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Query: UMLS:C0023241 (Legionella)
 6,990 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A patient undergoing esophageal dilatation for carcinoma of the esophagus suffered esophageal perforation and development of an empyema. Culture of pleural fluid yielded multiple organisms, including Legionella pneumophila serogroup 5. Epidemiologic investigation showed that the source of L pneumophila was a tap used by the nursing personnel to fill patients' water pitchers. Whole-cell restriction endonuclease analysis of DNA from the clinical and environmental isolates of L pneumophila serogroup 5 yielded identical patterns. Our findings suggest that L pneumophila was acquired by the patient at least 12 h prior to the procedure causing the esophageal perforation and empyema, suggesting that the organism can persist in an infectious form in the upper aerodigestive tract.
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PMID:Isolation of Legionella pneumophila serogroup 5 from empyema following esophageal perforation. Source of the organism and mode of transmission. 142 1

An outbreak of Legionnaires' pneumonia occurred at a nursing home in December 1990. A 79-year-old female and a 73-year-old male clerk who were staying at the nursing home developed pneumonia with only a 5-day interval. Legionella pneumophila serogroup I was isolated from transtracheal aspirate of the former and sputum of the latter. After treatment with a combination of erythromycin and rifampicin both patients improved. Serological surveillance of inpatients and staff of the nursing home was performed in February 1991. Seven out of 51 samples (14.0%) showed a titer higher than 1:128 of anti-Legionella pneumophila serogroup I antibody determined by indirect immunofluorescence; two of these seven complained of respiratory symptoms. Molecular epidemiology analyzed by restriction endonuclease digestion of isolated L. pneumophila showed an identical pattern which suggested a common origin.
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PMID:An outbreak of Legionnaires' pneumonia in a nursing home. 163 59

The ability to examine the bacterial genome directly eliminates the problems associated with the variable expression of proteins which may be encountered with protein-based typing or 'fingerprinting' techniques. Bacterial DNA is extracted by a rapid method, digested with a restriction endonuclease and the resulting fragments separated by gel electrophoresis to give a characteristic banding pattern. The choice of restriction endonuclease for a particular bacterial species is critical; an enzyme which cuts frequently results in an indistinct pattern which is difficult to interpret. A banding pattern consisting of a readily discernible number of discrete bands, usually about 20 or less in number, is preferable. Fragments in the 1-10 kb size range enable short separation times while larger fragments are desirable if interpretation is complicated by the presence of plasmid bands. This approach has enabled differentiation of isolates within Staphylococcus aureus (including methicillin-resistant S. aureus), non-typable Haemophilus influenzae, Neisseria meningitidis, Moraxella catarrhalis, Legionella pneumophila and enterococci, indistinguishable by conventional methods. Restriction enzyme digestion of chromosomal DNA provides a highly discriminatory method of bacterial characterization suitable for epidemiological studies.
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PMID:Restriction enzyme analysis of chromosomal DNA and its application in epidemiological studies. 167 12

A series of strains, presumptively identified as legionellas on the basis of their nutritional requirements and biochemical reactivity, were isolated from two unrelated environmental sources in the UK. Representatives of each of these series had a restriction endonuclease digest pattern indistinguishable from that of the Legionella quinlivanii type strain (1442-AUS-E) and the identity of these strains was confirmed by DNA homology studies. Serological examination of the two strains showed that they were distinct from the type strain 1442-AUS-E but indistinguishable from each other. A second serogroup, L. quinlivanii serogroup 2 (type strain LC870; NCTC 12434), is proposed to accommodate these strains.
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PMID:Second serogroup of Legionella quinlivanii isolated from two unrelated sources in the United Kingdom. 168 88

Whole cell DNA of Legionella pneumophila isolates was examined by small-fragment restriction endonuclease analysis (SF-REA). Fourteen serogroup 1 isolates from tap water in one hospital collected before and after eradication measures had been taken were compared with control strains of serogroup 1 and other serogroups that were not epidemiologically linked. DNA was digested with EcoRI and electrophoresed on polyacrylamide gels. The gel patterns were made visible by silver staining and analysed by direct visual comparison. All 15 epidemiologically unrelated strains of Legionella pneumophila serogroup 1 and of other serogroups exhibited different restriction fragment patterns. The isolates from the hospital could be clearly subdivided into two groups by SF-REA, suggesting that the hot water supply of the hospital was contaminated with two different strains. SF-REA performed on Legionella pneumophila serogroup 1 DNA enabled further subtyping of these organisms and thus appears to be a useful technique for investigating their epidemiology.
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PMID:Subtyping of Legionella pneumophila serogroup 1 isolates by small-fragment restriction endonuclease analysis. 174 16

