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Rylander H, Djani DM, Cameron S. Case Report: Bordetella bronchiseptica Meningoencephalomyelitis in a Dog. Front Vet Sci 2022; 9:852982. [PMID: 35450135 PMCID: PMC9016330 DOI: 10.3389/fvets.2022.852982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Accepted: 02/11/2022] [Indexed: 12/02/2022] Open
Abstract
A 15-month-old male neutered Wirehaired Pointer mixed-breed dog presented with fever and cervical pain. Cerebrospinal fluid (CSF) analysis showed neutrophilic pleocytosis with intracellular bacteria, and culture of CSF grew Bordetella bronchiseptica. The patient became non-ambulatory 3 days after CSF collection. He was treated with low-dose prednisone for 3.5 months and doxycycline for 1 year. Recheck CSF analysis 1 month after diagnosis showed reduction of inflammation and 3 months after diagnosis revealed only increased protein. The patient improved neurologically over several months and was weakly ambulatory 5 months and fully ambulatory 7 months after diagnosis. Whole genome sequencing of the bacterial isolate and a live modified intranasal vaccine similar to the one the dog had been vaccinated with 7 weeks before diagnosis was similar but not an exact match. Bacterial meningitis should be considered, and culture of CSF is recommended, in cases of neutrophilic pleocytosis of CSF.
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Affiliation(s)
| | - Dylan M Djani
- University of Wisconsin-Madison, Madison, WI, United States
| | - Starr Cameron
- University of Wisconsin-Madison, Madison, WI, United States
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Radcliffe C, Lier A, Doilicho N, Parikh S, Kaddouh F. Bordetella bronchiseptica: a rare cause of meningitis. BMC Infect Dis 2020; 20:922. [PMID: 33272197 PMCID: PMC7713019 DOI: 10.1186/s12879-020-05668-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Accepted: 11/27/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Bordetella bronchiseptica is a gram-negative, obligate aerobic coccobacillus known to cause disease in domesticated animals and pets. In humans, B. bronchiseptica commonly leads to respiratory infections like pneumonia or bronchitis, and animal contact usually precedes the onset of symptoms. CASE PRESENTATION We report a case of post-traumatic B. bronchiseptica meningitis without recent surgery in the setting of immunosuppression with a monoclonal antibody. Our case concerns a 77-year-old male with ulcerative colitis on infliximab who sustained a mechanical fall and developed a traumatic cerebrospinal fluid leak complicated by meningitis. He received meropenem then ceftazidime during his hospital course, and temporary neurosurgical drain placement was required. His clinical condition improved, and he was discharged at his baseline neurological status. CONCLUSIONS B. bronchiseptica is an unusual cause of meningitis that may warrant consideration in immunocompromised hosts with known or suspected animal exposures. To better characterize this rare cause of meningitis, we performed a systematic literature review and summarized all previously reported cases.
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Affiliation(s)
- Christopher Radcliffe
- Yale School of Medicine, 15th York Street, LLCI 10th floor, P.O. Box 208018, New Haven, CT, 06520, USA
| | - Audun Lier
- Department of Internal Medicine, Section of Infectious Diseases, Yale New Haven Hospital, New Haven, CT, USA
| | - Natnael Doilicho
- Yale School of Medicine, 15th York Street, LLCI 10th floor, P.O. Box 208018, New Haven, CT, 06520, USA
| | - Sunil Parikh
- Yale School of Medicine, 15th York Street, LLCI 10th floor, P.O. Box 208018, New Haven, CT, 06520, USA.,Department of Internal Medicine, Section of Infectious Diseases, Yale New Haven Hospital, New Haven, CT, USA
| | - Firas Kaddouh
- Yale School of Medicine, 15th York Street, LLCI 10th floor, P.O. Box 208018, New Haven, CT, 06520, USA. .,Department of Neurology, Division of Neurocritical Care and Emergency Neurology, Yale New Haven Hospital, New Haven, CT, USA.
