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Shimada T, Ishikawa K, Kawai F, Mori N. Corynebacterium bacteremia in patients with hematologic disorders: a case series and systematic literature review. Leuk Lymphoma 2024; 65:997-1002. [PMID: 38498769 DOI: 10.1080/10428194.2024.2331086] [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: 10/29/2023] [Accepted: 03/11/2024] [Indexed: 03/20/2024]
Abstract
Corynebacterium is generally considered a contaminant in clinical practice. However, it may cause bacteremia in patients with hematologic disorders, and factors that contribute to its mortality are unclear. A case series and systematic literature review identified 96 cases of Corynebacterium bacteremia inhematologic disorderpatients. The median age was 50.5 years (range: 2-93 years), with 79 (82%) patients 18 years or older, and 64 (67%) patients male. Most cases involved hematologic malignancies, and neutropenia was observed in approximately 75% cases. The most common sites of infection/symptoms were skin and soft tissue, respiratory, and catheter-related bloodstream infection. The infection-related mortality was 23%, and univariate analysis showed that age, respiratory infection/symptoms, and source control were significantly associated with infection-related mortality. Multivariate analysis indicates that infection-related mortality was significantly reduced by source control (OR: 0.24, 95% CI: 0.06-0.97, p = 0.046). Therefore, when Corynebacterium infections are suspected, early source control should be considered.
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Affiliation(s)
- Tomohito Shimada
- Department of Infectious Diseases, St. Luke's International Hospital, Tokyo, Japan
| | - Kazuhiro Ishikawa
- Department of Infectious Diseases, St. Luke's International Hospital, Tokyo, Japan
| | - Fujimi Kawai
- Library, Department of Academic Resources, St. Luke's International University, Tokyo, Japan
| | - Nobuyoshi Mori
- Department of Infectious Diseases, St. Luke's International Hospital, Tokyo, Japan
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Tan L, Zhang D, Li YX, Li Y, Guo T, Sun Y, Li N, Feng C. Identification of intratumor bacteria-associated prognostic risk score in adrenocortical carcinoma. Microbiol Spectr 2024; 12:e0372723. [PMID: 38421176 PMCID: PMC10986527 DOI: 10.1128/spectrum.03727-23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Accepted: 02/15/2024] [Indexed: 03/02/2024] Open
Abstract
A landmark study by Poore et al. showed intratumor bacteria (ITBs) playing a critical role in most cancers by reproduction of The Cancer Genome Atlas (TCGA) transcriptome data. A recent study by Salzberg et al. argued that ITBs, being overstated as a methodology by Poore et al., were problematic. We previously reported that ITBs were prognostic in adrenocortical carcinoma (ACC), a highly aggressive rare disease using data by Poore et al., and here, we aimed to answer whether ITBs truly existed and were prognostic in ACC. ACC samples from our institutes underwent 16S rRNA sequencing [adrenocortical carcinoma blocks from Huashan Hospital and China Medical University (HS) cohort]. The ITB profile was compared to TCGA data processed by Poore et al. (TCGA-P) and TCGA data processed by Salzberg et al. (TCGA-S), respectively. The primary outcome was overall survival (OS). A total of 26 ACC cases (HS cohort) and 10 paraffin controls were sequenced. The TCGA cohort encompassed 77 cases. Two and four amid the top 10 abundant genera in HS cohort were not detected in TCGA-P and TCGA-S, respectively. Neither was alpha or beta diversity associated with survival nor could ACC be subtyped by ITB signature in the HS cohort. Notably, a five-genera ITB risk score (Corynebacterium, Mycoplasma, Achromobacter, Anaerococcus, and Streptococcus) for OS trained in the HS cohort was validated in both TCGA-P and TCGA-S cohorts and was independently prognostic. Whereas ITB signature on the whole may not be associated with ACC subtypes, certain ITB features are associated with prognosis, and a risk score could be generated and validated externally. IMPORTANCE In this report, we looked at the role of ITBs in ACC in patients with different race and sequencing platforms. We found a five-genera ITB risk score consistently predicted overall survival in all cohorts. We conclude that certain ITB features are universally pathogenic to ACC.
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Affiliation(s)
- Linyi Tan
- Department of Urology, Huashan Hospital, Fudan University, Shanghai, China
| | - Dengwei Zhang
- Department of Chemistry and The Swire Institute of Marine Science, The University of Hong Kong, Hong Kong, China
| | - Yong-xin Li
- Department of Chemistry and The Swire Institute of Marine Science, The University of Hong Kong, Hong Kong, China
| | - Yuqing Li
- Department of Urology, Huashan Hospital, Fudan University, Shanghai, China
| | - Ting Guo
- Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China
| | - Yang Sun
- Cancer Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Ning Li
- Department of Urology, Fourth Affiliated Hospital of China Medical University, Shenyang, Liaoning, China
| | - Chenchen Feng
- Department of Urology, Huashan Hospital, Fudan University, Shanghai, China
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Khan S, Banerjee G, Setua S, Jones DH, Chauhan BV, Dhasmana A, Banerjee P, Yallapu MM, Behrman S, Chauhan SC. Metagenomic analysis unveils the microbial landscape of pancreatic tumors. Front Microbiol 2023; 14:1275374. [PMID: 38179448 PMCID: PMC10764597 DOI: 10.3389/fmicb.2023.1275374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 11/20/2023] [Indexed: 01/06/2024] Open
Abstract
The composition of resident microbes in the human body is linked to various diseases and their treatment outcomes. Although studies have identified pancreatic ductal adenocarcinoma (PDAC)-associated bacterial communities in the oral and gut samples, herein, we hypothesize that the prevalence of microbiota in pancreatic tumor tissues is different as compared with their matched adjacent, histologically normal appearing tissues, and these microbial molecular signatures can be highly useful for PDAC diagnosis/prognosis. In this study, we performed comparative profiling of bacterial populations in pancreatic tumors and their respective adjacent normal tissues using 16S rRNA-based metagenomics analysis. This study revealed a higher abundance of Proteobacteria and Actinomycetota in tumor tissues compared with adjacent normal tissues. Interestingly, the linear discriminant analysis (LDA) scores unambiguously revealed an enrichment of Delftia in tumor tissues, whereas Sphingomonas, Streptococcus, and Citrobacter exhibited a depletion in tumor tissues. Furthermore, we analyzed the microbial composition between different groups of patients with different tumor differentiation stages. The bacterial genera, Delftia and Staphylococcus, were very high at the G1 stages (well differentiated) compared with G2 (well to moderate/moderately differentiated) and G3/G4 (poorly differentiated) stages. However, the abundance of Actinobacter and Cloacibacterium was found to be very high in G2 and G3, respectively. Additionally, we evaluated the correlation of programmed death-ligand (PDL1) expression with the abundance of bacterial genera in tumor lesions. Our results indicated that three genera such as Streptomyces, Cutibacterium, and Delftia have a positive correlation with PD-L1 expression. Collectively, these findings demonstrate that PDAC lesions harbor relatively different microbiota compared with their normal tumor adjacent tissues, and this information may be helpful for the diagnosis and prognosis of PADC patients.
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Affiliation(s)
- Sheema Khan
- Department of Immunology and Microbiology, School of Medicine, University of Texas Rio Grande Valley, Edinburg, TX, United States
- South Texas Center of Excellence in Cancer Research, School of Medicine, the University of Texas Rio Grande Valley, McAllen, TX, United States
| | - Goutam Banerjee
- Department of Food Science and Human Nutrition, University of Illinois at Urbana-Champaign, 105 Agricultural Bioprocess Laboratory, Urbana, IL, United States
| | - Saini Setua
- Department of Pharmaceutical Sciences, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN, United States
- Center for Blood Oxygen Transport and Hemostasis (CBOTH), Department of Pediatrics, University of Maryland, Baltimore, MD, United States
| | - Daleniece Higgins Jones
- Division of Epidemiology, Biostatistics, and Environmental Health, University of Memphis, Memphis, TN, United States
- Department of Public Health, University of Tennessee, Knoxville, TN, United States
| | - Bhavin V. Chauhan
- Department of Food Science and Human Nutrition, University of Illinois at Urbana-Champaign, 105 Agricultural Bioprocess Laboratory, Urbana, IL, United States
| | - Anupam Dhasmana
- Department of Immunology and Microbiology, School of Medicine, University of Texas Rio Grande Valley, Edinburg, TX, United States
| | - Pratik Banerjee
- Department of Food Science and Human Nutrition, University of Illinois at Urbana-Champaign, 105 Agricultural Bioprocess Laboratory, Urbana, IL, United States
- Division of Epidemiology, Biostatistics, and Environmental Health, University of Memphis, Memphis, TN, United States
| | - Murali Mohan Yallapu
- Department of Immunology and Microbiology, School of Medicine, University of Texas Rio Grande Valley, Edinburg, TX, United States
- South Texas Center of Excellence in Cancer Research, School of Medicine, the University of Texas Rio Grande Valley, McAllen, TX, United States
| | - Stephen Behrman
- Department of Surgery, Baptist Memorial Hospital and Medical Education, Memphis, TN, United States
| | - Subhash C. Chauhan
- Department of Immunology and Microbiology, School of Medicine, University of Texas Rio Grande Valley, Edinburg, TX, United States
- South Texas Center of Excellence in Cancer Research, School of Medicine, the University of Texas Rio Grande Valley, McAllen, TX, United States
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Li Y, Rong J, Gao C. Phylogenetic analyses of antimicrobial resistant Corynebacterium striatum strains isolated from a nosocomial outbreak in a tertiary hospital in China. Antonie Van Leeuwenhoek 2023:10.1007/s10482-023-01855-8. [PMID: 37368178 PMCID: PMC10371919 DOI: 10.1007/s10482-023-01855-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Accepted: 06/19/2023] [Indexed: 06/28/2023]
Abstract
Corynebacterium striatum is an emerging, multidrug-resistant pathogen that frequently causes nosocomial infections worldwide. This study aimed to investigate phylogenetic relationship and presence of genes responsible for antimicrobial resistance among C. striatum strains associated with an outbreak at the Shanxi Bethune Hospital, China, in 2021. Fecal samples were collected from 65 patients with C. striatum infection at Shanxi Bethune Hospital between February 12, 2021 and April 12, 2021. C. striatum isolates were identified by 16S rRNA and rpoB gene sequencing. E-test strips were used to examine the antimicrobial susceptibility of the isolates. Whole-genome sequencing and bioinformatics analysis were employed to assess the genomic features and identify antimicrobial resistance genes of the isolates. Crystal violet staining was conducted to determine the ability of biofilm formation of each isolate. A total of 64 C. striatum isolates were identified and categorized into 4 clades based on single nucleotide polymorphisms. All isolates were resistant to penicillin, meropenem, ceftriaxone, and ciprofloxacin but susceptible to vancomycin and linezolid. Most isolates were also resistant to tetracycline, clindamycin, and erythromycin, with susceptibility rates of 10.77, 4.62, and 7.69%, respectively. Genomic analysis revealed 14 antimicrobial resistance genes in the isolates, including tetW, ermX, and sul1. Crystal violet staining showed that all isolates formed biofilms on the abiotic surface. Four clades of multidrug-resistant C. striatum spread in our hospitals possibly due to the acquisition of antimicrobial resistance genes.