One hundred and seventy-nine isolates of Legionella pneumophila serogroup 1, obtained from a site associated with an outbreak of Legionnaires' disease, were examined by monoclonal antibody subgrouping, restriction fragment length polymorphism typing, restriction endonuclease analysis and plasmid content. Nine distinct phenotypes were detected but at the genotypic level all strains were closely related. The data presented indicate that phenotypic variation of a single parent strain can occur within an environmental site. The implications of these findings are discussed in relation to the investigation of outbreaks of Legionnaires' disease.
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PMID:Phenotypic variation amongst genotypically homogeneous Legionella pneumophila serogroup 1 isolates: implications for the investigation of outbreaks of Legionnaires' disease. 196 3

We applied monoclonal antibody typing and restriction endonuclease analysis of plasmid DNA to study 28 clinical and 35 environmental (potable water) isolates of Legionella pneumophila serogroup 1 from three hospitals in Iowa between 1981 and 1986. Monoclonal antibody typing employed a panel of seven antibodies and delineated eight different subtypes. Plasmids were present in 57% of the isolates including 12 of 28 (43%) clinical and 25 of 35 (69%) potable water isolates. The plasmids ranged in size from 28 to 98 kilobase pairs and comprised eight distinct subtypes by restriction endonuclease analysis with Eco RI. Combination of monoclonal antibody and restriction endonuclease subtyping (composite subtyping) revealed 19 different composite subtypes of Legionella pneumophila serogroup 1. The most common composite subtype, 09:04, comprised 29% (18 of 63) of the isolates and was only found in clinical and potable water samples from a single pavilion in hospital A during an outbreak of Legionella pneumophila serogroup 1 pneumonia. Aside from this cluster the diversity of composite subtypes of Legionella pneumophila serogroup 1 observed in clinical and potable water sources over the 5-year period was striking. The combination of monoclonal antibody and restriction endonuclease typing resulted in improved strain delineation and a more useful use of epidemiologic markers for Legionella pneumophila serogroup 1.
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PMID:The application of molecular and immunologic techniques to study the epidemiology of Legionella pneumophila serogroup 1. 259 Nov 66

Legionella pneumophila strains isolated from six patients, three air-conditioning- and cooling tower-derived strains, and three hot water supply-derived strains were analyzed by three genetic typing methods. The results of the whole-cell DNA restriction endonuclease analysis and the restriction patterns based on genes coding for rRNA correlated with each other and demonstrated that the patient isolates were indistinguishable from the air-conditioning- and cooling tower-derived isolates but differed markedly from the hot water supply-derived isolates. The patient and air-conditioning- and cooling tower-derived strains contained plasmids of the same molecular weight; the hot water supply-derived strains were plasmidless. These results indicated that the cooling tower or the air-conditioning system was the environmental source for the examined cluster of Legionnaires disease strains.
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PMID:Genetic typing in a cluster of Legionella pneumophila infections. 274 85

As part of an ongoing investigation into nosocomial Legionella infections at Stanford University Medical Center (SUMC), we applied the technique of restriction endonuclease analysis (REA) to determine strain differences among three species, including Legionella pneumophila, Legionella dumoffii, and Legionella micdadei. A total of 26 human and environmental water isolates from SUMC were selected for REA and compared with control strains that were not epidemiologically linked to SUMC. REA results were compared with results of alloenzyme typing, typing by monoclonal antibodies, and plasmid fingerprinting in all but L. micdadei strains. REA and alloenzyme typing showed that SUMC patient isolates were derived from distinct strains of three species. L. pneumophila strains from SUMC patients were genotypically identical to those isolated from potable water. REA was especially useful in proving that SUMC L. dumoffii patient isolates were derived from a single strain and that patients may have been exposed to a common source(s). REA typing correlated well with alloenzyme typing. These methods complement serologic typing of L. pneumophila and provide discriminating capability between strains of other Legionella species such as L. dumoffii, for which serologic types have not been identified. In addition, REA typing is somewhat easier to perform than alloenzyme typing and can be done in clinical laboratories.
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PMID:Molecular epidemiology of Legionella species by restriction endonuclease and alloenzyme analysis. 282 60

A group of environmental and clinical Legionella pneumophila serogroup 1 isolates was subtyped by monoclonal antibody dot immunoblotting and plasmid analysis. Monoclonal antibody analysis defined seven subtypes within three major groups. Plasmid analysis (including restriction endonuclease digestion) revealed 10 subtypes. By combining plasmid and monoclonal techniques, all 16 strains were shown to be distinct. Plasmid profiles and monoclonal antibody reactivities of selected strains were stable despite serial passage (greater than 100 times). No plasmid-associated antigen was defined by this panel of monoclonal antibodies. The observed dissociation of plasmid profiles and monoclonal antibody reactivity patterns suggests that accurate epidemiologic typing of L. pneumophila serogroup 1 strains will require use of both techniques.
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PMID:Subtyping of Legionella pneumophila serogroup 1 isolates by monoclonal antibody and plasmid techniques. 282 13


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