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Woods P, Ordemann K, Stanecki C, Brown J, Uzodi A. Bordetella bronchiseptica Pneumonia in an Adolescent: Case Report and Review of the Pediatric Literature. Clin Pediatr (Phila) 2020; 59:322-328. [PMID: 31876162 DOI: 10.1177/0009922819897355] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Pamela Woods
- Children's International Pediatric Clinic, Hammond, LA, USA
| | - Kelly Ordemann
- Our Lady of the Lake Children's Hospital, Baton Rouge, LA, USA
| | | | - Jessica Brown
- Our Lady of the Lake Children's Hospital, Baton Rouge, LA, USA
| | - Adaora Uzodi
- Our Lady of the Lake Children's Hospital, Baton Rouge, LA, USA
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Isolation of Bordetella bronchiseptica from blood and a pancreatic abscess. J Clin Microbiol 2015; 53:1778-80. [PMID: 25740781 DOI: 10.1128/jcm.00175-15] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2015] [Accepted: 02/26/2015] [Indexed: 11/20/2022] Open
Abstract
Bordetella bronchiseptica is a respiratory pathogen rarely encountered in human hosts. We describe a case of bacteremia and pancreatic abscess caused by this organism. To our knowledge, this is the first reported case of B. bronchiseptica causing intra-abdominal infection in the form of an abscess.
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Abstract
Bordetella bronchiseptica bacteremia is often associated with various infection in animals. The majority of B bronchiseptica infections reported in humans are cases of pneumonia. Very few cases have been reported in patients with a history of acquired immune deficiency syndrome (AIDS). The patient described herein, who had a history of AIDS, was likely infected with B bronchiseptica as a result of his hemodialysis catheter. The patient was successfully treated with antibiotics without the removal of the catheter.
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Ner Z, Ross LA, Horn MV, Keens TG, MacLaughlin EF, Starnes VA, Woo MS. Bordetella bronchiseptica infection in pediatric lung transplant recipients. Pediatr Transplant 2003; 7:413-7. [PMID: 14738306 DOI: 10.1034/j.1399-3046.2003.00074.x] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Bordetella bronchiseptica are small, pleomorphic Gram-negative coccobacilli which are commensal organisms in the upper respiratory tract of many wild and domestic animals ('kennel cough' in dogs). While it is common for health care providers to ask about exposure to ill family/friends, most do not routinely inquire about the health or immunization status of household pets. We report two cases of B. bronchiseptica pneumonia in lung transplant recipients [cystic fibrosis (CF); ages 10 and 15 yr; one male] who contracted B. bronchiseptica from pet dogs. We compared their course and outcome to four children (two CF, one congenital heart disease and one Duchenne's muscular dystrophy; four males, age range 6 months to 14 yr) with B. bronchiseptica cultured from the respiratory tract. Two of the four patients also acquired their illnesses from pet dogs and two from unknown sources. One lung transplant recipient expired from progressive respiratory failure. We conclude that B. bronchiseptica can cause serious infections in both immunosuppressed and immunocompetent children. We speculate that a detailed history of exposure to ill pets (particularly dogs), and the immunization status of all pets should be included in the routine evaluation of all pediatric transplant recipients.
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Affiliation(s)
- Zarah Ner
- Division of Pediatric Pulmonology, Department of Pediatrics, Childrens Hospital Los Angeles, Keck-USC School of Medicine, Los Angeles, CA 90027, USA
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Lo Re V, Brennan PJ, Wadlin J, Weaver R, Nachamkin I. Infected branchial cleft cyst due to Bordetella bronchiseptica in an immunocompetent patient. J Clin Microbiol 2001; 39:4210-2. [PMID: 11682564 PMCID: PMC88521 DOI: 10.1128/jcm.39.11.4210-4212.2001] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
A healthy 23-year-old man with fever and a tender mass in his right anterior neck was found to have a branchial cleft cyst infected with Bordetella bronchiseptica. Initial testing suggested a Brucella species, but further laboratory testing identified the organism definitively. B. bronchiseptica infection in healthy adults is an unusual event.
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Affiliation(s)
- V Lo Re
- Division of Infectious Diseases, Department of Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104-4283, USA
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Matschke J, Tsokos M. Post-traumatic meningitis: histomorphological findings, postmortem microbiology and forensic implications. Forensic Sci Int 2001; 115:199-205. [PMID: 11074175 DOI: 10.1016/s0379-0738(00)00328-5] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Infections of the leptomeninges with the infectious agent gaining access to the intracranial compartment by traumatic means are termed post-traumatic. In cases with fatal outcome, the manner of death has to be classified as non-natural. Six cases of post-traumatic meningitis as the cause of death from the archives of the Institute of Legal Medicine in Hamburg, Germany with histological and microbiological investigations are presented. There were all males, age varying between 24 and 90 years (mean 58 years); range of the interval between original trauma and beginning of symptoms was 2 days up to 8 years; in 50% of the cases meningeal swabs yielded Streptococcus pneumoniae. Findings concerning origin and mechanism of post-traumatic meningitis as well as microbiological studies are compared with selected cases from the literature.
