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Naumann L, Feist E, Natusch A, Langen S, Krause A, Buttgereit F, Burmester GR. IL1-receptor antagonist anakinra provides long-lasting efficacy in the treatment of refractory adult-onset Still’s disease. Ann Rheum Dis 2010; 69:466-7. [PMID: 20107032 DOI: 10.1136/ard.2009.108068] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Naumann L, Huscher D, Detert J, Spengler M, Burmester GR, Buttgereit F. Anti-tumour necrosis factor {alpha} therapy in patients with rheumatoid arthritis results in a significant and long-lasting decrease of concomitant glucocorticoid treatment. Ann Rheum Dis 2009; 68:1934-6. [PMID: 19910303 DOI: 10.1136/ard.2009.111807] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Leipig M, Naumann L, Schramme C, Hermanns W. Investigation of an Outbreak of Bovine Tuberculosis Caused by Mycobacterium caprae in a Bavarian Flock. J Comp Pathol 2009. [DOI: 10.1016/j.jcpa.2009.08.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Agakishiev G, Balanda A, Bassini R, Belver D, Belyaev AV, Blanco A, Böhmer M, Boyard JL, Braun-Munzinger P, Cabanelas P, Castro E, Chernenko S, Christ T, Destefanis M, Díaz J, Dohrmann F, Dybczak A, Eberl T, Fabbietti L, Fateev OV, Finocchiaro P, Fonte P, Friese J, Fröhlich I, Galatyuk T, Garzón JA, Gernhäuser R, Gil A, Gilardi C, Golubeva M, González-Díaz D, Guber F, Hennino T, Holzmann R, Iori I, Ivashkin A, Jurkovic M, Kämpfer B, Kanaki K, Karavicheva T, Kirschner D, Koenig I, Koenig W, Kolb BW, Kotte R, Krizek F, Krücken R, Kühn W, Kugler A, Kurepin A, Lang S, Lange JS, Lapidus K, Liu T, Lopes L, Lorenz M, Maier L, Mangiarotti A, Markert J, Metag V, Michalska B, Michel J, Mishra D, Morinière E, Mousa J, Müntz C, Naumann L, Otwinowski J, Pachmayer YC, Palka M, Parpottas Y, Pechenov V, Pechenova O, Pietraszko J, Przygoda W, Ramstein B, Reshetin A, Roy-Stephan M, Rustamov A, Sadovsky A, Sailer B, Salabura P, Schmah A, Sobolev YG, Spataro S, Spruck B, Ströbele H, Stroth J, Sturm C, Sudol M, Tarantola A, Teilab K, Tlusty P, Traxler M, Trebacz R, Tsertos H, Wagner V, Weber M, Wisniowski M, Wojcik T, Wüstenfeld J, Yurevich S, Zanevsky YV, Zhou P, Zumbruch P. Deep subthreshold Xi;{-} production in Ar + KCl reactions at 1.76A GeV. PHYSICAL REVIEW LETTERS 2009; 103:132301. [PMID: 19905504 DOI: 10.1103/physrevlett.103.132301] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2009] [Indexed: 05/28/2023]
Abstract
We report first results on a deep subthreshold production of the doubly strange hyperon Xi;{-} in a heavy-ion reaction. At a beam energy of 1.76A GeV the reaction Ar + KCl was studied with the High Acceptance Di-Electron Spectrometer at SIS18/GSI. A high-statistics and high-purity Lambda sample was collected, allowing for the investigation of the decay channel Xi;{-} --> Lambdapi;{-}. The deduced Xi;{-}/(Lambda + Sigma;{0}) production ratio of (5.6 +/- 1.2_{-1.7};{+1.8}) x 10;{-3} is significantly larger than available model predictions.
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Sahrbacher U, Naumann L, Reischl U, Schölmerich J, Glück T. Reduced TH-1 cytokine release in an adult patient with chronic relapsing Mycobacterium malmoense infection. Infection 2007; 35:282-6. [PMID: 17646921 DOI: 10.1007/s15010-007-4101-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2004] [Accepted: 11/04/2006] [Indexed: 11/29/2022]
Abstract
An unusual course of infection with Mycobacterium malmoense is described in a patient receiving chronic but mild immunosuppressive therapy for rheumatoid arthritis. Symptoms mimicking Crohn's disease deteriorated under intensified immunosuppression and surgery. Judging from the patient's course under treatment specific for M. malmoense, the gastrointestinal symptoms were rather manifestations of a chronic relapsing mycobacterial infection. Detailed immunological investigation of the patient revealed a severely impaired TH-1 cytokine response as the immunological background for this uncommon course.
