{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:05:45Z","timestamp":1790600745094,"version":"4.1.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2005,9,5]],"date-time":"2005-09-05T00:00:00Z","timestamp":1125878400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2006,4]]},"abstract":"<jats:p>In January 2003, two cases of Legionnaires' disease associated with a ship's cruise were registered in the database of National Epidemiological Surveillance of Infectious Diseases. A 70-year-old male heavy smoker with mild emphysema contracted the disease during a cruise. <jats:italic>Legionella pneumophila<\/jats:italic> serogroup (sg) 5 was isolated from the patient's sputum and the ship's indoor spa. The isolate from the spa matched the patient's isolate by genotyping performed by pulsed-field gel electrophoresis (PFGE). The second case was in a 73-year-old female. During epidemiological investigation, a third case of Legionnaire's disease in a 71-year-old male was subsequently diagnosed among passengers on the same ship on the following cruise. Environmental investigation revealed that porous natural stones (<jats:italic>Maifanshi<\/jats:italic>) in the filters of the spas had harboured <jats:italic>L. pneumophila<\/jats:italic>, a phenomenon which has not been reported except in Japan. This is the first documented evidence of <jats:italic>L. pneumophila<\/jats:italic> sg 5 infection on a ship and of porous stones as a source of <jats:italic>Legionella<\/jats:italic> infection.<\/jats:p>","DOI":"10.1017\/s095026880500508x","type":"journal-article","created":{"date-parts":[[2005,9,5]],"date-time":"2005-09-05T09:04:56Z","timestamp":1125911096000},"page":"385-391","source":"Crossref","is-referenced-by-count":36,"title":["Outbreak of Legionnaires' disease on a cruise ship linked to spa-bath filter stones contaminated with <i>Legionella pneumophila<\/i> serogroup 5"],"prefix":"10.1017","volume":"134","author":[{"given":"F.","family":"KURA","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"AMEMURA-MAEKAWA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"YAGITA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"ENDO","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"IKENO","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"TSUJI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"TAGUCHI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"KOBAYASHI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"ISHII","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"WATANABE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2005,9,5]]},"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S095026880500508X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,11]],"date-time":"2019-04-11T20:20:06Z","timestamp":1555014006000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S095026880500508X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,9,5]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2006,4]]}},"alternative-id":["S095026880500508X"],"URL":"https:\/\/doi.org\/10.1017\/s095026880500508x","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,9,5]]}}}