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Affiliation(s)
- Yuchuan Li
- Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, 030032, China.
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
| | - Jianrong Rong
- Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, 030032, China
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Chunyan Gao
- Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, 030032, China
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
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5
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De Carvalho RV, Santos CS, Dos Santos Sant'Anna LS, Lima FF, Júnior RH, Grabois MF, Mattos-Guaraldi AL. Leifsonia aquatica: Case report and literature review. Mol Clin Oncol 2021; 15:224. [PMID: 34548923 PMCID: PMC8447176 DOI: 10.3892/mco.2021.2387] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2018] [Accepted: 08/17/2021] [Indexed: 12/16/2022] Open
Abstract
Non-diphtheria Corynebacterium species have been increasingly recognized as multidrug resistant pathogens that also infect immunocompromised patients. Automated and semi-automated phenotypic tests have been used by clinical laboratories for detection of these gram-positive rods. The present case report describes the rare pediatric case of L. aquatica isolated in central venous catheter blood cultures during chemotherapy treatment for Wilms tumor and adds to the knowledge on this infection with regard to pediatric cancer. The clinical aspects of this patient and opportunities for improving treatment were reviewed. Additionally, a review of the literature revealed no other case report involving cancer and a pediatric patient with documented L. aquatica bacteremia. Corynebacterial infections are considered uncommon, but in recent decades' reports on infection with bacterium are increasing in frequency, particularly in nosocomial immunocompromised patients.
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Affiliation(s)
- Ricardo Vianna De Carvalho
- Pediatric Oncology Surgery Department, National Cancer Center Institute Jose Alencar Gomes da Silva (INCA/RJ), Ministry of Health-Science and Technology, Rio de Janeiro 20230-130, Brasil
| | - Cíntia Silva Santos
- Rio de Janeiro State University, (UERJ), Faculty of Medical Sciences, Discipline of Microbiology and Immunology, Laboratory of Diphtheria and Corynebacteria of Clinical Relevance, Rio de Janeiro 20551030, Brasil
| | - Louisy Sanches Dos Santos Sant'Anna
- Rio de Janeiro State University, (UERJ), Faculty of Medical Sciences, Discipline of Microbiology and Immunology, Laboratory of Diphtheria and Corynebacteria of Clinical Relevance, Rio de Janeiro 20551030, Brasil
| | - Fernanda Ferreira Lima
- Pediatric Oncology Surgery Department, National Cancer Center Institute Jose Alencar Gomes da Silva (INCA/RJ), Ministry of Health-Science and Technology, Rio de Janeiro 20230-130, Brasil
| | - Raphael Hirata Júnior
- Rio de Janeiro State University, (UERJ), Faculty of Medical Sciences, Discipline of Microbiology and Immunology, Laboratory of Diphtheria and Corynebacteria of Clinical Relevance, Rio de Janeiro 20551030, Brasil
| | - Marília Fournaciari Grabois
- Pediatric Oncology Surgery Department, National Cancer Center Institute Jose Alencar Gomes da Silva (INCA/RJ), Ministry of Health-Science and Technology, Rio de Janeiro 20230-130, Brasil
| | - Ana Luíza Mattos-Guaraldi
- Rio de Janeiro State University, (UERJ), Faculty of Medical Sciences, Discipline of Microbiology and Immunology, Laboratory of Diphtheria and Corynebacteria of Clinical Relevance, Rio de Janeiro 20551030, Brasil
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Mangutov EO, Kharseeva GG, Alutina EL. Corynebacterium spp. - problematic pathogens of the human respiratory tract (review of literature). Klin Lab Diagn 2021; 66:502-508. [PMID: 34388322 DOI: 10.51620/0869-2084-2021-66-8-502-508] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Corynebacterium spp. - representatives of the normal microflora of the human body, but their role in the development of diseases in both immunocompromised and immunocompetent patients is known. Corynebacterim spp. (C. pseudodiphtheriticum, C. striatum, C. amycolatum, C. accolens, C. argentoratense, etc.) is associated with diseases of the respiratory tract: tracheitis, pharyngitis, rhinosinusitis, bronchitis, etc. They can be transmitted by airborne droplets, household contact, and possibly by hematogenic pathways. Corynebacterim spp. toxins do not produce, but are capable of adhesion and invasion, biofilm formation, production of neuraminidase, hyaluronidase, and hemolysin. It is necessary to take into account not so much the species, but the strain affiliation of isolates of Corynebacterium spp., since among the representatives of one species of non-diphtheria corynebacteria (for example, C. pseudodiphtheriticum), colonizing the respiratory tract, there may be strains that can exhibit not only pathogenic properties, but also probiotic activity. Microbiological diagnostics is based on their quantitative determination in biological material, phenotypic (culture study, test systems for biochemical identification, Vitek 2 automated systems) and genotypic (16SpRNA gene sequencing and rpoB) methods. It is possible to use mass spectrometric analysis (MALDI-ToF-MS). The greatest activity against Corynebacterium spp. in vitro studies preserve vancomycin, teicoplanin, and linezolid. Successful therapy with at least two of the following antimicrobial agents (AMP) has been reported: vancomycin, rifampicin, linezolid, and daptomycin. The sensitivity of isolates of Corynebacterium spp. to AMP is not related to the species, but is due to strain differences, and therefore it is necessary to test each isolated strain. Continuous monitoring of the sensitivity of Corynebacterium spp. strains to AMP is necessary due to the observed variability of these traits. Of particular importance is the identification of multidrug-resistant isolates that are currently considered highly pathogenic. When compiling the review, the databases Scopus, Web of Science, The Cochrane Library, CyberLeninka, RSCI were used.
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Affiliation(s)
- E O Mangutov
- Federal State Educational Institution of Higher Education «Rostov State Medical University» Ministry of Health of Russia
| | - Galina Georgievna Kharseeva
- Federal State Educational Institution of Higher Education «Rostov State Medical University» Ministry of Health of Russia
| | - E L Alutina
- Federal State Educational Institution of Higher Education «Rostov State Medical University» Ministry of Health of Russia
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Silva-Santana G, Silva CMF, Olivella JGB, Silva IF, Fernandes LMO, Sued-Karam BR, Santos CS, Souza C, Mattos-Guaraldi AL. Worldwide survey of Corynebacterium striatum increasingly associated with human invasive infections, nosocomial outbreak, and antimicrobial multidrug-resistance, 1976-2020. Arch Microbiol 2021; 203:1863-1880. [PMID: 33625540 PMCID: PMC7903872 DOI: 10.1007/s00203-021-02246-1] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 01/08/2021] [Accepted: 02/14/2021] [Indexed: 01/01/2023]
Abstract
Corynebacterium striatum is part of microbiota of skin and nasal mucosa of humans and has been increasingly reported as the etiologic agent of community-acquired and nosocomial diseases. Antimicrobial multidrug-resistant (MDR) C. striatum strains have been increasingly related to various nosocomial diseases and/or outbreaks worldwide, including fatal invasive infections in immunosuppressed and immunocompetent patients. Although cases of infections by C. striatum still neglected in some countries, the improvement of microbiological techniques and studies led to the increase of survival of patients with C. striatum nosocomial infections at different levels of magnitude. Biofilm formation on abiotic surfaces contributes for the persistence of virulent C. striatum and dissemination of antimicrobial resistance in hospital environment. Besides that, empirical antibiotic therapy can select multi-resistant strains and transfer intra and interspecies genes horizontally. In this study, a worldwide survey of C. striatum human infections and nosocomial outbreaks was accomplished by the analysis of clinical–epidemiological and microbiological features of reported cases from varied countries, during a 44-year period (1976–2020).
