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< SSP:都道府県別にみた中皮腫による死亡... | メイン | ＣＯＩ？製薬企業への再就職の自粛措置等に... >
2010.09.04 09:00 |  診療  |  旅行 / 宿  |  その他（一般）  |  その他（医療関連）  |  ミチバ  | 推薦数 : 2

庭に潜む危険（趣味でも、仕事でも、園芸注意）

・このブログ記事は、大阪難波の千日前のネットカフェで書いています。何故そんな所にいるかは、「以下日記」見てください。

・最新のLancet(Volume 376, Issue 9743, Page 844, 4 September 2010)に以下の様な症例報告がありました。（いつものように、ネタばれするので、診断を考えるのと楽しみにしている方は、読まないでくださいね）

Dangers in the garden

 http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)60890-2/fulltext?_eventId=login&elsca1=TL-030910&elsca2=email&elsca3=segment

 

挿管までしないといけないほど重症の６７歳男性の肺炎。診断がつかなく気管支鏡でＢＡＬを行い、細菌検査をしたところ、Legionella longbeachaeが検出されたとのこと。後で聞いてみると、発症前園芸で堆肥をいじっているときに指にけがをしたとのこと。そこからの感染と考えられたとのこと。

Legionella longbeachaeの感染は、L. pneumophilaよりまれですね。ＵＫやＵＳＡに比べ、オーストラリアやニュージーランド、そして日本に多いそうです。王立園芸協会は、鉢植え用のたい肥を扱うときは注意するよう喚起しているそうです↓

ただし、この中で、

L. longbeachae but the risk of catching Legionellosis from potting composts in the UK is thought to be extremely lowと、述べられていますが。

http://www.rhs.org.uk/Gardening/News/Advice-on-potting-compost

 

上記の記事で、「ああ、そうか」と思ったのは、園芸におけるLegionella pneumonophila感染のリスクについてですね↓

A more common form, Legionella pneumonophila, leading to legionnaires disease, is associated with standing water and requires temperatures of above 20°C to multiply. This may present a risk to gardeners from irrigation systems, water storage tanks and water left in hose pipes.

 

いつも言うことですが、職業や趣味はしっかり聴きましょう。

 

待望の「以下日記」

・昨日は、１０時間かかって博多にたどり着いた話を書きました。宿はとってなかったので、行き当たりばったり、観光ＭＡＰにダイワロイネットホテル祇園が載っていたので、直接行ってチェックイン。ＰＣ据え付けの部屋があり、そこで一昨日のブログ書いたわけです。ただ、ＰＣの調子が悪く、書いた記事がきちんとアップできず、実は尻切れトンボだったのです。

・昨日は、９時前起床、インターネットで、阪九フェリーを予約してからチェックアウト。博多から鈍行で門司港まで行きました。ちょうどお昼。門司港地ビール工房というところで、ランチ（もちろんひとりさびしく）。このお店、『もやしもん』第８巻にほんのちらりと登場しているのです。それはさておき、エールとヴァイツェン飲みました。エールはおいしい！ヴァイツェンもおいしいが、ちょっと甘ったるすぎたような。また、エールは飲みたいですね。あとは、門司港散策ですね。途中２５分の観光クルージングしたり、関門海峡ミュージアム入ったり。今回やっと下関と門司や小倉等の位置関係がわかりました。関門海峡は、Ｓ字状で、下関側と門司側が凹凸のようになっていたんですね。どうもその辺わかってなくて．．．今回地理の勉強になりました。また、ミュージアムで、門司港から船への荷の積み下ろしの模型がありましたが、昔の労働者はこういう労働だったのかとこれまた勉強になりました。（思いっきり重筋労働ですね）１６時に門司港を離れ、門司へ。そこからバスで新門司港へ。（門司港と新門司港が結構離れているのも初めて知りました）そこから、阪九フェリーで泉大津まで、船の旅です。（１７時３０分から翌朝５時４０分まで）夕方、ずっとデッキにいて、空を眺めていました。ちょうど日没で空と海の色が段々変っていく風景をみていました。こんなに長時間景色を眺めることはなかったですね。夕焼けの赤、そして、空の色が青、紺、紫、赤紫等何色にもなっていて、きれいでした。恋人と見れたら素晴らしいのに。（タイムマシーンで若くなることを想像。ただし、若いと今と感性もちがうだろうが）あとは、船で夕食。入浴。読書とＴＶ（ＢＳで、スクリーンミュージックの特集のようなものや青江美奈の生涯のような番組見てました）ただ、あまり眠れなかったですね。

・で、５時４０分に泉大津の港について、バスで南海の駅まで。そこから難波まで。で、２４時間営業の食堂で朝食を食べたあと、いまこのブログを書いているネットカフェにたどり着きました。さすがに本日は、帰宅しないといけないと思っています。梅田で映画見て、ビルギービール飲んで、お土産買って帰宅するつもりです。それでは、皆さん、また、明日。（と思う）

 

 

 

 

 

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