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Ioannou P, Vorria A, Samonis G. Cellulosimicrobium Infections in Humans-A Narrative Review. Antibiotics (Basel) 2024; 13:562. [PMID: 38927228 PMCID: PMC11201038 DOI: 10.3390/antibiotics13060562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2024] [Revised: 06/13/2024] [Accepted: 06/14/2024] [Indexed: 06/28/2024] Open
Abstract
Cellulosimicrobium species (formerly known as Oerskovia) are Gram-positive filamentous bacteria in the family Promicromonosporaceae and are more commonly found in sewage and soil. The present study aimed to identify all the published cases of Cellulosimicrobium species infections in the literature, describe the epidemiological, clinical, and microbiological characteristics, and provide data regarding its antimicrobial resistance, treatment, and outcomes. A narrative review was performed based on a PubMed and Scopus database search. In total, 38 studies provided data on 40 patients with infections by these species. The median age of patients was 52.5 years, and 55% were male. The most common infection types were bacteremia, infective endocarditis (IE), osteoarticular infections, peritoneal dialysis-associated peritonitis, and endophthalmitis. Antimicrobial resistance to vancomycin and the combination of trimethoprim and sulfamethoxazole was minimal, and vancomycin was the most commonly used antimicrobial for treating these infections. Overall mortality was minimal for all infections, except for bacteremia and IE, which carried high mortality rates.
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Affiliation(s)
- Petros Ioannou
- School of Medicine, University of Crete, 71003 Heraklion, Greece
| | | | - George Samonis
- School of Medicine, University of Crete, 71003 Heraklion, Greece
- Metropolitan Hospital, Neon Faliron, 18547 Athens, Greece
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2
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A case report of the differential diagnosis of Cellulosimicrobium cellulans-infected endocarditis combined with intracranial infection by conventional blood culture and second-generation sequencing. BMC Infect Dis 2020; 20:893. [PMID: 33243151 PMCID: PMC7689970 DOI: 10.1186/s12879-020-05559-6] [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: 05/28/2020] [Accepted: 10/30/2020] [Indexed: 11/25/2022] Open
Abstract
Background Cellulosimicrobium cellulans is a gram-positive filamentous bacterium found primarily in soil and sewage that rarely causes human infection, especially in previously healthy adults, but when it does, it often indicates a poor prognosis. Case presentation We report a case of endocarditis and intracranial infection caused by C. cellulans in a 52-year-old woman with normal immune function and no implants in vivo. The patient started with a febrile headache that progressed to impaired consciousness after 20 days, and she finally died after treatment with vancomycin combined with rifampicin. C. cellulans was isolated from her blood cultures for 3 consecutive days after her admission; however, there was only evidence of C. cellulans sequences for two samples in the second-generation sequencing data generated from her peripheral blood, which were ignored by the technicians. No C. cellulans bands were detected in her cerebrospinal fluid by second-generation sequencing. Conclusions Second-generation sequencing seems to have limitations for certain specific strains of bacteria.
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Cross KL, Campbell JH, Balachandran M, Campbell AG, Cooper SJ, Griffen A, Heaton M, Joshi S, Klingeman D, Leys E, Yang Z, Parks JM, Podar M. Targeted isolation and cultivation of uncultivated bacteria by reverse genomics. Nat Biotechnol 2019; 37:1314-1321. [PMID: 31570900 PMCID: PMC6858544 DOI: 10.1038/s41587-019-0260-6] [Citation(s) in RCA: 171] [Impact Index Per Article: 34.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2019] [Accepted: 08/15/2019] [Indexed: 12/16/2022]
Abstract
Most microorganisms from all taxonomic levels are uncultured. Single-cell
genomes and metagenomes continue to increase the known diversity of
Bacteria and Archaea, but while
‘omics can be used to infer physiological or ecological roles for species
in a community, most of those hypothetical roles remain unvalidated. Here we
report an approach to capture specific microorganisms from complex communities
into pure cultures using genome-informed antibody engineering. We apply our
reverse genomics approach to isolate and sequence single cells and to cultivate
three different species-level lineages of human oral Saccharibacteria/TM7. Using
our pure cultures we show that all three saccharibacteria species are epibionts
of diverse Actinobacteria. We also isolate and cultivate human
oral SR1 bacteria, which are members of a lineage of previously uncultured
bacteria. Reverse-genomics-enabled cultivation of microorganisms can be applied
to any species from any environment and has the potential to unlock the
isolation, cultivation and characterization of species from as-yet-uncultured
branches of the microbial tree of life.