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Affiliation(s)
- Giorgio Silva-Santana
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance, Faculty of Medical Sciences, University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
- The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health, Rio de Janeiro, Brazil.
- Health Sciences Center, Institute of Microbiology Paulo de Góes, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
- Centro de Ciências da Saúde (CCS), Universidade Federal do Rio de Janeiro, Instituto de Microbiologia Professor Paulo de Góes, Cidade Universitária, Ilha do Fundão, Rio de Janeiro, Brazil.
| | - Cecília Maria Ferreira Silva
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance, Faculty of Medical Sciences, University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health, Rio de Janeiro, Brazil
| | - Julianna Giordano Botelho Olivella
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance, Faculty of Medical Sciences, University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health, Rio de Janeiro, Brazil
| | - Igor Ferreira Silva
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance, Faculty of Medical Sciences, University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health, Rio de Janeiro, Brazil
| | - Laís Menegoi Oliveira Fernandes
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance, Faculty of Medical Sciences, University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health, Rio de Janeiro, Brazil
| | - Bruna Ribeiro Sued-Karam
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance, Faculty of Medical Sciences, University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health, Rio de Janeiro, Brazil
| | - Cíntia Silva Santos
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance, Faculty of Medical Sciences, University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health, Rio de Janeiro, Brazil
| | - Cassius Souza
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance, Faculty of Medical Sciences, University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health, Rio de Janeiro, Brazil
| | - Ana Luíza Mattos-Guaraldi
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance, Faculty of Medical Sciences, University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health, Rio de Janeiro, Brazil
- Health Sciences Center, Institute of Microbiology Paulo de Góes, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- Centro de Ciências da Saúde (CCS), Universidade Federal do Rio de Janeiro, Instituto de Microbiologia Professor Paulo de Góes, Cidade Universitária, Ilha do Fundão, Rio de Janeiro, Brazil
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Josephs-Spaulding J, Singh OV. Medical Device Sterilization and Reprocessing in the Era of Multidrug-Resistant (MDR) Bacteria: Issues and Regulatory Concepts. FRONTIERS IN MEDICAL TECHNOLOGY 2021; 2:587352. [PMID: 35047882 PMCID: PMC8757868 DOI: 10.3389/fmedt.2020.587352] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2020] [Accepted: 11/10/2020] [Indexed: 12/20/2022] Open
Abstract
The emergence of multidrug-resistant (MDR) bacteria threatens humans in various health sectors, including medical devices. Since formal classifications for medical device sterilization and disinfection were established in the 1970's, microbial adaptation under adverse environmental conditions has evolved rapidly. MDR microbial biofilms that adhere to medical devices and recurrently infect patients pose a significant threat in hospitals. Therefore, it is essential to mitigate the risk associated with MDR outbreaks by establishing novel recommendations for medical device sterilization, in a world of MDR. MDR pathogens typically thrive on devices with flexible accessories, which are easily contaminated with biofilms due to previous patient use and faulty sterilization or reprocessing procedures. To prevent danger to immunocompromised individuals, there is a need to regulate the classification of reprocessed medical device sterilization. This article aims to assess the risks of improper sterilization of medical devices in the era of MDR when sterilization procedures for critical medical devices are not followed to standard. Further, we discuss key regulatory recommendations for consistent sterilization of critical medical devices in contrast to the risks of disinfection reusable medical devices.
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Affiliation(s)
- Jonathan Josephs-Spaulding
- Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
| | - Om V. Singh
- Advance Academic Program, The Johns Hopkins University, Washington, DC, United States
- Technology Science Group (TSG) Consulting Inc., A Science Group Company, Washington, DC, United States
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Souza CD, Mota HF, Faria YV, Cabral FDO, Oliveira DRD, Sant'Anna LDO, Nagao PE, Santos CDS, Moreira LO, Mattos-Guaraldi AL. Resistance to Antiseptics and Disinfectants of Planktonic and Biofilm-Associated Forms of Corynebacterium striatum. Microb Drug Resist 2020; 26:1546-1558. [PMID: 32429830 DOI: 10.1089/mdr.2019.0124] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Disinfection and antisepsis are of primary importance in controlling nosocomial infections and outbreaks by pathogens expressing multiple resistance to antimicrobial agents (multidrug-resistant [MDR]) used in therapy. Nowadays, infections related to health services (HAIs) due to MDR and multidrug-susceptible (MDS) Corynebacterium striatum should not be underestimated, including patients using invasive medical devices. The virulence potential of C. striatum needs further investigation. Currently, susceptibility profiles of planktonic and/or sessile forms of four C. striatum strains of different pulsed-field gel electrophoresis types were examined as biocides based on the manufacturer's recommendations: 2% glutaraldehyde (GA), 2% peracetic acid (PA), 1% potassium monopersulfate (Virkon®; VK), 1% sodium hypochlorite (SH), and 70% ethyl alcohol (ET). Time-kill assays using 2% bovine serum albumin (BSA) were performed for evaluation of influence of organic matter on biocides effects. Planktonic forms expressed GA resistance at different levels. C. striatum viability was observed until 2, 4, 20, and 30 min for MDR 2369/II, MDS 1954/IV, MDR 1987/I, and MDS 1961/III strains, respectively. In contrast to GA, the biocides PA, VK24h, SH, and ET had higher effective bacterial mortality. However, storage of VK (48 hr) reduced their biocide activities. Moreover, mature biofilms were produced on abiotic substrates, including steel surfaces. Post-treatment with GA (30 min), survival of sessile forms was ≥100% than planktonic forms of all C. striatum tested strains. Independent of biocides tested, BSA increased the survival of planktonic and sessile forms (p ≤ 0.005). Present data indicated that hospital staff should be aware of dissemination and eradication of HAIs by C. striatum presenting resistance to biocides, including high-level disinfectants, such as GA.
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Affiliation(s)
- Cassius de Souza
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance (LDCIC), Faculdade de Ciências Médicas (FCM), Universidade do Estado do Rio de Janeiro (UERJ), The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health-FNS/MS, Rio de Janeiro, Brazil
| | - Higor Franceschi Mota
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance (LDCIC), Faculdade de Ciências Médicas (FCM), Universidade do Estado do Rio de Janeiro (UERJ), The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health-FNS/MS, Rio de Janeiro, Brazil
| | - Yuri Vieira Faria
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance (LDCIC), Faculdade de Ciências Médicas (FCM), Universidade do Estado do Rio de Janeiro (UERJ), The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health-FNS/MS, Rio de Janeiro, Brazil
| | - Fellipe de Oliveira Cabral
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance (LDCIC), Faculdade de Ciências Médicas (FCM), Universidade do Estado do Rio de Janeiro (UERJ), The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health-FNS/MS, Rio de Janeiro, Brazil
| | - Dryelle Rodrigues de Oliveira
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance (LDCIC), Faculdade de Ciências Médicas (FCM), Universidade do Estado do Rio de Janeiro (UERJ), The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health-FNS/MS, Rio de Janeiro, Brazil
| | - Lincoln de Oliveira Sant'Anna
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance (LDCIC), Faculdade de Ciências Médicas (FCM), Universidade do Estado do Rio de Janeiro (UERJ), The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health-FNS/MS, Rio de Janeiro, Brazil
| | - Prescilla Emy Nagao
- Departamento de Biologia Celular, Instituto de Biologia Roberto Alcântara Gomes, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Cintia da Silva Santos
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance (LDCIC), Faculdade de Ciências Médicas (FCM), Universidade do Estado do Rio de Janeiro (UERJ), The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health-FNS/MS, Rio de Janeiro, Brazil
| | - Lílian Oliveira Moreira
- Faculdade de Farmácia, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Ana Luíza Mattos-Guaraldi
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance (LDCIC), Faculdade de Ciências Médicas (FCM), Universidade do Estado do Rio de Janeiro (UERJ), The Collaborating Centre for Reference and Research on Diphtheria/National Health Foundation/Ministry of Health-FNS/MS, Rio de Janeiro, Brazil
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10
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Ramos JN, Souza C, Faria YV, da Silva EC, Veras JFC, Baio PVP, Seabra SH, de Oliveira Moreira L, Hirata Júnior R, Mattos-Guaraldi AL, Vieira VV. Bloodstream and catheter-related infections due to different clones of multidrug-resistant and biofilm producer Corynebacterium striatum. BMC Infect Dis 2019; 19:672. [PMID: 31357945 PMCID: PMC6664767 DOI: 10.1186/s12879-019-4294-7] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2018] [Accepted: 07/17/2019] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Corynebacterium striatum is an emerging multidrug-resistant (MDR) pathogen associated with immunocompromised and chronically ill patients, as well as nosocomial outbreaks. In this study, we characterized 23 MDR C. striatum isolated of bloodstream and catheter-related infections from a hospital of Rio de Janeiro. METHODS C. striatum isolates were identified by 16S rRNA and rpoB genes sequencing. The dissemination of these isolates was accomplished by pulsed-field gel electrophoresis (PFGE). All isolates were submitted to antimicrobial susceptibility testing by disk diffusion and by minimum inhibitory concentration using E-test strips methods. Antimicrobial resistance genes were detected by polymerase chain reaction. Quantitative tests were performed on four different abiotic surfaces and the ability to produce biofilm on the surface of polyurethane and silicone catheter was also demonstrated by scanning electron microscopy. RESULTS Eleven PFGE profiles were found. The PFGE profile I was the most frequently observed among isolates. Five different MDR profiles were found and all PFGE profile I isolates presented susceptibility only to tetracycline, vancomycin, linezolid and daptomycin. Only the multidrug-susceptible isolate did not show mutations in the quinolone-resistance determinant region (QRDR) of the gyrA gene and was negative in the search of genes encoding antibiotic resistance. The other 22 isolates were positive to resistance genes to aminoglycoside, macrolides/lincosamides and chloramphenicol and showed mutations in the QRDR of the gyrA gene. Scanning electron microscopy illustrated the ability of MDR blood isolate partaker of the epidemic clone (PFGE profile I) to produce mature biofilm on the surface of polyurethane and silicone catheter. CONCLUSIONS Genotyping analysis by PFGE revealed the permanence of the MDR PFGE profile I in the nosocomial environment. Other new PFGE profiles emerged as etiologic agents of invasive infections. However, the MDR PFGE profile I was also found predominant among patients with hematogenic infections. The high level of multidrug resistance associated with biofilm formation capacity observed in MDR C. striatum is a case of concern.