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Affiliation(s)
- J Matschke
- Institute of Legal Medicine, University of Hamburg, Butenfeld 34, D-22529, Hamburg, Germany
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Libanore M, Rossi MR, Pantaleoni M, Bicocchi R, Carradori S, Sighinolfi L, Ghinelli F. Bordetella bronchiseptica pneumonia in an AIDS patient: a new opportunistic infection. Infection 1995; 23:312-3. [PMID: 8557395 DOI: 10.1007/bf01716297] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
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Qureshi MN, Lederman J, Neibart E, Bottone EJ. Bordetella bronchiseptica recurrent bacteraemia in the setting of a patient with AIDS and indwelling Broviac catheter. Int J STD AIDS 1992; 3:291-3. [PMID: 1504164 DOI: 10.1177/095646249200300413] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- M N Qureshi
- Clinical Microbiology Laboratories, Mount Sinai Hospital, Mount Sinai Medical Center, New York, NY 10029-6574
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Abstract
This study examines the potential of Bordetella bronchiseptica to act as a human pathogen. After encountering two patients from whom B. bronchiseptica was isolated, we searched the literature and found 23 reports in which a human infection was reported in association with B. bronchiseptica. As a basis for evaluating these cases, we summarize the literature about the current microbiological status of B. bronchiseptica, the pathology and pathogenic mechanisms associated with the microorganism, and the likelihood of it acting as a commensal or colonizer. From this review we conclude that B. bronchiseptica has been rarely isolated from humans despite their considerable exposure to animal sources. Evidence suggests that B. bronchiseptica may be rarely encountered as a commensal or colonizer of the respiratory tract of humans and rarely in association with infection. When found as a probable pathogen, most infections have been respiratory tract in origin and have occurred in severely compromised hosts.
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Affiliation(s)
- B F Woolfrey
- Department of Pathology, St. Paul-Ramsey Medical Center, Minnesota 55101
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Reina J, Bassa A, Llompart I, Borrell N, Gomez J, Serra A. Pneumonia caused by Bordetella bronchiseptica in a patient with a thoracic trauma. Infection 1991; 19:46-8. [PMID: 2013509 DOI: 10.1007/bf01643760] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
We report a case of pneumonia, caused by Bordetella bronchiseptica, in a previously healthy, immunocompetent 37-year-old male patient who had suffered chest injury in a car accident. The patient was admitted to the Intensive Care Unit where endotracheal intubation was performed. Seventy-two hours later he presented with fever associated with pulmonary affection which was diagnosed as right lobar pneumonia. Abundant colonies of B. bronchiseptica were isolated from the pharyngeal exudate and respiratory secretions, suggesting prior oropharyngeal colonization by B. bronchiseptica, as a result of repeated contact with his dog, with subsequent infection of the lower respiratory tract assisted by the process of intubation. We review different human infections produced by B.bronchiseptica as well as the antibiotic susceptibility studies performed.
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Affiliation(s)
- J Reina
- Microbiology Service Hospital Son Dureta, Palma de Mallorca, Spain
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Sinnott JT, Blazejowski C, Bazzini MD. Bordetella bronchiseptica Endocarditis: A tale of a boy and his dog. ACTA ACUST UNITED AC 1989. [DOI: 10.1016/0196-4399(89)90048-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Papasian CJ, Downs NJ, Talley RL, Romberger DJ, Hodges GR. Bordetella bronchiseptica bronchitis. J Clin Microbiol 1987; 25:575-7. [PMID: 3571462 PMCID: PMC265999 DOI: 10.1128/jcm.25.3.575-577.1987] [Citation(s) in RCA: 32] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
The clinical course of a patient with bronchitis caused by Bordetella bronchiseptica is described. The organism was recovered on one occasion from a protected catheter brush specimen obtained at bronchoscopy and on two occasions from expectorated sputum specimens. The infection was eradicated with antimicrobial therapy.
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Abstract
A method for effective induction of phase variation in Bordetella bronchiseptica by treatment with crystal violet (CV) is presented. When grown in CV-broth, phase I cells dissociated into three serial phases. Appearance of variant cells was observed simultaneously with the beginning of cell multiplication. The maximum effect of CV was obtained at a concentration of 8 micrograms/ml, when the proportion of variants in the population reached 100%. The main factors which affected phase variation were concentration of CV, culture age, and temperature of treatment. The phase variants obtained were phenotypically stable upon serial passages on Bordet-Gengou agar plates. By this treatment, no reversion of phase descendants to former phases was observed.
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