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HASHIGUCHI M, SUGI S, MIZUNO Y, HOSHINOO K, KOKUHO T, SHIBAHARA T. Citrobacter koseri related abortion and fetal septicemia in cattle. J Vet Med Sci 2023; 85:1094-1098. [PMID: 37661420 PMCID: PMC10600529 DOI: 10.1292/jvms.23-0199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Accepted: 07/31/2023] [Indexed: 09/05/2023] Open
Abstract
A 31-month-old Holstein dairy cow aborted at 224 days of gestation with ejection of cheese-like lochia. Citrobacter koseri, which commonly exists in the normal flora of human and animal digestive tracts, was isolated from aborted fetal tissues (liver, spleen, kidney, heart, lung, cerebrum, and skeletal muscle) and fetal membranes. Histopathological examination revealed suppurative fibrinous meningoencephalitis of the cerebrum, cerebellum, and brainstem; suppurative bronchopneumonia; suppurative chorioamnionitis; and fibrous splenic serositis. Numerous gram-negative bacilli were detected in the cytoplasm of macrophages and/or neutrophils in these lesions. Bacteriological investigation and immunohistochemical staining identified the bacilli as C. koseri. This is the first report of cattle abortion caused by C. koseri infection in dairy cattle.
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Affiliation(s)
- Miteki HASHIGUCHI
- Kumamoto Prefectural Central Livestock Hygiene Service
Office, Kumamoto, Japan
| | - Shinji SUGI
- Kumamoto Prefectural Office, Kumamoto, Japan
| | - Yoshino MIZUNO
- Kumamoto Prefectural Central Livestock Hygiene Service
Office, Kumamoto, Japan
| | - Kaori HOSHINOO
- Department of Animal Disease Control and Prevention,
National Institute of Animal Health, National Agriculture and Food Research Organization
(NARO), Ibaraki, Japan
| | - Takehiro KOKUHO
- Exotic Disease Research Station, National Institute of
Animal Health, National Agriculture and Food Research Organization (NARO), Tokyo,
Japan
| | - Tomoyuki SHIBAHARA
- Kagoshima Research Station, National Institute of Animal
Health, National Agriculture and Food Research Organization (NARO), Kagoshima, Japan
- Graduate School of Veterinary Sciences, Osaka Metropolitan
University, Osaka, Japan
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Brain Abscess Associated with Polymicrobial Infection after Intraoral Laceration: A Pediatric Case Report. Case Rep Pediatr 2020; 2020:8304302. [PMID: 32231839 PMCID: PMC7085370 DOI: 10.1155/2020/8304302] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Accepted: 02/12/2020] [Indexed: 01/03/2023] Open
Abstract
Brain abscesses, infections within the brain parenchyma, can arise as complications of various conditions including infections, trauma, and surgery. However, brain abscesses due to polymicrobial organisms have rarely been reported in children. We herein report a case of a 9-year-old girl with unresolved congenital cyanotic heart disease (CCHD) presenting with right hemiplegia who was diagnosed with brain abscess caused by Streptococcus intermedius, Parvimonas micra, and Fusobacterium nucleatum after oropharyngeal injury. She was treated with intravenous antimicrobial therapy, drainage under craniotomy, and antiedema therapy with glycerol and goreisan, which led to the improvement of right hemiplegia to baseline; she was discharged following eight weeks of intravenous antimicrobial therapy. The clinical diagnosis of the brain abscess was difficult due to the nonspecific presentation, highlighting the importance of cranial imaging without haste in patients at increased risk for brain abscesses such as those with CCHD, presenting with fever in the absence of localizing symptoms or fever, accompanied with abnormal neurological findings.
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Mameli C, Genoni T, Madia C, Doneda C, Penagini F, Zuccotti G. Brain abscess in pediatric age: a review. Childs Nerv Syst 2019; 35:1117-1128. [PMID: 31062139 DOI: 10.1007/s00381-019-04182-4] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Accepted: 04/28/2019] [Indexed: 02/01/2023]
Abstract
OBJECTIVE The purpose of the paper is to examine the current state of the art about epidemiology, diagnosis, and treatment of this infection. METHODS A review of the literature was performed through a PubMed search of original articles, case reports, and reviews using the key words "brain abscess," "cerebral abscess," "brain infection," "intracranial suppuration," "otogenic brain abscess," "otitis complications," and "sinusitis complications." RESULTS Pediatric brain abscess is a rare but serious infection, often involving patients with specific risk factors and burdened by a high risk of morbidity and mortality. Brain abscess incidence and mortality decreased over the years, thanks to improved antibiotic therapy, new neurosurgical techniques, and the wide spread of vaccinations. There are no guidelines for the adequate diagnostic-therapeutic pathway in the management of brain abscesses; therefore, conflicting data emerge from the literature. In the future, multicentric prospective studies should be performed in order to obtain stronger evidences about brain abscesses management. Over the next few years, changes in epidemiology could be observed because of risk factors changes.