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Affiliation(s)
- Juliana Nunes Ramos
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Faculdade de Ciências Médicas, Centro Colaborador e Referência para pesquisa de Difteria/Ministério da Saúde, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
- Instituto Nacional de Controle de Qualidade em Saúde, Fundação Oswaldo Cruz, INCQS/FIOCRUZ, Rio de Janeiro, Brazil
- Laboratório Interdisciplinar de Pesquisas Médicas (LIPMED), Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Av. Brasil, 4365, Pavilhão Cardoso Fontes, 10 andar, sala 17, Manguinhos, Rio de Janeiro, 21040-900 Brazil
| | - Cassius Souza
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Faculdade de Ciências Médicas, Centro Colaborador e Referência para pesquisa de Difteria/Ministério da Saúde, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
| | - Yuri Vieira Faria
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Faculdade de Ciências Médicas, Centro Colaborador e Referência para pesquisa de Difteria/Ministério da Saúde, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
- Laboratório de Tecnologia em Bioquímica e Microscopia, Centro Universitário Estadual da Zona Oeste, Rio de Janeiro, Brazil
| | - Eliane Cristine da Silva
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Faculdade de Ciências Médicas, Centro Colaborador e Referência para pesquisa de Difteria/Ministério da Saúde, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
| | - João Flávio Carneiro Veras
- Instituto Nacional de Controle de Qualidade em Saúde, Fundação Oswaldo Cruz, INCQS/FIOCRUZ, Rio de Janeiro, Brazil
| | - Paulo Victor Pereira Baio
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Faculdade de Ciências Médicas, Centro Colaborador e Referência para pesquisa de Difteria/Ministério da Saúde, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
- Laboratório Interdisciplinar de Pesquisas Médicas (LIPMED), Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Av. Brasil, 4365, Pavilhão Cardoso Fontes, 10 andar, sala 17, Manguinhos, Rio de Janeiro, 21040-900 Brazil
| | - Sérgio Henrique Seabra
- Laboratório de Tecnologia em Bioquímica e Microscopia, Centro Universitário Estadual da Zona Oeste, Rio de Janeiro, Brazil
| | - Lilian de Oliveira Moreira
- Laboratório de Bacteriologia e Imunologia Clínica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Raphael Hirata Júnior
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Faculdade de Ciências Médicas, Centro Colaborador e Referência para pesquisa de Difteria/Ministério da Saúde, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
| | - Ana Luíza Mattos-Guaraldi
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Faculdade de Ciências Médicas, Centro Colaborador e Referência para pesquisa de Difteria/Ministério da Saúde, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
| | - Verônica Viana Vieira
- Laboratório Interdisciplinar de Pesquisas Médicas (LIPMED), Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Av. Brasil, 4365, Pavilhão Cardoso Fontes, 10 andar, sala 17, Manguinhos, Rio de Janeiro, 21040-900 Brazil
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11
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Carvalho RVD, Lima FFDS, Santos CSD, Souza MCD, Silva RSD, Mattos-Guaraldi ALD. Central venous catheter-related infections caused by Corynebacterium amycolatum and other multiresistant non-diphtherial corynebacteria in paediatric oncology patients. Braz J Infect Dis 2018; 22:347-351. [PMID: 30102894 PMCID: PMC9428009 DOI: 10.1016/j.bjid.2018.07.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Revised: 07/13/2018] [Accepted: 07/15/2018] [Indexed: 11/26/2022] Open
Abstract
Bloodstream and venous catheter-related corynebacterial infections in paediatric patients with haematological cancer were investigated from January 2003 to December 2014 at the Brazilian National Cancer Institute in Rio de Janeiro, Brazil. We observed that during cancer treatment, invasive corynebacterial infections occurred independent of certain factors, such as age and gender, underlying diseases and neutropenia. These infections were ssscaused by Corynebacterium amycolatum and other non-diphtherial corynebacteria. All cases presented a variable profile of susceptibility to antimicrobial agents, except to vancomycin. Targeted antibiotic therapy may contribute to catheters maintenance and support quality of treatment. Non-diphtherial corynebacteria must be recognized as agents associated with venous access infections. Our data highlight the need for the accurate identification of corynebacteria species, as well as antimicrobial susceptibility testing.
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Affiliation(s)
- Ricardo Vianna de Carvalho
- Universidade Estadual do Rio de Janeiro (UERJ), Faculdade de Ciências Médicas, Laboratório de Difteria e Corynebacteria de Relevância Clínica, Rio de Janeiro, RJ, Brazil; Ministério da Saúde, Fundação Nacional de Saúde, Centro de Referência e Pesquisa em Difteria, Brasília, DF, Brazil; Instituto Nacional do Câncer , Rio de Janeiro, RJ, Brazil.
| | | | - Cíntia Silva Dos Santos
- Universidade Estadual do Rio de Janeiro (UERJ), Faculdade de Ciências Médicas, Laboratório de Difteria e Corynebacteria de Relevância Clínica, Rio de Janeiro, RJ, Brazil; Ministério da Saúde, Fundação Nacional de Saúde, Centro de Referência e Pesquisa em Difteria, Brasília, DF, Brazil
| | - Mônica Cristina de Souza
- Universidade Estadual do Rio de Janeiro (UERJ), Faculdade de Ciências Médicas, Laboratório de Difteria e Corynebacteria de Relevância Clínica, Rio de Janeiro, RJ, Brazil; Ministério da Saúde, Fundação Nacional de Saúde, Centro de Referência e Pesquisa em Difteria, Brasília, DF, Brazil
| | - Rondinele Santos da Silva
- Universidade Estadual do Rio de Janeiro (UERJ), Faculdade de Ciências Médicas, Laboratório de Difteria e Corynebacteria de Relevância Clínica, Rio de Janeiro, RJ, Brazil; Ministério da Saúde, Fundação Nacional de Saúde, Centro de Referência e Pesquisa em Difteria, Brasília, DF, Brazil
| | - Ana Luiza de Mattos-Guaraldi
- Universidade Estadual do Rio de Janeiro (UERJ), Faculdade de Ciências Médicas, Laboratório de Difteria e Corynebacteria de Relevância Clínica, Rio de Janeiro, RJ, Brazil; Ministério da Saúde, Fundação Nacional de Saúde, Centro de Referência e Pesquisa em Difteria, Brasília, DF, Brazil
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12
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Santos AS, Ramos RT, Silva A, Hirata R, Mattos-Guaraldi AL, Meyer R, Azevedo V, Felicori L, Pacheco LGC. Searching whole genome sequences for biochemical identification features of emerging and reemerging pathogenic Corynebacterium species. Funct Integr Genomics 2018; 18:593-610. [PMID: 29752561 DOI: 10.1007/s10142-018-0610-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2017] [Revised: 03/28/2018] [Accepted: 04/16/2018] [Indexed: 12/24/2022]
Abstract
Biochemical tests are traditionally used for bacterial identification at the species level in clinical microbiology laboratories. While biochemical profiles are generally efficient for the identification of the most important corynebacterial pathogen Corynebacterium diphtheriae, their ability to differentiate between biovars of this bacterium is still controversial. Besides, the unambiguous identification of emerging human pathogenic species of the genus Corynebacterium may be hampered by highly variable biochemical profiles commonly reported for these species, including Corynebacterium striatum, Corynebacterium amycolatum, Corynebacterium minutissimum, and Corynebacterium xerosis. In order to identify the genomic basis contributing for the biochemical variabilities observed in phenotypic identification methods of these bacteria, we combined a comprehensive literature review with a bioinformatics approach based on reconstruction of six specific biochemical reactions/pathways in 33 recently released whole genome sequences. We used data retrieved from curated databases (MetaCyc, PathoSystems Resource Integration Center (PATRIC), The SEED, TransportDB, UniProtKB) associated with homology searches by BLAST and profile Hidden Markov Models (HMMs) to detect enzymes participating in the various pathways and performed ab initio protein structure modeling and molecular docking to confirm specific results. We found a differential distribution among the various strains of genes that code for some important enzymes, such as beta-phosphoglucomutase and fructokinase, and also for individual components of carbohydrate transport systems, including the fructose-specific phosphoenolpyruvate-dependent sugar phosphotransferase (PTS) and the ribose-specific ATP-binging cassette (ABC) transporter. Horizontal gene transfer plays a role in the biochemical variability of the isolates, as some genes needed for sucrose fermentation were seen to be present in genomic islands. Noteworthy, using profile HMMs, we identified an enzyme with putative alpha-1,6-glycosidase activity only in some specific strains of C. diphtheriae and this may aid to understanding of the differential abilities to utilize glycogen and starch between the biovars.
