Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 28, Number 1—January 2022

Potential Association of Legionnaires’ Disease with Hot Spring Water, Hot Springs National Park and Hot Springs, Arkansas, USA, 2018–2019

Allison E. JamesComments to Author , Kurt Kesteloot, J. Terry Paul, Richard L. McMullen, Shirley Louie, Catherine Waters, Jennifer Dillaha, Joel Tumlison, Dirk T. Haselow, Jessica C. Smith, Sooji Lee, Troy Ritter, Claressa Lucas, Jasen Kunz, Laura A. Miller, and Maria A. Said
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (A.E. James, J.C. Smith, S. Lee, T. Ritter, C. Lucas, J. Kunz); US Public Health Service, Rockville, Maryland, USA (K. Kesteloot, T. Ritter, M. Said); US National Park Service, Washington, DC, USA (K. Kesteloot, L.A. Miller, M. Said); Arkansas Department of Health, Little Rock, Arkansas, USA (J.T. Paul, R.L. McMullen, S. Louie, C. Waters, J. Dillaha, J. Tumlison, D.T. Haselow)

Main Article

Table 1

Legionnaires’ disease patients’ age, illness onset date, type of diagnostic test, and shared and probable exposures while traveling in HSNP and Hot Springs, Arkansas, USA, 2018–2019*

Patient Patient age, y† Illness onset date Confirmatory diagnostic test Shared exposures‡ Probable exposure§‡
1 65 2018 Jul 27 Sputum PCR HSNP, bathhouse A¶ Bathhouse A
2 72 2018 Nov 23 Urinary antigen HSNP, bathhouse A, accommodation Z Bathhouse A
3 67 2019 May 7 Urinary antigen HSNP, accommodation Z Unknown
4# 61 2019 Jun 22 Sputum PCR HSNP, bathhouse A Bathhouse A
5 66 2019 Aug 25 Urinary antigen HSNP Unknown

*HSNP, Hot Springs National Park.
†Age in years at the time of illness onset. ‡Only potential exposures shared with >1 other patients are listed. §Based on epidemiologic investigation and environmental test results. ¶Exposures at bathhouse A might have included swimming, bathing, or showering in untreated hot springs water. #Deceased; patient received negative urinary antigen test result.

Main Article

Page created: October 27, 2021
Page updated: December 20, 2021
Page reviewed: December 20, 2021
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.