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Affiliation(s)
- Karissa L Cross
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA.,Department of Microbiology, University of Tennessee, Knoxville, TN, USA
| | - James H Campbell
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA.,Department of Natural Sciences, Northwest Missouri State University, Maryville, MO, USA
| | | | - Alisha G Campbell
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA.,Genome Science and Technology Program, University of Tennessee, Knoxville, TN, USA.,Department of Natural Sciences, Northwest Missouri State University, Maryville, MO, USA
| | - Sarah J Cooper
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA.,Genome Science and Technology Program, University of Tennessee, Knoxville, TN, USA
| | - Ann Griffen
- College of Dentistry, The Ohio State University, Columbus, OH, USA
| | | | - Snehal Joshi
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA
| | - Dawn Klingeman
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA
| | - Eugene Leys
- College of Dentistry, The Ohio State University, Columbus, OH, USA
| | - Zamin Yang
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA
| | - Jerry M Parks
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA.,Genome Science and Technology Program, University of Tennessee, Knoxville, TN, USA
| | - Mircea Podar
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA. .,Department of Microbiology, University of Tennessee, Knoxville, TN, USA. .,Genome Science and Technology Program, University of Tennessee, Knoxville, TN, USA.
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Rivero M, Alonso J, Ramón MF, Gonzales N, Pozo A, Marín I, Navascués A, Juanbeltz R. Infections due to Cellulosimicrobium species: case report and literature review. BMC Infect Dis 2019; 19:816. [PMID: 31533642 PMCID: PMC6751855 DOI: 10.1186/s12879-019-4440-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Accepted: 09/04/2019] [Indexed: 11/30/2022] Open
Abstract
Background Cellulosimicrobium species, formely known as Oerskovia species, are gram-positive bacilli belonging to the order Actinomycetales. They rarely cause human infections. The genus comprises two pathogenic species in humans: C. cellulans and C. funkei. Based on a case report, we provide a review of the literature of infections caused by Cellulosimicrobium/Oerskovia, in order to improve our knowledge of this unusual infection. Case presentation An 82-year-old woman with aortic prosthetic valve presented to the hospital with fever and heart failure. Further work up revealed the diagnosis of C. cellulans infective endocarditis (IE). The strain was identified by MALDI-TOF MS, API Coryne and 16S rRNA sequencing. The patient was deemed not to be an operative candidate and died despite the antibiotic therapy 35 days after admission. Conclusions Reviewing cases of Cellulosimicrobium species infections and communicating the successful and unsuccessful clinical experiences can assist future healthcare providers. Our case and those previously reported indicate that Cellulosimicrobium species usually infect immunocompromised patients or foreign body carriers. The most frequent pattern of infection is central venous catheter related bacteremia. The optimal treatment should include foreign body removal and valve surgery should be considered in case of IE.
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Affiliation(s)
- María Rivero
- Infectious Diseases Unit, Complejo Hospitalario de Navarra, Calle Irunlarrea 3, 31008, Pamplona, Navarra, Spain. .,Navarre Institute for Health Research (IdiSNA), Calle Irunlarrea 3, 31008, Pamplona, Navarra, Spain.