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Affiliation(s)
- André S Santos
- Bioinformatics Post-Graduate Program, Institute of Biological Sciences, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
- Institute of Health Sciences, Federal University of Bahia (UFBA), Salvador, BA, Brazil
| | - Rommel T Ramos
- Institute of Biological Sciences, Federal University of Pará (UFPA), Belém, PA, Brazil
| | - Artur Silva
- Institute of Biological Sciences, Federal University of Pará (UFPA), Belém, PA, Brazil
| | - Raphael Hirata
- Faculty of Medical Sciences, Rio de Janeiro State University (UERJ), Rio de Janeiro, RJ, Brazil
| | - Ana L Mattos-Guaraldi
- Faculty of Medical Sciences, Rio de Janeiro State University (UERJ), Rio de Janeiro, RJ, Brazil
| | - Roberto Meyer
- Institute of Health Sciences, Federal University of Bahia (UFBA), Salvador, BA, Brazil
| | - Vasco Azevedo
- Bioinformatics Post-Graduate Program, Institute of Biological Sciences, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Liza Felicori
- Bioinformatics Post-Graduate Program, Institute of Biological Sciences, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Luis G C Pacheco
- Institute of Health Sciences, Federal University of Bahia (UFBA), Salvador, BA, Brazil.
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13
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Zasada AA, Mosiej E. Contemporary microbiology and identification of Corynebacteria spp. causing infections in human. Lett Appl Microbiol 2018; 66:472-483. [PMID: 29573441 DOI: 10.1111/lam.12883] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Revised: 03/09/2018] [Accepted: 03/09/2018] [Indexed: 11/29/2022]
Abstract
The Corynebacterium is a genus of bacteria of growing clinical importance. Progress in medicine results in growing population of immunocompromised patients and growing number of infections caused by opportunistic pathogens. A new infections caused by new Corynebacterium species and species previously regarded as commensal micro-organisms have been described. Parallel with changes in Corynebacteria infections, the microbiological laboratory diagnostic possibilities are changing. But identification of this group of bacteria to the species level remains difficult. In the paper, we present various manual, semi-automated and automated assays used in clinical laboratories for Corynebacterium identification, such as API Coryne, RapID CB Plus, BBL Crystal Gram Positive ID System, MICRONAUT-RPO, VITEK 2, BD Phoenix System, Sherlock Microbial ID System, MicroSeq Microbial Identification System, Biolog Microbial Identification Systems, MALDI-TOF MS systems, polymerase chain reaction (PCR)-based and sequencing-based assays. The presented assays are based on various properties, like biochemical tests, specific DNA sequences, composition of cellular fatty acids, protein profiles and have specific limitations. SIGNIFICANCE AND IMPACT OF THE STUDY The number of opportunistic infections caused by Corynebacteria is increasing due to increase in number of immunocompromised patients. New Corynebacterium species and new human infections, caused by this group of bacteria, has been described recently. However, identification of Corynebacteria is still a challenge despite application of sophisticated laboratory methods. In the study we present possibilities and limitations of various commercial systems for identification of Corynebacteria.
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Affiliation(s)
- A A Zasada
- Department of Sera and Vaccines Evaluation, National Institute of Public Health - National Institute of Hygiene, Warsaw, Poland
| | - E Mosiej
- Department of Sera and Vaccines Evaluation, National Institute of Public Health - National Institute of Hygiene, Warsaw, Poland
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14
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Toll-Like Receptor 2 and Mincle Cooperatively Sense Corynebacterial Cell Wall Glycolipids. Infect Immun 2017; 85:IAI.00075-17. [PMID: 28483856 DOI: 10.1128/iai.00075-17] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2017] [Accepted: 05/01/2017] [Indexed: 01/01/2023] Open
Abstract
Nontoxigenic Corynebacterium diphtheriae and Corynebacterium ulcerans cause invasive disease in humans and animals. Host sensing of corynebacteria is largely uncharacterized, albeit the recognition of lipoglycans by Toll-like receptor 2 (TLR2) appears to be important for macrophage activation by corynebacteria. The members of the order Corynebacterineae (e.g., mycobacteria, nocardia, and rhodococci) share a glycolipid-rich cell wall dominated by mycolic acids (termed corynomycolic acids in corynebacteria). The mycolic acid-containing cord factor of mycobacteria, trehalose dimycolate, activates the C-type lectin receptor (CLR) Mincle. Here, we show that glycolipid extracts from the cell walls of several pathogenic and nonpathogenic Corynebacterium strains directly bound to recombinant Mincle in vitro Macrophages deficient in Mincle or its adapter protein Fc receptor gamma chain (FcRγ) produced severely reduced amounts of granulocyte colony-stimulating factor (G-CSF) and of nitric oxide (NO) upon challenge with corynebacterial glycolipids. Consistently, cell wall extracts of a particular C. diphtheriae strain (DSM43989) lacking mycolic acid esters neither bound Mincle nor activated macrophages. Furthermore, TLR2 but not TLR4 was critical for sensing of cell wall extracts and whole corynebacteria. The upregulation of Mincle expression upon encountering corynebacteria required TLR2. Thus, macrophage activation by the corynebacterial cell wall relies on TLR2-driven robust Mincle expression and the cooperative action of both receptors.
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15
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Peixoto RS, Hacker E, Antunes CA, Weerasekera D, Dias AA, Martins CA, Hirata R, Santos KRND, Burkovski A, Mattos-Guaraldi AL. Pathogenic properties of a Corynebacterium diphtheriae strain isolated from a case of osteomyelitis. J Med Microbiol 2017; 65:1311-1321. [PMID: 27902402 DOI: 10.1099/jmm.0.000362] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Corynebacterium diphtheriae is typically recognized as a colonizer of the upper respiratory tract (respiratory diphtheria) and the skin (cutaneous diphtheria). However, different strains of Corynebacteriumdiphtheriae can also cause invasive infections. In this study, the characterization of a non-toxigenic Corynebacteriumdiphtheriae strain (designated BR-INCA5015) isolated from osteomyelitis in the frontal bone of a patient with adenoid cystic carcinoma was performed. Pathogenic properties of the strain BR-INCA5015 were tested in a Caenorhabditis elegans survival assay showing strong colonization and killing by this strain. Survival rates of 3.8±2.7 %, 33.6±7.3 % and 0 % were observed for strains ATCC 27010T, ATCC 27012 and BR-INCA5015, respectively, at day 7. BR-INCA5015 was able to colonize epithelial cells, showing elevated capacity to adhere to and survive within HeLa cells compared to other Corynebacteriumdiphtheriae isolates. Intracellular survival in macrophages (THP-1 and RAW 264.7) was significantly higher compared to control strains ATCC 27010T (non-toxigenic) and ATCC 27012 (toxigenic). Furthermore, the ability of BR-INCA5015 to induce osteomyelitis was confirmed by in vivo assay using Swiss Webster mice.
