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epidemiological investigation and case-control study: a legionnaires' disease outbreak associated with cooling towers in warstein, germany, august-september 2013.between 1 august and 6 september 2013, an outbreak of legionnaires' disease (ld) with 159 suspected cases occurred in warstein, north rhine-westphalia, germany. the outbreak consisted of 78 laboratory-confirmed cases of ld, including one fatality, with a case fatality rate of 1%. legionella pneumophila, serogroup 1, subtype knoxville, sequence type 345, was identified as the epidemic strain. a case-control study was conducted to identify possible sources of infection. in univariable analysis, ca ...201526607018
rapid genotyping of legionella pneumophila serogroup 1 strains by a novel dna microarray-based assay during the outbreak investigation in warstein, germany 2013.between 1 august and 6 september 2013, an outbreak of legionnaires' disease (ld) with 78 cases confirmed by positive urinary antigen tests occurred in warstein, north rhine-westphalia, germany. legionella (l.) pneumophila, serogroup (sg) 1, monoclonal antibody (mab) subgroup knoxville, sequence type (st) 345, was identified as the epidemic strain. this strain was isolated from seven patients. to detect the source of the infection, epidemiological typing of clinical and environmental strains was ...201728501485
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