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Gram negative bacteria as possible etiological agents in respiratory diseases and syndromes associated with heating, ventilation and air conditioning (HVAC) systems and humidifying systems are reviewed. A case study of an outbreak of hypersensitivity pneumonitis possibly linked with a gram negative bacterium, Cytophaga, is presented, and sampling and culturing procedures for the enumeration, isolation and identification of gram negative bacteria are discussed.
bacteria, gram negative, respiratory diseases and syndromes, bioaerosols
Professor, University of West Florida, Pensacola, FL