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Affiliation(s)
- Renata Stavracakis Peixoto
- Professur für Mikrobiologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.,Department of Medical Microbiology, Institute of Microbiology, Rio de Janeiro Federal University (IMPPG/UFRJ), Rio de Janeiro, RJ, Brazil.,Laboratory of Diphtheria and Corynebacteria of Clinical Relevance-LDCIC, Faculty of Medical Sciences, Rio de Janeiro State University - UERJ, Rio de Janeiro, RJ, Brazil
| | - Elena Hacker
- Professur für Mikrobiologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Camila Azevedo Antunes
- Professur für Mikrobiologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.,Laboratory of Diphtheria and Corynebacteria of Clinical Relevance-LDCIC, Faculty of Medical Sciences, Rio de Janeiro State University - UERJ, Rio de Janeiro, RJ, Brazil
| | - Dulanthi Weerasekera
- Professur für Mikrobiologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - A A Dias
- National Institute for Quality Control in Health (INCQS), Fundação Oswaldo Cruz-FIOCRUZ, Rio de Janeiro, RJ, Brazil
| | - Carlos Alberto Martins
- Brazilian National Cancer Institute - Ministry of Health, INCA, Rio de Janeiro, RJ, Brazil
| | - Raphael Hirata
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance-LDCIC, Faculty of Medical Sciences, Rio de Janeiro State University - UERJ, Rio de Janeiro, RJ, Brazil
| | - Kátia Regina Netto Dos Santos
- Department of Medical Microbiology, Institute of Microbiology, Rio de Janeiro Federal University (IMPPG/UFRJ), Rio de Janeiro, RJ, Brazil
| | - Andreas Burkovski
- Professur für Mikrobiologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Ana Luíza Mattos-Guaraldi
- Laboratory of Diphtheria and Corynebacteria of Clinical Relevance-LDCIC, Faculty of Medical Sciences, Rio de Janeiro State University - UERJ, Rio de Janeiro, RJ, Brazil.,Department of Medical Microbiology, Institute of Microbiology, Rio de Janeiro Federal University (IMPPG/UFRJ), Rio de Janeiro, RJ, Brazil
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16
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Kimura SI, Gomyo A, Hayakawa J, Akahoshi Y, Harada N, Ugai T, Komiya Y, Kameda K, Wada H, Ishihara Y, Kawamura K, Sakamoto K, Sato M, Terasako-Saito K, Kikuchi M, Nakasone H, Kanda J, Kako S, Tanihara A, Kanda Y. Clinical characteristics and predictive factors for mortality in coryneform bacteria bloodstream infection in hematological patients. J Infect Chemother 2016; 23:148-153. [PMID: 28011352 DOI: 10.1016/j.jiac.2016.11.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2016] [Revised: 10/23/2016] [Accepted: 11/22/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND We examined the clinical characteristics and predictive factors for mortality in coryneform bacteria bloodstream infection in hematological patients. METHODS We searched for hematological patients who had positive blood cultures for coryneform bacteria at our center between April 2007 and January 2016. Patients with definite bloodstream infections were included. We started species identification in April 2014. RESULTS Twenty of twenty-eight cases with a positive blood culture for coryneform bacteria were regarded as definite infections. Sixteen and two patients were allogeneic and autologous hematopoietic stem cell transplantation (HSCT) recipients, respectively. Corynebacterium striatum was identified in all nine of the cases tested and one patient was co-infected with Corynebacterium amycolatum. None of the patients died directly due to coryneform bacteria infection. The survival rates at 30, 60 and 180 days were 100%, 73.7% and 51.3%, respectively. Causes of mortality included progression of the underlying disease (n = 6), other infections (n = 4) and HSCT complications (n = 2). Mixed infection (hazard ratio (HR) 5.47, 95% confidence interval (CI) 1.30-23.0), renal impairment (HR 6.31, 95% CI 1.06-37.4) and absence of a central venous (CV) catheter at the onset (HR 6.39, 95% CI 1.04-39.45) were identified as predictive factors for mortality. CONCLUSION Most of the coryneform bacteria bloodstream infections occurred in HSCT recipients. Contamination seemed to be less common when coryneform bacteria were detected in blood in hematological patients. Although coryneform bacteria bloodstream infection seemed to mostly be manageable, the prognosis was not desirable, particularly in patients with mixed infection, renal impairment and absence of a CV catheter.
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Affiliation(s)
- Shun-Ichi Kimura
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Ayumi Gomyo
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Jin Hayakawa
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Yu Akahoshi
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Naonori Harada
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Tomotaka Ugai
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Yusuke Komiya
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Kazuaki Kameda
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Hidenori Wada
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Yuko Ishihara
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Koji Kawamura
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Kana Sakamoto
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Miki Sato
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | | | - Misato Kikuchi
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Hideki Nakasone
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Junya Kanda
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Shinichi Kako
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Aki Tanihara
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan
| | - Yoshinobu Kanda
- Division of Hematology, Saitama Medical Center, Jichi Medical University, Japan.
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17
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Fernández-Natal I, Sáez-Nieto J, Rodríguez-Lázaro D, Valdezate-Ramos S, Parras-Padilla T, Medina M, Rodríguez-Pollán R, Blom J, Tauch A, Soriano F. Phenotypic, molecular characterization, antimicrobial susceptibility and draft genome sequence of Corynebacterium argentoratense strains isolated from clinical samples. New Microbes New Infect 2016; 10:116-21. [PMID: 26933505 PMCID: PMC4765771 DOI: 10.1016/j.nmni.2016.01.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2015] [Revised: 12/23/2015] [Accepted: 01/14/2016] [Indexed: 02/04/2023] Open
Abstract
During a 12-year period we isolated five Corynebacterium argentoratense strains identified by phenotypic methods, including the use of matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF) and 16S rRNA gene sequencing. In addition, antimicrobial susceptibility was determined, and genome sequencing for the detection of antibiotic resistance genes was performed. The organisms were isolated from blood and throat cultures and could be identified by all methods used. All strains were resistant to cotrimoxazole, and resistance to β-lactams was partly present. Two strains were resistant to erythromycin and clindamycin. The draft genome sequences of theses isolates revealed the presence of the erm(X) resistance gene that is embedded in the genetic structure of the transposable element Tn5423. Although rarely reported as a human pathogen, C. argentoratense can be involved in bacteraemia and probably in other infections. Our results also show that horizontal transfer of genes responsible for antibiotic resistance is occurring in this species.
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Affiliation(s)
- I. Fernández-Natal
- Department of Clinical Microbiology, Complejo Asistencial Universitario de León, Spain
- Institute of Biomedicine (IBIOMED), León, Spain
| | - J.A. Sáez-Nieto
- Bacterial Taxonomy Laboratory, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Spain
| | - D. Rodríguez-Lázaro
- Microbiology Q2 Section, Department of Biotechnology and Food Science, Faculty of Science, University of Burgos, Burgos, Spain
| | - S. Valdezate-Ramos
- Bacterial Taxonomy Laboratory, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Spain
| | - T. Parras-Padilla
- Department of Clinical Microbiology, Complejo Asistencial Universitario de León, Spain
| | - M.J. Medina
- Bacterial Taxonomy Laboratory, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Spain
| | - R.H. Rodríguez-Pollán
- Department of Clinical Microbiology, Complejo Asistencial Universitario de León, Spain
| | - J. Blom
- Bioinformatik und Systembiologie, Justus-Liebig-Universität, Gießen, Germany
| | - A. Tauch
- Institut für Genomforschung und Systembiologie, Centrum für Biotechnologie (CeBiTec), Universität Bielefeld, Bielefeld, Germany
| | - F. Soriano
- Public Health, School of Physiotherapy ONCE, Madrid, Spain
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18
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Pacheco LGC, Mattos-Guaraldi AL, Santos CS, Veras AAO, Guimarães LC, Abreu V, Pereira FL, Soares SC, Dorella FA, Carvalho AF, Leal CG, Figueiredo HCP, Ramos JN, Vieira VV, Farfour E, Guiso N, Hirata R, Azevedo V, Silva A, Ramos RTJ. Draft Genome Sequences of Two Species of "Difficult-to-Identify" Human-Pathogenic Corynebacteria: Implications for Better Identification Tests. J Genomics 2015; 3:82-4. [PMID: 26516374 PMCID: PMC4618292 DOI: 10.7150/jgen.12886] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Non-diphtheriae Corynebacterium species have been increasingly recognized as the causative agents of infections in humans. Differential identification of these bacteria in the clinical microbiology laboratory by the most commonly used biochemical tests is challenging, and normally requires additional molecular methods. Herein, we present the annotated draft genome sequences of two isolates of “difficult-to-identify” human-pathogenic corynebacterial species: C. xerosis and C. minutissimum. The genome sequences of ca. 2.7 Mbp, with a mean number of 2,580 protein encoding genes, were also compared with the publicly available genome sequences of strains of C. amycolatum and C. striatum. These results will aid the exploration of novel biochemical reactions to improve existing identification tests as well as the development of more accurate molecular identification methods through detection of species-specific target genes for isolate's identification or drug susceptibility profiling.