| | - Javier Alonso
- Geriatric Department, Complejo Hospitalario de Navarra, Calle Irunlarrea 3, 31008, Pamplona, Navarra, Spain
| | - María Fernanda Ramón
- Geriatric Department, Complejo Hospitalario de Navarra, Calle Irunlarrea 3, 31008, Pamplona, Navarra, Spain
| | - Nancy Gonzales
- Geriatric Department, Complejo Hospitalario de Navarra, Calle Irunlarrea 3, 31008, Pamplona, Navarra, Spain
| | - Ana Pozo
- Geriatric Department, Complejo Hospitalario de Navarra, Calle Irunlarrea 3, 31008, Pamplona, Navarra, Spain
| | - Itxaso Marín
- Geriatric Department, Complejo Hospitalario de Navarra, Calle Irunlarrea 3, 31008, Pamplona, Navarra, Spain
| | - Ana Navascués
- Service of Clinical Microbiology, Complejo Hospitalario de Navarra, Calle Irunlarrea 3, 31008, Pamplona, Navarra, Spain
| | - Regina Juanbeltz
- Navarre Institute for Health Research (IdiSNA), Calle Irunlarrea 3, 31008, Pamplona, Navarra, Spain.,Instituto de Salud Pública de Navarra, Calle Leyre 15, 31003, Pamplona, Navarra, Spain.,CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Calle Monforte de Lemos 3-5, Pabellón 11, Planta 0, 28029, Madrid, Spain
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Draft Genome Sequence of Multidrug-Resistant Cellulosimicrobium sp. Strain KWT-B, Isolated from Feces of Hirundo rustica. GENOME ANNOUNCEMENTS 2017; 5:5/28/e00641-17. [PMID: 28705986 PMCID: PMC5511925 DOI: 10.1128/genomea.00641-17] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Migratory birds have been postulated as potential spreaders of antibiotic resistance. Multidrug-resistant Cellulosimicrobium sp. strain KWT-B was isolated from the feces of Hirundo rustica. A draft genome sequence indicated that the strain harbors multidrug-resistant transporters, multidrug efflux pumps, a vancomycin-resistant protein, and metallo-beta-lactamases.
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Ponce-Alonso M, Del Campo R, Fortun J, Cantón R, Morosini MI. First description of late recurrence of catheter-associated bacteraemia due to Cellulosimicrobium cellulans. Enferm Infecc Microbiol Clin 2016; 35:131-133. [PMID: 27289255 DOI: 10.1016/j.eimc.2016.05.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2016] [Revised: 05/04/2016] [Accepted: 05/07/2016] [Indexed: 10/21/2022]
Affiliation(s)
- Manuel Ponce-Alonso
- Department of Microbiology and Parasitology, Ramón y Cajal University Hospital, Spain.
| | - Rosa Del Campo
- Department of Microbiology and Parasitology, Ramón y Cajal University Hospital, Spain
| | - Jesus Fortun
- Department of Infectious Diseases, Ramón y Cajal University Hospital, Spain
| | - Rafael Cantón
- Department of Microbiology and Parasitology, Ramón y Cajal University Hospital, Spain
| | - María-Isabel Morosini
- Department of Microbiology and Parasitology, Ramón y Cajal University Hospital, Spain
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Bacteremia due to Cellulosimicrobium cellulans associated with central catheter for hemodialysis. Enferm Infecc Microbiol Clin 2016; 35:62-63. [PMID: 27256248 DOI: 10.1016/j.eimc.2016.04.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2016] [Revised: 04/28/2016] [Accepted: 04/29/2016] [Indexed: 10/21/2022]
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Draft Genome Sequence of Cellulosimicrobium sp. Strain MM, Isolated from Arsenic-Rich Microbial Mats of a Himalayan Hot Spring. GENOME ANNOUNCEMENTS 2014; 2:2/5/e01020-14. [PMID: 25301656 PMCID: PMC4192388 DOI: 10.1128/genomea.01020-14] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Microbial mats situated at the Manikaran hot springs (>95°C) are characterized by their high arsenic content (140 ppb), qualifying as a stressed niche. Here, we report the annotated draft genome (3.85 Mb) of Cellulosimicrobium sp. strain MM, isolated from these microbial mats, consisting of 3,718 coding sequences, with an average % G+C of 74.4%.
