyaK2MXpslensbo%3D
7. R Van Mansfeld R Willems R Brimicombe H Heijerman FT van Berkhout T Wolfs C van der Ent M Bonten 2009 Pseudomonas aeruginosa genotype prevalence in Dutch cystic fibrosis patients and age dependency of colonization by various P. aeruginosa sequence types J Clin Microbiol 47 4096 4101 19828746 10.1128/JCM.01462-09
8. KA Jolley M-S Chan MCJ Maiden 2004 mlstdbNet - distributed multi-locus sequence typing (MLST) databases BMC Bioinformatics 5 86 93 15230973 10.1186/1471-2105-5-86 (Pubitemid 40195417)
9. Török ME, Cooke FJ, Moran E. Oxford Handbook of Infectious Diseases and Microbiology. Oxford: Oxford University Press; 2009. p. 341-2.
10. HD Rose TR Franson NK Sheth MJ Chusid AM Macher CH Zeirdt 1983 Pseudomonas pneumonia associated with use of a home whirlpool spa JAMA 250 2027 2029 6413704 10.1001/jama.250.15.2027 1:STN:280:DyaL2c%2FhtFWitg%3D%3D (Pubitemid 13014765)
11. A Henderson W Kelly M Wright 1992 Fulminant primary Pseudomonas aeruginosa pneumonia and septicaemia in previously well adults Intensive Care Med 18 430 432 1469184 10.1007/BF01694348 1:STN:280:DyaK3s7gslCltg%3D%3D (Pubitemid 23009492)
12. TF Hatchette R Gupta TJ Marrie 2000 Pseudomonas aeruginosa-community- acquired pneumonia in previously healthy adults: case report and review of the literature Clin Infect Dis 31 1349 1356 11096001 10.1086/317486 1:STN:280:DC%2BD3M3isVShtw%3D%3D
13. AH Alan L Goodmann L Stuart 1984 Community-acquired Pseudomonas aeruginosa pneumonia associated with the use of a home humidifier West J Med 141 521 523
14. YF Berrouane LA McNutt BJ Buschelman PR Rhomberg MD Sanford RJ Hollis MA Pfaller LA Herwaldt 2000 Outbreak of severe Pseudomonas aeruginosa infections caused by a contaminated drain in a whirlpool bathtub Clin Infect Dis 31 1331 1337 11095998 10.1086/317501 1:STN:280:DC%2BD3M3isVShsA%3D%3D
15. H Fishman B Eaton A Lipson MD Delaney 1983 Primary Pseudomonas pneumonia in a previously healthy man South Med J 76 2 260 262 6401870 10.1097/00007611-198302000-00033 1:STN:280:DyaL3s7itVaktg%3D%3D (Pubitemid 13144265)
16. EE Smith DG Buckley Z Wu C Saenphimmachak LR Hoffman DA D'Argenio SI Miller BW Ramsey DP Speert SM Moskowitz JL Burns R Kaul MV Olson 2006 Genetic adaptation by Pseudomonas aeruginosa to the airways of cystic fibrosis patients Proc Natl Acad Sci USA 103 8487 8492 16687478 10.1073/pnas.0602138103 1:CAS:528:DC%2BD28XlvFChtb4%3D (Pubitemid 43838482)
17. D Nguyen PK Singh 2006 Evolving stealth: genetic adaptation of Pseudomonas aeruginosa during cystic fibrosis infections Proc Natl Acad Sci USA 103 8305 8306 16717189 10.1073/pnas.0602526103 1:CAS:528:DC%2BD28XlvFChsb0%3D (Pubitemid 43838449)
18. LM Dulabon M LaSpina SW Riddell DL Kiska M Cynamon 2009 Pseudomonas aeruginosa acute prostatitis and urosepsis after sexual relations in a hot tub J Clin Microbiol 47 1607 1608 19297589 10.1128/JCM.02376-08
19. Austrian Federal Ministry of Health. Bundesgesetz, mit dem das Bäderhygienegesetz geändert wird. Bundesgesetzblatt I Nr. 64/2009. 2009. Available at: http://www.ris.bka.gv.at/Dokumente/BgblAuth/BGBLA-2009-I-64/ BGBLA-2009-I-64.pdf.
20. Austrian Standards Institute (ASI). Requirements for the characteristics of bath water in whirl tubs: operations, maintenance and inspection. Document ÖNORM M 6222-1. ASI, Vienna, Austria. 2008.