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Ludwig MS, Fischer R, Hautmann W, Höller C, Naumann L, Rinder H, Sing A, Stocker U, Wildner M, Liebl B, Lutz E, Weigl L. Konzept zur Verbesserung der Impfraten in Bayern. DAS GESUNDHEITSWESEN 2007. [DOI: 10.1055/s-2007-982800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Agakichiev G, Agodi C, Alvarez-Pol H, Bałanda A, Bertini D, Bielcik J, Bellia G, Böhmer M, Bokemeyer H, Boyard JL, Braun-Munzinger P, Cabanelas P, Chernenko S, Christ T, Coniglione R, Cosentino L, Díaz J, Dohrmann F, Durán I, Eberl T, Enghardt W, Fabbietti L, Fateev O, Fernandez C, Finocchiaro P, Friese J, Fröhlich I, Fuentes B, Garabatos C, Garzón JA, Gernhäuser R, Gilardi C, Golubeva M, González-Díaz D, Grosse E, Guber F, Hennino T, Hlavac S, Holzmann R, Homolka J, Ierusalimov A, Iori I, Ivashkin A, Jaskuła M, Jurkovic M, Kagarlis M, Kajetanowicz M, Kämpfer B, Kanaki K, Karavicheva T, Kastenmüller A, Kidoń L, Kienle P, Koenig I, Koenig W, Körner HJ, Kolb BW, Kotte R, Krücken R, Kugler A, Kühn W, Kulessa R, Kurepin A, Lang S, Lange S, Lehnert J, Lins E, Magestro D, Maiolino C, Malarz A, Markert J, Metag V, Mousa J, Münch M, Müntz C, Naumann L, Nekhaev A, Novotny J, Otwinowski J, Pachmayer YC, Pechenov V, Pérez T, Piattelli P, Pietraszko J, Pleskac R, Płoskoń M, Pospísil V, Prokopowicz W, Przygoda W, Ramstein B, Reshetin A, Ritman J, Roy-Stephan M, Rustamov A, Sadovsky A, Sailer B, Salabura P, Sánchez M, Sapienza P, Schmah A, Schön H, Schön W, Schröder C, Schwab E, Simon RS, Smolyankin V, Smykov L, Spataro S, Spruck B, Ströbele H, Stroth J, Sturm C, Sudoł M, Suk M, Taranenko A, Tlusty P, Toia A, Traxler M, Tsertos H, Vassiliev D, Vázquez A, Wagner V, Waluś W, Wiśniowski M, Wójcik T, Wüstenfeld J, Zanevsky Y, Zeitelhack K, Zovinec D, Zumbruch P. Dielectron production in 12C+12C collisions at 2A GeV with the HADES spectrometer. PHYSICAL REVIEW LETTERS 2007; 98:052302. [PMID: 17358850 DOI: 10.1103/physrevlett.98.052302] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2006] [Indexed: 05/14/2023]
Abstract
The invariant-mass spectrum of e+e- pairs produced in 12C+12C collisions at an incident energy of 2 GeV per nucleon has been measured for the first time. The measured pair production probabilities span over 5 orders of magnitude from the pi(0)-Dalitz to the rho/omega invariant-mass region. Dalitz decays of pi(0) and eta account for all the yield up to 0.15 GeV/c(2), but for only about 50% above this mass. A comparison with model calculations shows that the excess pair yield is likely due to baryon-resonance and vector-meson decays. Transport calculations based on vacuum spectral functions fail, however, to describe the entire mass region.