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Abstract
Cellulosimicrobium cellulans has been reported as a rare cause of human pathogenesis. Infections mainly occur in immunocompromised patients and very often are associated with a foreign body. We report the first case of septic arthritis caused by C. cellulans in an immunocompetent patient. Our patient suffered a penetrating palm tree thorn injury to his left knee 8 weeks before admission. Although no foreign objects were found, they were suspected because previous reports suggest a frequent association with this microorganism, and open debridament was performed. Removal of foreign bodies related to this organism must be considered a high-priority treatment in these patients to achieve a complete recovery.
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Sersté T, Bert F, Leflon-Guibout V, Chauvet C, Marcon E, Asselah T, Francoz C, Durand F, Lebrec D, Valla D, Moreau R, Nicolas-Chanoine MH. Detection of bacterial DNA in serum and ascitic fluid of asymptomatic outpatients with cirrhosis and non-neutrocytic ascites. Liver Int 2011; 31:494-8. [PMID: 21382159 DOI: 10.1111/j.1478-3231.2011.02448.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
Abstract
BACKGROUND AND AIMS Bacterial DNA (bactDNA) has been found in serum and ascitic fluid (AF) of 30-40% of hospitalized patients with cirrhosis and non-neutrocytic ascites, but its prevalence in outpatients is unknown. The aim of this prospective study was to investigate the presence of bactDNA in AF and serum among cirrhotic outpatients with non-neutrocytic ascites. METHODS Thirty-one consecutive patients with cirrhosis and non-neutrocytic ascites, who underwent therapeutic paracentesis in our outpatient clinic, were enrolled over a 13-week period. Of these patients, 13 had a single paracentesis and 18 patients had several consecutive paracenteses (2-10) over the study period. Overall, 98 serum and non-neutrocytic AF specimens were obtained and tested for the presence of bactDNA by polymerase chain reaction amplification of the 16S ribosomal RNA gene. RESULTS The main causes of cirrhosis were alcohol (53.5%) and hepatitis C (30%). The median MELD score was 16 and there were 54.8% Child-Pugh C patients. BactDNA was negative in all samples from 28 of the 31 patients, including 15 patients with several paracentesis. One patient had a single AF sample culture positive and bactDNA positive for Streptococcus mitis, whereas the simultaneous blood sample was negative. For each of the last two patients, DNA from Lactococcus lactis was detected in a single blood sample but not in the simultaneous AF sample. CONCLUSIONS In contrast to that reported previously in hospitalized patients, bactDNA is rarely detected in serum and AF of outpatients with cirrhosis and non-neutrocytic ascites.
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Affiliation(s)
- Thomas Sersté
- Service d'Hépatologie, Hôpital AP-HP Beaujon, Clichy, France.
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Casanova-Román M, Sanchez-Porto A, Gomar JL, Casanova-Bellido M. Early-onset neonatal sepsis due to Cellulosimicrobium cellulans. Infection 2010; 38:321-3. [PMID: 20376528 DOI: 10.1007/s15010-010-0011-6] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2009] [Accepted: 02/25/2010] [Indexed: 11/29/2022]
Abstract
Cellulosimicrobium cellulans represents a rare human pathogen. Infections have been reported in immunocompromised hosts or in patients with an underlying disease. The authors describe a rare case of early-onset neonatal sepsis due to Cellulosimicrobium cellulans in an infant without any underlying disease. The infant was successfully treated with vancomycin.
