A cluster of Acinetobacter Pneumonia in foundry workers

In a 3-month period, three men who had worked for 5 to 19 years as welders or grinders of steel castings in a foundry acquired pneumonia caused by Acinetobacter calcoaceticus variety anitratus serotype 7J. Two of the men died, and postmortem examination showed mixed-dust pneumoconiosis with iron par...

Full description

Saved in:

Bibliographic Details
Published in:	Annals of internal medicine Vol. 95; no. 6; p. 688
Main Authors:	Cordes, L G, Brink, E W, Checko, P J, Lentnek, A, Lyons, R W, Hayes, P S, Wu, T C, Tharr, D G, Fraser, D W
Format:	Journal Article
Language:	English
Published:	United States 01-12-1981
Subjects:	Acinetobacter Infections - epidemiology Acinetobacter Infections - immunology Connecticut Disease Outbreaks - epidemiology Dust Environmental Exposure Humans Male Metallurgy Middle Aged Occupational Diseases - epidemiology Pneumoconiosis - complications Pneumonia - epidemiology Pneumonia - immunology Connecticut
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	In a 3-month period, three men who had worked for 5 to 19 years as welders or grinders of steel castings in a foundry acquired pneumonia caused by Acinetobacter calcoaceticus variety anitratus serotype 7J. Two of the men died, and postmortem examination showed mixed-dust pneumoconiosis with iron particles in the lungs. A calcoaceticus variety anitratus serotype 7J was isolated from the air in the foundry but the source was not found. The prevalence of antibody titers of 64 or greater to the 7J strain was significantly higher among foundry workers (15%) than among community controls (2%) (p less than 0.01). Sampling showed that the concentrations of total and metallic particles (especially iron) and of free silica in air inhaled by welders and grinders at the foundry frequently exceeded acceptable levels. These findings suggest that chronic exposure to such particles may increase susceptibility to infection by this organism, which rarely affects healthy people.
ISSN:	0003-4819
DOI:	10.7326/0003-4819-95-6-688