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Möbius P, Lentzsch P, Moser I, Naumann L, Martin G, Köhler H. Comparative macrorestriction and RFLP analysis of Mycobacterium avium subsp. avium and Mycobacterium avium subsp. hominissuis isolates from man, pig, and cattle. Vet Microbiol 2006; 117:284-91. [PMID: 16797885 DOI: 10.1016/j.vetmic.2006.05.005] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2005] [Revised: 05/08/2006] [Accepted: 05/11/2006] [Indexed: 10/24/2022]
Abstract
In Germany, tuberculous lesions in slaughtered pigs due to infection with members of the Mycobacterium avium complex are increasingly reported. Contaminated food originating from pig or other livestock is discussed as potential source of human infection. M. avium isolates from man (n=45), pig (n=29), and cattle (n=13) were characterised by restriction fragment length polymorphism (RFLP) with respect to insertion sequences IS1245 and IS901 as well as by XbaI-based pulsed-field gel electrophoresis (PFGE) and the results were compared by computer cluster correlation analysis, to determine potential sources of infection in man. By PCR, 55% of animal isolates was identified as M. avium subsp. avium, and 45% as M. a. hominissuis. All human isolates belonged to M. a. hominissuis. IS1245-RFLP and PFGE resulted in two distinct main groupings reflecting the two subspecies, and dividing the isolates into several subgroups. Animal isolates of M. a. hominissuis were widely distributed within the subgroups of human isolates. M. a. avium isolates, further discriminated by IS901-RFLP, formed host-associated subgroups for animals. Comparison of RFLP patterns with those of PFGE resulted in different subgroups as well as different pairs of isolates with high similarities. Only two isolates exhibited identical patterns by both methods. In general, results of both methods support the possibility that M. a. hominissuis isolates from livestock represent a source of infection for man, probably by common environmental reservoirs. There was no evidence of human infections caused by M. a. avium in Germany.
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Sagebiel D, Niemann S, Loddenkemper R, Diel R, Feldmann K, Haas W, Heykes-Uden H, Loytved G, Mauch H, Meywald-Walter K, Müller-Meudtner S, Naumann L, Pregler M, Rehder-Schlungbaum E, Roth A, Rüsch-Gerdes S, Schulze A, Thamm W, Wolf H. Untersuchungen zur Tuberkulose in Deutschland: Diagnoseverzögerung, Behandlung und Medikamentenresistenz. Pneumologie 2006. [DOI: 10.1055/s-2006-934019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Scheinast W, Böttcher I, Debowski M, Dohrmann F, Förster A, Grosse E, Koczoń P, Kohlmeyer B, Laue F, Menzel M, Naumann L, Schwab E, Senger P, Shin Y, Ströbele H, Sturm C, Surówka G, Uhlig F, Wagner A, Waluś W, Kämpfer B, Barz HW. In-medium effects on phase space distributions of antikaons measured in proton-nucleus collisions. PHYSICAL REVIEW LETTERS 2006; 96:072301. [PMID: 16606077 DOI: 10.1103/physrevlett.96.072301] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/03/2005] [Indexed: 05/08/2023]
Abstract
Differential production cross sections of K+/- mesons have been measured in p + C and p + Au collisions at 1.6, 2.5, and 3.5 GeV proton beam energy. At beam energies close to the production threshold, the K- multiplicity is strongly enhanced with respect to proton-proton collisions. According to microscopic transport calculations, this enhancement is caused by two effects: the strangeness exchange reaction NY --> K- NN and an attractive in-medium K- N potential at saturation density.
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Uhlig F, Förster A, Böttcher I, Debowski M, Dohrmann F, Grosse E, Koczoń P, Kohlmeyer B, Laue F, Menzel M, Naumann L, Oeschler H, Scheinast W, Schwab E, Senger P, Shin Y, Ströbele H, Sturm C, Surówka G, Wagner A, Waluś W. Observation of different azimuthal emission patterns of K+ and of K- mesons in heavy-ion collisions at 1-2 A GeV. PHYSICAL REVIEW LETTERS 2005; 95:012301. [PMID: 16090609 DOI: 10.1103/physrevlett.95.012301] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2004] [Indexed: 05/03/2023]
Abstract
Azimuthal distributions of pi+, K+, and K- mesons have been measured in Au+Au reactions at 1.5A GeV and Ni+Ni reactions at 1.93 A GeV. In semicentral collisions at midrapidity, pi+ and K+ mesons are emitted preferentially perpendicular to the reaction plane in both collision systems. In contrast for K- mesons in Ni+Ni reactions, an in-plane elliptic flow was observed for the first time at these incident energies.