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de Lastours V, Kalamarides M, Leflon V, Rodallec M, Vilgrain V, Nicolas-Chanoine MH, Fantin B. Optimization of bacterial diagnosis yield after needle aspiration in immunocompetent adults with brain abscesses. Neurosurgery 2008; 63:362-7; discussion 367-8. [PMID: 18981844 DOI: 10.1227/01.neu.0000327024.00330.f2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE Brain abscesses (BA) are life threatening, even in immunocompetent patients, in part because microbiological diagnosis is often lacking and management is empirical. Recent epidemiological changes make it all the more important to have a precise microbiological diagnosis. Our purpose was to evaluate the efficacy of a strategy aimed at obtaining a microbiological diagnosis in immunocompetent patients presenting with suspected BAs. METHODS We conducted a cohort study including all consecutive patients suspected of having BAs according to clinical, biological, and radiological findings. Severely immunocompromised patients were excluded. Aspiration was performed free-hand in patients with superficial abscesses (<1 cm depth from the cortical surface) and under stereotactic guidance in patients with deep-seated abscesses. Microbiological diagnosis was optimized, using the best aerobic and anaerobic growth conditions, blood culture bottles inoculated in the operating room, and molecular biology techniques if necessary. Antibiotic treatment was adapted according to the findings. RESULTS Twenty-six patients were suspected of having BAs during the study period. Twenty-four patients benefited from aspiration (stereotactic puncture in 3 cases), which was safe, confirmed the diagnosis of BAs, and yielded microbiological diagnosis in all cases, even in those patients who had previously received antibiotics (n = 8; 33%). In 10 patients (42%), microbiological results led to a different choice in antibiotic therapy than the recommended empirical regimen. CONCLUSION Microbiological diagnosis can be obtained in all cases of BA. This is achieved by the conjunction of rapid needle aspiration and the optimization of microbiological diagnosis resulting from fast management of the surgical specimen, good anaerobic culture conditions, and the use of blood culture bottles and molecular biology techniques when appropriate. Moreover, it is of clinical and therapeutic interest when BAs are suspected in immunocompetent patients.
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Affiliation(s)
- Victoire de Lastours
- Internal Medicine Department, Beaujon Hospital, Assistance Publique-Hôpitaux de Paris, Clichy, France
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[Emergence of vancomycin-dependent enterococci following glycopeptide therapy: case report and review]. ACTA ACUST UNITED AC 2008; 57:56-60. [PMID: 18845404 DOI: 10.1016/j.patbio.2008.07.017] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2008] [Accepted: 07/03/2008] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Outbreaks of vancomycin-resistant enterococci have been increasingly reported in France over the last three years. We report here, the emergence of a vancomycin-dependent enterococci isolate following glycopeptide therapy. PATIENTS AND METHODS An Enterococcus faecium isolate that required vancomycin for growth was cultured from the stools of a liver transplant recipient who was colonised with vancomycin-resistant enterococci and who received vancomycin treatment for methicillin-resistant Staphylococcus aureus infection. The resistant isolate and the dependent isolate were typed by pulsed-field gel electrophoresis. The sequence of the ddl gene coding for the D-Ala: D-Ala ligase was analysed. RESULTS The dependent isolate was primary cultured onto a vancomycin-containing screening medium and could not be subcultured in the absence of vancomycin. Both the resistant and dependent isolates harboured the vanA gene and they had the same DNA restriction pattern after pulsed-field gel electrophoresis. Dependence on vancomycin was associated with a 1-bp deletion in the D-Ala: D-Ala ligase gene leading to an early stop odon. CONCLUSION Cultures onto vancomycin-containing media are warranted for clinical specimens from patients, who are known to carry vancomycin-resistant enterococci and receive vancomycin therapy.
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Rowlinson MC, Bruckner DA, Hinnebusch C, Nielsen K, Deville JG. Clearance of Cellulosimicrobium cellulans bacteremia in a child without central venous catheter removal. J Clin Microbiol 2006; 44:2650-4. [PMID: 16825406 PMCID: PMC1489490 DOI: 10.1128/jcm.02485-05] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
Cellulosimicrobium cellulans (formerly known as Oerskovia xanthineolytica) rarely causes human infection. Infections have been reported in immunocompromised hosts or in patients with foreign bodies, such as catheters, where treatment has generally involved removal of the foreign body. We report on a case in which the organism was isolated in multiple blood cultures from a 13-year-old male. After initial therapy failed, treatment with vancomycin and rifampin resulted in infection clearance without removal of the central venous catheter.
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Affiliation(s)
- Marie-Claire Rowlinson
- UCLA School of Medicine, Department of Pathology and Laboratory Medicine, 10833 LeConte Avenue, Los Angeles, CA 90095-1752, USA
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