Abstract
Sediment and indigenous microflora taken from water distribution systems has been shown to promote the survival of Legionella pneumophila. The effect of sediment and indigenous microflora on Tatlockia micdadei (Pittsburgh pneumonia agent, PPA) was evaluated by growth curve experiments. Symbiosis between PPA and environmental bacteria was demonstrated by satellitism experiments. Unlike L. pneumophila, the concentration of PPA remained stationary in test tube suspensions containing both microflora and sediment. The difference in the ecology between the two organisms may explain the infrequent environmental recovery of PPA and, ultimately, the epidemiologic differences between Legionnaires disease and Pittsburgh pneumonia.
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Selected References
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- Best M., Yu V. L., Stout J., Goetz A., Muder R. R., Taylor F. Legionellaceae in the hospital water-supply. Epidemiological link with disease and evaluation of a method for control of nosocomial legionnaires' disease and Pittsburgh pneumonia. Lancet. 1983 Aug 6;2(8345):307–310. doi: 10.1016/s0140-6736(83)90290-8. [DOI] [PubMed] [Google Scholar]
- Muder R. R., Yu V. L., Vickers R. M., Rihs J., Shonnard J. Simultaneous infection with Legionella pneumophila and Pittsburgh pneumonia agent. Clinical features and epidemiologic implications. Am J Med. 1983 Apr;74(4):609–614. doi: 10.1016/0002-9343(83)91018-5. [DOI] [PubMed] [Google Scholar]
- Muder R. R., Yu V. L., Zuravleff J. J. Pneumonia due to the Pittsburgh pneumonia agent: new clinical perspective with a review of the literature. Medicine (Baltimore) 1983 Mar;62(2):120–128. doi: 10.1097/00005792-198303000-00005. [DOI] [PubMed] [Google Scholar]
- Stout J. E., Yu V. L., Best M. G. Ecology of Legionella pneumophila within water distribution systems. Appl Environ Microbiol. 1985 Jan;49(1):221–228. doi: 10.1128/aem.49.1.221-228.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stout J., Yu V. L., Vickers R. M., Shonnard J. Potable water supply as the hospital reservoir for Pittsburgh pneumonia agent. Lancet. 1982 Feb 27;1(8270):471–472. doi: 10.1016/s0140-6736(82)91449-0. [DOI] [PubMed] [Google Scholar]
- Stout J., Yu V. L., Vickers R. M., Zuravleff J., Best M., Brown A., Yee R. B., Wadowsky R. Ubiquitousness of Legionella pneumophila in the water supply of a hospital with endemic Legionnaires' disease. N Engl J Med. 1982 Feb 25;306(8):466–468. doi: 10.1056/NEJM198202253060807. [DOI] [PubMed] [Google Scholar]
- Vickers R. M., Brown A., Garrity G. M. Dye-containing buffered charcoal-yeast extract medium for differentiation of members of the family Legionellaceae. J Clin Microbiol. 1981 Feb;13(2):380–382. doi: 10.1128/jcm.13.2.380-382.1981. [DOI] [PMC free article] [PubMed] [Google Scholar]