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Meyer S, Naumann L, Landthaler M, Vogt T. Lupus vulgaris caused by Mycobacterium bovis ssp. caprae. Br J Dermatol 2005; 153:220-2. [PMID: 16029364 DOI: 10.1111/j.1365-2133.2005.06673.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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38
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Werner B, Ellermeier C, Naumann L, Pfeifer M. Epidemiologische Studie bei 109 Tuberkulosefällen im Regierungsbezirk Oberfalz basierend auf Spoligotyping. Pneumologie 2005. [DOI: 10.1055/s-2005-864515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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39
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Werner B, Ellermeier C, Naumann L, Pfeifer M. Case-Report: Lungentuberkulose einer MTA – Nachweis von 3 Neuinfektionen durch Spoligotyping. Pneumologie 2005. [DOI: 10.1055/s-2005-864338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Regnet T, Pregler M, Naumann L, Lehn N. Einfluss der BCG-Impfung auf die Reaktivität der Tuberkulin-Testung bei Personen in der Oberpfalz. DAS GESUNDHEITSWESEN 2005. [DOI: 10.1055/s-2005-865581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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41
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Naumann L, Blaas S, Rinder H, Ellermeier C. Moxifloxacin als neue Möglichkeit zur Behandlung von MDR M. tuberculosis. DAS GESUNDHEITSWESEN 2005. [DOI: 10.1055/s-2005-865580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Ellermeier C, Naumann L, Werner B, Böhm S, Sola C, Lehn N, Rastogi N, Pfeifer M. Tuberkulose in der Oberpfalz. DAS GESUNDHEITSWESEN 2005. [DOI: 10.1055/s-2005-865582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Förster A, Uhlig F, Böttcher I, Debowski M, Dohrmann F, Grosse E, Koczoń P, Kohlmeyer B, Laue F, Menzel M, Naumann L, Oeschler H, Scheinast W, Schwab E, Senger P, Shin Y, Ströbele H, Sturm C, Surówka G, Wagner A, Waluś W. First evidence for different freeze-out conditions for kaons and antikaons observed in heavy-ion collisions. PHYSICAL REVIEW LETTERS 2003; 91:152301. [PMID: 14611460 DOI: 10.1103/physrevlett.91.152301] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2002] [Indexed: 05/24/2023]
Abstract
Differential production cross sections of K- and K+ mesons have been measured in Ni+Ni and Au+Au collisions at a beam energy of 1.5 A GeV. The K(-)/K(+) ratio is found to be nearly constant as a function of the collision centrality and system size. The spectral slopes and the polar emission pattern differ for K- and K+ mesons. These observations indicate that K+ mesons decouple earlier from the fireball than K- mesons.
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Blaas SH, Böhm S, Martin G, Erler W, Glück T, Lehn N, Naumann L. Pericarditis as primary manifestation of Mycobacterium bovis SSP. caprae infection. Diagn Microbiol Infect Dis 2003; 47:431-3. [PMID: 14522518 DOI: 10.1016/s0732-8893(03)00134-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
A 76-year-old white male presented with progressive malaise, weight loss and dyspnea at rest. Echocardiography revealed a circular pericardial effusion and global hypokinesia. Pericardiocentesis showed a purulent exudate and microbiologic examination revealed Mycobacterium bovis fully sensitive to isoniazid, streptomycin, ethambutol, rifampin, and pyrazinamide. By spoligotyping the isolate could be further differentiated to M. bovis ssp. caprae. Antimycobacterial therapy was initiated but 3 weeks later the patient's circulation and renal function deteriorated and he died with clinical signs of sepsis despite intensive care treatment. Pericarditis is a rare manifestation of tuberculosis and can be fatal even when diagnosed and treated appropriately. In low incidence countries diagnosis is often delayed and even overlooked.
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Erler W, Kahlau D, Martin G, Naumann L, Schimmel D, Weber A. [The epizootiology of tuberculosis of cattle in the Federal Republic of Germany]. BERLINER UND MUNCHENER TIERARZTLICHE WOCHENSCHRIFT 2003; 116:288-92. [PMID: 12894682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
Abstract
Mycobacterial strains from different outbreaks of tuberculosis of cattle in Germany from 1996 to 2001 were differentiated by two molecular biological methods (Spoligotyping, RFLP IS6110). The causative agent was in one case Mycobacterium (M.) africanum, in 10 cases M. bovis and in 17 cases M. bovis ssp. caprae, respectively. The results of the molecular biological methods are discussed from the perspective of epizootiology and the particular importance of infections by M. bovis ssp. caprae emphasized. Direct contact of the animals, purchase from infected stocks, infected zoo animals and wildlife, as well as livestock handlers are discussed as possible sources of infection.