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Affiliation(s)
- Chiara Mameli
- Department of Pediatrics, V. Buzzi Childrens' Hospital, University of Milan, Milan, Italy.
| | - Teresa Genoni
- Department of Pediatrics, V. Buzzi Childrens' Hospital, University of Milan, Milan, Italy
| | - Cristina Madia
- Department of Pediatrics, V. Buzzi Childrens' Hospital, University of Milan, Milan, Italy
| | - Chiara Doneda
- Pediatric Radiology and Neuroradiology Unit, Children Hospital V. Buzzi, Milan, Italy
| | - Francesca Penagini
- Department of Pediatrics, V. Buzzi Childrens' Hospital, University of Milan, Milan, Italy
| | - Gianvincenzo Zuccotti
- Department of Pediatrics, V. Buzzi Childrens' Hospital, University of Milan, Milan, Italy
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Lechowicz M, Dąbek K, Majewska U, Bekesińska-Figatowska M, Borszewska-Kornacka MK, Bokiniec R. Multiple Brain Abscesses Caused by Citrobacter Koseri in a Preterm Neonate - Case Report. Pol J Radiol 2018; 82:837-841. [PMID: 29657652 PMCID: PMC5894052 DOI: 10.12659/pjr.903276] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Accepted: 04/17/2017] [Indexed: 11/09/2022] Open
Abstract
Background Brain abscesses are very rarely diagnosed in neonates, but if present, they are associated with a high risk of severe complications and mortality. In neonates, brain abscesses can be detected on transfontanelle ultrasonography, in which they appear as hyperechogenic lesions surrounded by a hypoechogenic border. Case Report We present a female neonate, born in the 28th week of gestation, with birth weight of 950 grams, who was born in an ambulance by spontaneous vaginal vertex delivery. No signs of infection were present until the 35th day of hospitalization, when a sudden and serious deterioration in the patient’s condition was observed due to late-onset sepsis. Cranial US, performed on the 40th day of life, revealed hyperechogenic lesions with a hypoechogenic halo in the right frontal lobe, which could correspond to brain abscesses. These lesions were caused by Citrobacter koseri septicaemia, identified by transfontanelle ultrasonography, and confirmed on magnetic resonance imaging. The patient recovered and was discharged on the 91th day of life (39 PCA) with a recommendation of permanent neurological surveillance. Conclusions Ultrasonography of the central nervous system can reveal inflammatory changes and developing brain abscesses. In neonates, magnetic resonance imaging should be performed as the method of choice for confirming brain abscesses.
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Affiliation(s)
- Miłosz Lechowicz
- Department of Neonatal and Intensive Care, Medical University of Warsaw, Warsaw, Poland
| | - Katarzyna Dąbek
- Division of Gynaecology and Perinatology, Department of Neonatal, Medical University of Lublin, Lublin, Poland
| | - Urszula Majewska
- Department of Neonatal and Intensive Care, Medical University of Warsaw, Warsaw, Poland
| | | | | | - Renata Bokiniec
- Department of Neonatal and Intensive Care, Medical University of Warsaw, Warsaw, Poland
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Chang PT, Yang E, Swenson DW, Lee EY. Pediatric Emergency Magnetic Resonance Imaging: Current Indications, Techniques, and Clinical Applications. Magn Reson Imaging Clin N Am 2016; 24:449-80. [PMID: 27150329 DOI: 10.1016/j.mric.2015.11.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
MR imaging plays an important role in the detection and characterization of several pediatric disease entities that can occur in the emergent setting because of its cross-sectional imaging capability, lack of ionizing radiation exposure, and superior soft tissue contrast. In the age of as low as reasonably achievable, these advantages have made MR imaging an increasingly preferred modality for diagnostic evaluations even in time-sensitive settings. In this article, the authors discuss the current indications, techniques, and clinical applications of MR imaging in the evaluation of pediatric emergencies.
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Affiliation(s)
- Patricia T Chang
- Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
| | - Edward Yang
- Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
| | - David W Swenson
- Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
| | - Edward Y Lee
- Division of Thoracic Imaging, Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
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Liu HW, Chang CJ, Hsieh CT. Brain abscess caused by Citrobacter koseri infection in an adult. NEUROSCIENCES (RIYADH, SAUDI ARABIA) 2015; 20:170-2. [PMID: 25864072 PMCID: PMC4727638 DOI: 10.17712/nsj.2015.2.20140749] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Citrobacter koseri is a gram-negative bacillus that causes mostly meningitis and brain abscesses in neonates and infants. However, brain abscess caused by Citrobacter koseri infection in an adult is extremely rare, and only 2 cases have been described. Here, we reported a 73-year-old male presenting with a 3-week headache. A history of diabetes mellitus was noted. The images revealed a brain abscess in the left frontal lobe and pus culture confirmed the growth of Citrobacter koseri. The clinical symptoms improved completely postoperatively.