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Affiliation(s)
- Luis G C Pacheco
- 1. Institute of Health Sciences, Federal University of Bahia (UFBA), Salvador, BA, Brazil
| | - Ana L Mattos-Guaraldi
- 2. Faculty of Medical Sciences, Rio de Janeiro State University (UERJ), Rio de Janeiro, RJ, Brazil
| | - Carolina S Santos
- 1. Institute of Health Sciences, Federal University of Bahia (UFBA), Salvador, BA, Brazil
| | - Adonney A O Veras
- 3. Institute of Biological Sciences, Federal University of Pará (UFPA), Belém, PA, Brazil
| | - Luis C Guimarães
- 3. Institute of Biological Sciences, Federal University of Pará (UFPA), Belém, PA, Brazil. ; 4. Institute of Biological Sciences, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Vinícius Abreu
- 4. Institute of Biological Sciences, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Felipe L Pereira
- 5. National Reference Laboratory for Aquatic Animal Diseases, Ministry of Fisheries and Aquaculture, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Siomar C Soares
- 5. National Reference Laboratory for Aquatic Animal Diseases, Ministry of Fisheries and Aquaculture, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Fernanda A Dorella
- 5. National Reference Laboratory for Aquatic Animal Diseases, Ministry of Fisheries and Aquaculture, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Alex F Carvalho
- 5. National Reference Laboratory for Aquatic Animal Diseases, Ministry of Fisheries and Aquaculture, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Carlos G Leal
- 5. National Reference Laboratory for Aquatic Animal Diseases, Ministry of Fisheries and Aquaculture, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Henrique C P Figueiredo
- 5. National Reference Laboratory for Aquatic Animal Diseases, Ministry of Fisheries and Aquaculture, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Juliana N Ramos
- 2. Faculty of Medical Sciences, Rio de Janeiro State University (UERJ), Rio de Janeiro, RJ, Brazil. ; 6. National Institute for Quality Control in Health - Oswaldo Cruz Foundation (INCQS - Fiocruz), Rio de Janeiro, RJ, Brazil
| | - Veronica V Vieira
- 6. National Institute for Quality Control in Health - Oswaldo Cruz Foundation (INCQS - Fiocruz), Rio de Janeiro, RJ, Brazil
| | - Eric Farfour
- 7. Unité de Prévention et Thérapie Moléculaires des Maladies Humaines, Institut Pasteur, Paris, France
| | - Nicole Guiso
- 7. Unité de Prévention et Thérapie Moléculaires des Maladies Humaines, Institut Pasteur, Paris, France
| | - Raphael Hirata
- 2. Faculty of Medical Sciences, Rio de Janeiro State University (UERJ), Rio de Janeiro, RJ, Brazil
| | - Vasco Azevedo
- 4. Institute of Biological Sciences, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Artur Silva
- 3. Institute of Biological Sciences, Federal University of Pará (UFPA), Belém, PA, Brazil
| | - Rommel T J Ramos
- 3. Institute of Biological Sciences, Federal University of Pará (UFPA), Belém, PA, Brazil
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19
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Contact Lens-Related Infectious Keratitis with White Plaque Formation Caused by Corynebacterium propinquum. J Clin Microbiol 2015; 53:3092-5. [PMID: 26179302 DOI: 10.1128/jcm.00899-15] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2015] [Accepted: 07/09/2015] [Indexed: 11/20/2022] Open
Abstract
We report the first case of Corynebacterium propinquum keratitis in the compromised cornea of a diabetic patient wearing therapeutic contact lenses. The strain was identified to the species level based on sequencing of the 16S rRNA gene and RNA polymerase β-subunit-encoding gene (rpoB). Ophthalmologists should be aware of nondiphtherial corynebacterial infection of compromised corneas.
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20
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Draft Genome Sequences of the Two Unrelated Macrolide-Resistant Corynebacterium argentoratense Strains CNM 463/05 and CNM 601/08, Isolated from Patients in the University Hospital of León, Spain. GENOME ANNOUNCEMENTS 2015; 3:3/4/e00765-15. [PMID: 26159536 PMCID: PMC4498122 DOI: 10.1128/genomea.00765-15] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Corynebacterium argentoratense has been associated mainly with infections in the human respiratory tract. Genome sequencing of two unrelated clinical macrolide-resistant strains, CNM 463/05 and CNM 601/08, revealed the presence of the antibiotic resistance gene erm(X) allocated to a specific genomic region with 100% similarity to the widely distributed transposable element Tn5432.
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21
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Souza MC, dos Santos LS, Sousa LP, Faria YV, Ramos JN, Sabbadini PS, da Santos CS, Nagao PE, Vieira VV, Gomes DLR, Hirata Júnior R, Mattos-Guaraldi AL. Biofilm formation and fibrinogen and fibronectin binding activities by Corynebacterium pseudodiphtheriticum invasive strains. Antonie Van Leeuwenhoek 2015; 107:1387-99. [PMID: 25828766 DOI: 10.1007/s10482-015-0433-3] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2014] [Accepted: 03/18/2015] [Indexed: 11/30/2022]
Abstract
Biofilm-related infections are considered a major cause of morbidity and mortality in hospital environments. Biofilms allow microorganisms to exchange genetic material and to become persistent colonizers and/or multiresistant to antibiotics. Corynebacterium pseudodiphtheriticum (CPS), a commensal bacterium that colonizes skin and mucosal sites has become progressively multiresistant and responsible for severe nosocomial infections. However, virulence factors of this emergent pathogen remain unclear. Herein, we report the adhesive properties and biofilm formation on hydrophilic (glass) and hydrophobic (plastic) abiotic surfaces by CPS strains isolated from patients with localized (ATCC10700/Pharyngitis) and systemic (HHC1507/Bacteremia) infections. Adherence to polystyrene attributed to hydrophobic interactions between bacterial cells and this negatively charged surface indicated the involvement of cell surface hydrophobicity in the initial stage of biofilm formation. Attached microorganisms multiplied and formed microcolonies that accumulated as multilayered cell clusters, a step that involved intercellular adhesion and synthesis of extracellular matrix molecules. Further growth led to the formation of dense bacterial aggregates embedded in the exopolymeric matrix surrounded by voids, typical of mature biofilms. Data also showed CPS recognizing human fibrinogen (Fbg) and fibronectin (Fn) and involvement of these sera components in formation of "conditioning films". These findings suggested that biofilm formation may be associated with the expression of different adhesins. CPS may form biofilms in vivo possibly by an adherent biofilm mode of growth in vitro currently demonstrated on hydrophilic and hydrophobic abiotic surfaces. The affinity to Fbg and Fn and the biofilm-forming ability may contribute to the establishment and dissemination of infection caused by CPS.
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Affiliation(s)
- Monica Cristina Souza
- Laboratório de Difteria e Corinebactérias de Importância Clínica (LDCIC), Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro (UERJ), Av. 28 de Setembro, 87 - Fundos, 3°andar, Vila Isabel, Rio de Janeiro, RJ, 20.551-030, Brazil
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22
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de Souza C, Faria YV, Sant’Anna LDO, Viana VG, Seabra SH, de Souza MC, Vieira VV, Hirata R, Moreira LDO, de Mattos-Guaraldi AL. Biofilm production by multiresistant Corynebacterium striatum associated with nosocomial outbreak. Mem Inst Oswaldo Cruz 2015; 110:242-8. [PMID: 25946249 PMCID: PMC4489456 DOI: 10.1590/0074-02760140373] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Accepted: 01/29/2015] [Indexed: 01/04/2023] Open
Abstract
Corynebacterium striatum is a potentially pathogenic microorganism that causes nosocomial outbreaks. However, little is known about its virulence factors that may contribute to healthcare-associated infections (HAIs). We investigated the biofilm production on abiotic surfaces of multidrug-resistant (MDR) and multidrug-susceptible (MDS) strains of C. striatum of pulsed-field gel electrophoresis types I-MDR, II-MDR, III-MDS and IV-MDS isolated during a nosocomial outbreak in Rio de Janeiro, Brazil. The results showed that C. striatum was able to adhere to hydrophilic and hydrophobic abiotic surfaces. The C. striatum 1987/I-MDR strain, predominantly isolated from patients undergoing endotracheal intubation procedures, showed the greatest ability to adhere to all surfaces. C. striatum bound fibrinogen to its surface, which contributed to biofilm formation. Scanning electron microscopy showed the production of mature biofilms on polyurethane catheters by all pulsotypes. In conclusion, biofilm production may contribute to the establishment of HAIs caused by C. striatum.
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Affiliation(s)
- Cassius de Souza
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Centro
Colaborador de Referência e Pesquisa em Difteria/Fundação Nacional de Saúde/Ministério
da Saúde, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Yuri Vieira Faria
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Centro
Colaborador de Referência e Pesquisa em Difteria/Fundação Nacional de Saúde/Ministério
da Saúde, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Lincoln de Oliveira Sant’Anna
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Centro
Colaborador de Referência e Pesquisa em Difteria/Fundação Nacional de Saúde/Ministério
da Saúde, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Vanilda Gonçalves Viana
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Centro
Colaborador de Referência e Pesquisa em Difteria/Fundação Nacional de Saúde/Ministério
da Saúde, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Sérgio Henrique Seabra
- Laboratório de Tecnologia em Bioquímica e Microscopia, Centro
Universitário Estadual da Zona Oeste, Rio de Janeiro, RJ, Brasil
| | - Mônica Cristina de Souza
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Centro
Colaborador de Referência e Pesquisa em Difteria/Fundação Nacional de Saúde/Ministério
da Saúde, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Verônica Viana Vieira
- Laboratório de Genética Molecular de Microrganismos, Instituto Oswaldo
Cruz-Fiocruz, Rio de Janeiro, RJ, Brasil
| | - Raphael Hirata
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Centro
Colaborador de Referência e Pesquisa em Difteria/Fundação Nacional de Saúde/Ministério
da Saúde, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Lílian de Oliveira Moreira
- Laboratório de Bacteriologia e Imunologia Clínica, Universidade Federal
do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Ana Luíza de Mattos-Guaraldi
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Centro
Colaborador de Referência e Pesquisa em Difteria/Fundação Nacional de Saúde/Ministério
da Saúde, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
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23
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24
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Olender A. Antibiotic resistance and detection of the most common mechanism of resistance (MLSB) of opportunistic Corynebacterium. Chemotherapy 2014; 59:294-306. [PMID: 24480817 DOI: 10.1159/000357467] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2013] [Accepted: 11/20/2013] [Indexed: 11/19/2022]
Abstract
BACKGROUND Determination of antibiotic resistance of opportunistic Corynebacterium colonizing the nose that cause infections and evaluation of the applicability of a simple method for detecting the most common constitutive-type resistance to macrolides, lincosamides and streptogramin B (MLSB). METHODS 70 isolates colonizing the nose and 70 clinical isolates of various infection sites were used and identified using APICoryne and 16S rRNA. Minimal inhibitory concentrations (MICs) were determined (Etest) for 12 antibiotics. MLSB was defined based on MIC, a simple method using two disks (erythromycin/clindamycin) and detection of the gene erm X (PCR). RESULTS There was a high percentage--in both groups at the same level--of strains with MLSB (88.5% colonizing the nose and 87.1% causing infections). Detection with the phenotypic method MLSB was confirmed genetically (erm X) in all cases. In both groups, a high percentage of resistance was found to trimethoprim/sulfamethoxazole (in both groups 71.4%), chloramphenicol (nose 44.2%/infections 37.1%), tetracycline (28 and 45.7%) and β-lactam antibiotics (18.5 and up to 32.8%). CONCLUSION Differences in antibiotic resistance were found between strains colonizing the respiratory tract and various infections. Isolates from infections more frequently exhibited multidrug resistance. The possibility of using a simple method was confirmed for MLSB detection, which can be applied to determine drug resistance in routine microbiological diagnostics of infections caused by opportunistic Corynebacterium.