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Sturm C, Böttcher I, D&ecedil;bowski M, Förster A, Grosse E, Koczoń P, Kohlmeyer B, Laue F, Mang M, Naumann L, Oeschler H, Pühlhofer F, Schwab E, Senger P, Shin Y, Speer J, Ströbele H, Surówka G, Uhlig F, Wagner A, Waluś W. Evidence for a Soft Nuclear Equation-of-State from Kaon Production in Heavy-Ion Collisions. PHYSICAL REVIEW LETTERS 2001; 86:39-42. [PMID: 11136088 DOI: 10.1103/physrevlett.86.39] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2000] [Indexed: 05/23/2023]
Abstract
The production of pions and kaons has been measured in 197Au+197Au collisions at beam energies from 0.6 to 1.5A GeV with the kaon spectrometer at SIS/GSI. The K+ meson multiplicity per nucleon is enhanced in Au+Au collisions by factors up to 6 relative to C+C reactions, whereas the corresponding pion ratio is reduced. The ratio of the K+ meson excitation functions for Au+Au and C+C collisions increases with decreasing beam energy. This behavior is expected for a soft nuclear equation-of-state.
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Roth A, Reischl U, Schönfeld N, Naumann L, Emler S, Fischer M, Mauch H, Loddenkemper R, Kroppenstedt RM. Mycobacterium heckeshornense sp. nov., A new pathogenic slowly growing Mycobacterium sp. Causing cavitary lung disease in an immunocompetent patient. J Clin Microbiol 2000; 38:4102-7. [PMID: 11060075 PMCID: PMC87548 DOI: 10.1128/jcm.38.11.4102-4107.2000] [Citation(s) in RCA: 57] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
A pathogenic scotochromogenic Mycobacterium xenopi-like organism was isolated from the lung of an immunocompetent young woman. This pathogen caused severe bilateral cavitary lung disease, making two surgical interventions necessary after years of chronic disease. This case prompted us to characterize this mycobacterium by a polyphasic taxonomic approach. The isolate contained chemotaxonomic markers which were typical for the genus Mycobacterium, i.e., the meso isomer of 2,6-diaminopimelic acid, arabinose, and galactose as diagnostic whole-cell sugars, MK-9(H(2)) as the principal isoprenoid quinone, a mycolic acid pattern of alpha-mycolates, ketomycolates, and wax ester mycolates, unbranched saturated and unsaturated fatty acids plus a significant amount of tuberculostearic acid, and small amounts of a C(20:0) secondary alcohol. On the basis of its unique 16S rRNA and 16S-23S spacer gene sequences, we propose that the isolate should be assigned to a new species, Mycobacterium heckeshornense. This novel species is phylogenetically closely related to M. xenopi. The type strain of M. heckeshornense is strain S369 (DSM 44428(T)). The GenBank accession number of the 16S rRNA gene of M. heckeshornense is AF174290.