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Affiliation(s)
- Heng-Wei Liu
- Division of Neurosurgery, Department of Surgery, Shin Kong Wu Ho-Su Hospital, Taipei, Taiwan
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Clermont D, Motreff L, Passet V, Fernandez JC, Bizet C, Brisse S. Multilocus sequence analysis of the genus Citrobacter and description of Citrobacter pasteurii sp. nov. Int J Syst Evol Microbiol 2015; 65:1486-1490. [PMID: 25687346 DOI: 10.1099/ijs.0.000122] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Strains originating from various sources and classified as members of the genus Citrobacter within the family Enterobacteriaceae were characterized by sequencing internal portions of genes rpoB, fusA, pyrG and leuS, 16S rRNA gene sequencing, average nucleotide identity (ANI) of genomic sequences and biochemical tests. Phylogenetic analysis based on the four housekeeping genes showed that the 11 species of the genus Citrobacter with validly published names are well demarcated. Strains CIP 55.13(T) and CIP 55.9 formed a distinct branch associated with Citrobacter youngae. The ANI between CIP 55.9 and CIP 55.13(T) was 99.19%, whereas it was 94.75% between CIP 55.13(T) and strain CIP 105016(T) of the species C. youngae, the most closely related species. Biochemical characteristics consolidated the fact that the two isolates represent a separate species, for which the name Citrobacter pasteurii sp. nov. is proposed. The type strain is CIP 55.13(T) ( =DSM 28879(T) =Na 1a(T)).
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Affiliation(s)
| | - Laurence Motreff
- CIP - Collection de l'Institut Pasteur, Institut Pasteur, Paris, France
| | - Virginie Passet
- CNRS, UMR 3525, Paris, France.,Microbial Evolutionary Genomics, Institut Pasteur, Paris, France
| | | | - Chantal Bizet
- CIP - Collection de l'Institut Pasteur, Institut Pasteur, Paris, France
| | - Sylvain Brisse
- CNRS, UMR 3525, Paris, France.,Microbial Evolutionary Genomics, Institut Pasteur, Paris, France
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Komine M, Massa A, Moon L, Mullaney T. Citrobacter koseri septicaemia in a holstein calf. J Comp Pathol 2014; 151:309-13. [PMID: 25242308 DOI: 10.1016/j.jcpa.2014.07.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2014] [Revised: 06/23/2014] [Accepted: 07/25/2014] [Indexed: 11/24/2022]
Abstract
A 4-day-old male Holstein calf with dull mentation, nystagmus and blindness was humanely destroyed and subject to necropsy examination. Gross lesions included severe suppurative meningitis characterized by diffuse cloudy thickening of the meninges, bilateral hypopyon and fibrinosuppurative polyarthritis affecting the hocks. Citrobacter koseri was isolated from the meninges, ocular fluid, synovial fluid, spleen and small intestine. Microscopically, there was neutrophilic and histiocytic meningitis with intralesional bacilli, endophthalmitis, neutrophilic splenitis and multiple renal microabscesses. Failure of passive transfer of colostrum was confirmed. This appears to be the first characterization of septicaemia in a calf caused by C. koseri, with lesions comparable with those described in human neonates.
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Affiliation(s)
- M Komine
- College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824, USA; Pathobiology and Diagnostic Investigation, Diagnostic Center for Population and Animal Health, Michigan State University, Lansing, MI 48910, USA.
| | - A Massa
- College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824, USA
| | - L Moon
- Pathobiology and Diagnostic Investigation, Diagnostic Center for Population and Animal Health, Michigan State University, Lansing, MI 48910, USA
| | - T Mullaney
- College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824, USA; Pathobiology and Diagnostic Investigation, Diagnostic Center for Population and Animal Health, Michigan State University, Lansing, MI 48910, USA
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Deveci A, Coban AY. Optimum management of Citrobacter koseri infection. Expert Rev Anti Infect Ther 2014; 12:1137-42. [DOI: 10.1586/14787210.2014.944505] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Affiliation(s)
- Aydin Deveci
- Department of Infectious Disease and Clinical Microbiology, Medical School, Ondokuz Mayis University,
55139, Samsun, Turkey
| | - Ahmet Yilmaz Coban
- Department of Medical Microbiology, Medical School, Ondokuz Mayis University,
55139, Samsun, Turkey
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