title: An outbreak of Legionella pneumonia originating from a cooling tower.
abstract: We report 2 cases of Legionella pneumonia in individuals who were exposed to aerosols during maintenance of a cooling tower at a waste processing plant. This report documents the first known occupation-related outbreak of Legionella pneumonia in Japan.
authors.affiliation: Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
authors.forename: Rie
authors.initials: R
authors.lastname: Isozumi
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Ito
authors.forename: Isao
authors.initials: I
authors.lastname: Ito
authors.forename: Makoto
authors.initials: M
authors.lastname: Osawa
authors.forename: Toyohiro
authors.initials: T
authors.lastname: Hirai
authors.forename: Syunji
authors.initials: S
authors.lastname: Takakura
authors.forename: Yoshitsugu
authors.initials: Y
authors.lastname: Iinuma
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ichiyama
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Tateda
authors.forename: Keizo
authors.initials: K
authors.lastname: Yamaguchi
authors.forename: Michiaki
authors.initials: M
authors.lastname: Mishima
mesh_terms: D000336:Aerosols; D000389:Air Conditioning / Q000295:instrumentation*; D004196:Disease Outbreaks; D006801:Humans; D007564:Japan; D016952:Legionella pneumophila / Q000302:isolation & purification*; D007877:Legionnaires' Disease / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure; D014865:Waste Disposal, Fluid; D014871:Water Microbiology
chemical_list: D000336:Aerosols