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Roth A, Reischl U, Streubel A, Naumann L, Kroppenstedt RM, Habicht M, Fischer M, Mauch H. Novel diagnostic algorithm for identification of mycobacteria using genus-specific amplification of the 16S-23S rRNA gene spacer and restriction endonucleases. J Clin Microbiol 2000; 38:1094-104. [PMID: 10699003 PMCID: PMC86348 DOI: 10.1128/jcm.38.3.1094-1104.2000] [Citation(s) in RCA: 196] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
A novel genus-specific PCR for mycobacteria with simple identification to the species level by restriction fragment length polymorphism (RFLP) was established using the 16S-23S ribosomal RNA gene (rDNA) spacer as a target. Panspecificity of primers was demonstrated on the genus level by testing 811 bacterial strains (122 species in 37 genera from 286 reference strains and 525 clinical isolates). All mycobacterial isolates (678 strains among 48 defined species and 5 indeterminate taxons) were amplified by the new primers. Among nonmycobacterial isolates, only Gordonia terrae was amplified. The RFLP scheme devised involves estimation of variable PCR product sizes together with HaeIII and CfoI restriction analysis. It yielded 58 HaeIII patterns, of which 49 (84%) were unique on the species level. Hence, HaeIII digestion together with CfoI results was sufficient for correct identification of 39 of 54 mycobacterial taxons and one of three or four of seven RFLP genotypes found in Mycobacterium intracellulare and Mycobacterium kansasii, respectively. Following a clearly laid out diagnostic algorithm, the remaining unidentified organisms fell into five clusters of closely related species (i.e., the Mycobacterium avium complex or Mycobacterium chelonae-Mycobacterium abscessus) that were successfully separated using additional enzymes (TaqI, MspI, DdeI, or AvaII). Thus, next to slowly growing mycobacteria, all rapidly growing species studied, including M. abscessus, M. chelonae, Mycobacterium farcinogenes, Mycobacterium fortuitum, Mycobacterium peregrinum, and Mycobacterium senegalense (with a very high 16S rDNA sequence similarity) were correctly identified. A high intraspecies sequence stability and the good discriminative power of patterns indicate that this method is very suitable for rapid and cost-effective identification of a wide variety of mycobacterial species without the need for sequencing. Phylogenetically, spacer sequence data stand in good agreement with 16S rDNA sequencing results, as was shown by including strains with unsettled taxonomy. Since this approach recognized significant subspecific genotypes while identification of a broad spectrum of mycobacteria rested on identification of one specific RFLP pattern within a species, this method can be used by both reference (or research) and routine laboratories.
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MESH Headings
- Algorithms
- Base Sequence
- Conserved Sequence
- DNA Primers
- DNA, Bacterial/genetics
- DNA, Ribosomal/genetics
- Deoxyribonucleases, Type II Site-Specific
- Humans
- Molecular Sequence Data
- Mycobacterium/classification
- Mycobacterium/genetics
- Mycobacterium/isolation & purification
- Mycobacterium Infections/diagnosis
- Mycobacterium Infections/microbiology
- Mycobacterium avium Complex/classification
- Mycobacterium avium Complex/genetics
- Mycobacterium avium Complex/isolation & purification
- Polymorphism, Restriction Fragment Length
- RNA, Bacterial/genetics
- RNA, Ribosomal, 16S/genetics
- RNA, Ribosomal, 23S/genetics
- Restriction Mapping
- Sequence Alignment
- Sequence Homology, Nucleic Acid
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Samra Z, Kaufmann L, Zeharia A, Ashkenazi S, Amir J, Bahar J, Reischl U, Naumann L. Optimal detection and identification of Mycobacterium haemophilum in specimens from pediatric patients with cervical lymphadenopathy. J Clin Microbiol 1999; 37:832-4. [PMID: 9986869 PMCID: PMC84575 DOI: 10.1128/jcm.37.3.832-834.1999] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Acid-fast bacilli from pediatric patients with lymphadenopathy were detected in the BACTEC radiometric system and in MB Redox broth, but not on Löwenstein Jensen medium. PCR amplification identified the isolates as Mycobacterium haemophilum, which has special nutrition requirements (iron supplements) for growth. Suitable culture medium ensures optimal recovery of this microorganism, avoiding underdiagnosis.
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Reischl U, Emler S, Horak Z, Kaustova J, Kroppenstedt RM, Lehn N, Naumann L. Mycobacterium bohemicum sp. nov., a new slow-growing scotochromogenic mycobacterium. INTERNATIONAL JOURNAL OF SYSTEMATIC BACTERIOLOGY 1998; 48 Pt 4:1349-55. [PMID: 9828436 DOI: 10.1099/00207713-48-4-1349] [Citation(s) in RCA: 38] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
A new, slow-growing, scotochromogenic mycobacterium was isolated from sputum of a 53-year-old patient with Down's syndrome suffering from tuberculosis. Growth occurred at temperatures between 25 and 40 degrees C with an optimum at 37 degrees C. This strain had surprisingly few enzymic activities (only positive for 68 degrees C heat-stable catalase and weakly positive for urease) and was sensitive to prothionamide, cycloserine, clarithromycin, gentamicin and amikacin but showed resistance to isoniazid, streptomycin, ethambutol, rifampin and ciprofloxacin. These characteristics assign this organism to a novel mycobacterial species characterized by a unique 16S rDNA nucleotide sequence. The name Mycobacterium bohemicum sp. nov. is proposed for this new, slow-growing, scotochromogenic mycobacterium. The type strain is DSM 44277T.
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