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Affiliation(s)
- Alina Olender
- Department of Medical Microbiology, Medical University of Lublin, Lublin, Poland
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25
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Bernard K, Pacheco AL, Cunningham I, Gill N, Burdz T, Wiebe D. Emendation of the description of the species
Corynebacterium propinquum
to include strains which produce urease. Int J Syst Evol Microbiol 2013; 63:2146-2154. [DOI: 10.1099/ijs.0.046979-0] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Corynebacterium propinquum
is a Gram-positive rod occasionally recovered from clinical infections which, according to 16S rRNA gene sequencing, is most closely related (>99 % sequence similarity) to
Corynebacterium pseudodiphtheriticum
. The two species are very similar biochemically, commonly differentiated by a single test, the detection of urease, where strains of
C. propinquum
are described as being urease-non-producing and strains of
C. pseudodiphtheriticum
are described as urease-producing. In this study, historical and contemporary strains of
C. propinquum
and
C. pseudodiphtheriticum
from this laboratory were definitively characterized, which included use of rpoB sequencing. Urease-producing strains of
C. propinquum
as well as typical urease-non-producing isolates were identified after rpoB sequencing, with six of these being originally identified as
C. pseudodiphtheriticum
. Based on these observations, we propose emendation of the description of
C. propinquum
to include strains which produce urease. MALDI-TOF analysis may be a useful tool to differentiate these taxa. Existing commercial databases should be updated to include urease-positive strains of
C. propinquum
.
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Affiliation(s)
- Kathryn Bernard
- University of Manitoba, Department of Medical Microbiology, Winnipeg, Manitoba, Canada
- Special Bacteriology Unit, ARNI, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada
| | - Ana Luisa Pacheco
- Special Bacteriology Unit, ARNI, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada
| | - Ian Cunningham
- University of Manitoba, Department of Medical Microbiology, Winnipeg, Manitoba, Canada
| | - Navdeep Gill
- University of Victoria, Department of Biochemistry and Microbiology, Victoria, British Columbia, Canada
| | - Tamara Burdz
- Special Bacteriology Unit, ARNI, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada
| | - Deborah Wiebe
- Special Bacteriology Unit, ARNI, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada
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26
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Souza MCD, Santos LSD, Gomes DLR, Sabbadini PS, Santos CSD, Camello TCF, Asad LMBO, Rosa ACDP, Nagao PE, Hirata Júnior R, Guaraldi ALDM. Aggregative adherent strains of Corynebacterium pseudodiphtheriticum enter and survive within HEp-2 epithelial cells. Mem Inst Oswaldo Cruz 2013; 107:486-93. [PMID: 22666859 DOI: 10.1590/s0074-02762012000400008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2011] [Accepted: 02/15/2012] [Indexed: 11/21/2022] Open
Abstract
Corynebacterium pseudodiphtheriticum is a well-known human pathogen that mainly causes respiratory disease and is associated with high mortality in compromised hosts. Little is known about the virulence factors and pathogenesis of C. pseudodiphtheriticum. In this study, cultured human epithelial (HEp-2) cells were used to analyse the adherence pattern, internalisation and intracellular survival of the ATCC 10700 type strain and two additional clinical isolates. These microorganisms exhibited an aggregative adherence-like pattern to HEp-2 cells characterised by clumps of bacteria with a "stacked-brick" appearance. The differences in the ability of these microorganisms to invade and survive within HEp-2 cells and replicate in the extracellular environment up to 24 h post infection were evaluated. The fluorescent actin staining test demonstrated that actin polymerisation is involved in the internalisation of the C. pseudodiphtheriticum strains. The depolymerisation of microfilaments by cytochalasin E significantly reduced the internalisation of C. pseudodiphtheriticum by HEp-2 cells. Bacterial internalisation and cytoskeletal rearrangement seemed to be partially triggered by the activation of tyrosine kinase activity. Although C. pseudodiphtheriticum strains did not demonstrate an ability to replicate intracellularly, HEp-2 cells were unable to fully clear the pathogen within 24 h. These characteristics may explain how some C. pseudodiphtheriticum strains cause severe infection in human patients.
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Affiliation(s)
- Monica Cristina de Souza
- Laboratório de Difteria e Corinebacterias de Importância Clínica, Instituto de Biologia Roberto Alcântara Gomes, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
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27
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Baio PVP, Mota HF, Freitas AD, Gomes DLR, Ramos JN, Sant'Anna LO, Souza MC, Camello TCF, Hirata R, Vieira VV, Mattos-Guaraldi AL. Clonal multidrug-resistant Corynebacterium striatum within a nosocomial environment, Rio de Janeiro, Brazil. Mem Inst Oswaldo Cruz 2013; 108:23-9. [PMID: 23440110 PMCID: PMC3974316 DOI: 10.1590/s0074-02762013000100004] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2012] [Accepted: 10/02/2012] [Indexed: 12/20/2022] Open
Abstract
Corynebacterium striatum is a potentially pathogenic microorganism with the ability to produce outbreaks of nosocomial infections. Here, we document a nosocomial outbreak caused by multidrug-resistant (MDR) C. striatum in Rio de Janeiro, Brazil. C. striatum identification was confirmed by 16S rRNA and rpoB gene sequencing. Fifteen C. striatum strains were isolated from adults (half of whom were 50 years of age and older). C. striatum was mostly isolated in pure culture from tracheal aspirates of patients undergoing endotracheal intubation procedures. The analysis by pulsed-field gel electrophoresis (PFGE) indicated the presence of four PFGE profiles, including two related clones of MDR strains (PFGE I and II). The data demonstrated the predominance of PFGE type I, comprising 11 MDR isolates that were mostly isolated from intensive care units and surgical wards. A potential causal link between death and MDR C. striatum (PFGE types I and II) infection was observed in five cases.
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Affiliation(s)
- Paulo Victor Pereira Baio
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Departamento de Microbiologia, Imunologia e Patologia, Faculdade de Ciências Médicas
- Departamento de Microbiologia, Instituto Nacional de Controle de Qualidade em Saúde-Fiocruz, Rio de Janeiro, RJ, Brasil
- Laboratório Químico Farmacêutico do Exército, Ministério da Defesa, Rio de Janeiro, RJ, Brasil
| | - Higor Franceschi Mota
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Departamento de Microbiologia, Imunologia e Patologia, Faculdade de Ciências Médicas
| | - Andréa D'avila Freitas
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Departamento de Microbiologia, Imunologia e Patologia, Faculdade de Ciências Médicas
- Unidade Docente Assistencial de Doenças Infecciosas e Parasitárias
| | - Débora Leandro Rama Gomes
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Departamento de Microbiologia, Imunologia e Patologia, Faculdade de Ciências Médicas
- Faculdade de Farmácia, Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Juliana Nunes Ramos
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Departamento de Microbiologia, Imunologia e Patologia, Faculdade de Ciências Médicas
- Departamento de Microbiologia, Instituto Nacional de Controle de Qualidade em Saúde-Fiocruz, Rio de Janeiro, RJ, Brasil
| | - Lincoln Oliveira Sant'Anna
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Departamento de Microbiologia, Imunologia e Patologia, Faculdade de Ciências Médicas
| | - Mônica Cristina Souza
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Departamento de Microbiologia, Imunologia e Patologia, Faculdade de Ciências Médicas
| | - Thereza Cristina Ferreira Camello
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Departamento de Microbiologia, Imunologia e Patologia, Faculdade de Ciências Médicas
- Laboratório de Bacteriologia, Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Raphael Hirata
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Departamento de Microbiologia, Imunologia e Patologia, Faculdade de Ciências Médicas
| | - Verônica Viana Vieira
- Departamento de Microbiologia, Instituto Nacional de Controle de Qualidade em Saúde-Fiocruz, Rio de Janeiro, RJ, Brasil
| | - Ana Luíza Mattos-Guaraldi
- Laboratório de Difteria e Corinebactérias de Importância Clínica, Departamento de Microbiologia, Imunologia e Patologia, Faculdade de Ciências Médicas
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