2014
DOI: 10.1016/j.ijid.2014.05.009
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Soil as a source of Legionella pneumophila sequence type 47

Abstract: Legionella pneumophila sequence type (ST) 47 was isolated from soil in a garden. We speculate that this strain was transmitted from soil to the whirlpool in the garden where it caused an outbreak of Legionnaires' disease and Pontiac fever. In the Netherlands, ST47 is frequently isolated from patients, but hardly ever from environmental sources. It is possible that human pathogenic Legionella strains, with ST47 as one of the predominant strains, are transmitted to humans from sources such as natural soil that a… Show more

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Cited by 12 publications
(15 citation statements)
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“…However, of the three STs most frequently observed in clinical samples in the United Kingdom and Wales, only one strain (ST47) was isolated once from an outbreak-unrelated environmental sample (8). Also in France (21), the Netherlands (15,22), the United States (13), and Canada (4), ST47 and ST62 were not or were only incidentally observed in environmental samples. Contrastingly, L. pneumophila SG1 ST1, the most frequently isolated environmental ST, accounts for a relatively small proportion of the clinical isolates (8,13,15), suggesting that ST1 strains are less virulent than strains of ST47, ST62, and a number of other STs.…”
mentioning
confidence: 99%
“…However, of the three STs most frequently observed in clinical samples in the United Kingdom and Wales, only one strain (ST47) was isolated once from an outbreak-unrelated environmental sample (8). Also in France (21), the Netherlands (15,22), the United States (13), and Canada (4), ST47 and ST62 were not or were only incidentally observed in environmental samples. Contrastingly, L. pneumophila SG1 ST1, the most frequently isolated environmental ST, accounts for a relatively small proportion of the clinical isolates (8,13,15), suggesting that ST1 strains are less virulent than strains of ST47, ST62, and a number of other STs.…”
mentioning
confidence: 99%
“…As L. pneumophila cycles through over at least 15 species of diverse protozoa in the environment (Rowbotham, ; Fields, ; Solomon et al , ; Molmeret et al , ), acquisition of LME‐1 would likely confer a costly host range switch under environmental conditions of sufficient host diversity. Note that this could occur within freshwater, the typical habitat of L. pneumophila (Fliermans et al , ), as Dictyostelium species have been observed in lakes and sediment (O'Dell, ; Richards et al , ; Somboonna et al , ; Shanan et al , ); at the same time, L. pneumophila has also been isolated from soil (Wallis and Robinson, ; Schalk et al , ; van Heijnsbergen et al , ), a long‐established habitat of D. discoideum (Singh, ). While D. discoideum is generally thought of within the context of a laboratory model for Legionella infection, these data suggest that further scrutiny should be placed on the natural association of L. pneumophila and D. discoideum in the environment.…”
Section: Discussionmentioning
confidence: 99%
“…Strikingly, since the start of the National Legionella Outbreak Detection Programme in the Netherlands in 2002, this ST was only found three times in the environment during outbreak investigations, which concerned outdoor whirlpools that were involved in two combined outbreaks of LD and Pontiac fever and one solitary case of LD. As all three whirlpools were located outside, it was hypothesized that the outdoor environment was an influence, and after further investigation, L. pneumophila ST47 was isolated from a soil sample from the garden of the most recent outbreak ( 19 ). It was suggested that the ST47 strain was transmitted from garden soil to the whirlpool by wind or by people entering the whirlpool with soil on their feet.…”
Section: Introductionmentioning
confidence: 99%