Transmission of Legionnaires' Disease through Toilet Flushing

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Abstract

We describe 2 cases of healthcare-associated Legionnaires' disease in patients in France hospitalized 5 months apart in the same room. Whole-genome sequencing analyses showed that clinical isolates from the patients and isolates from the room's toilet clustered together. Toilet contamination by Legionella pneumophila could lead to a risk for exposure through flushing.

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Couturier, J., Ginevra, C., Nesa, D., Adam, M., Gouot, C., Descours, G., … Barbut, F. (2020). Transmission of Legionnaires’ Disease through Toilet Flushing. Emerging Infectious Diseases, 26(7), 1526–1528. https://doi.org/10.3201/eid2607.190941

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