Burkholderia cepacia meningitis in the Central African Republic

Burkholderia cepacia causes frequent infections in immunocompromised and hospitalized patients, with a significant mortality rate. This bacterial species has also been associated with epidemic outbreaks due to contamination of antiseptic solutions and parenteral and nebulized medications. In 2016, in the town of Bongonon in the north of the Central African Republic (CAR), a three-year-old boy with febrile meningeal syndrome (fever, neck stiffness and altered general condition) was admitted for a medical consultation provided by the nongovernmental organization MSF-Spain. On 20 March 2016, a sample of the boy's cerebrospinal fluid was sent to the Bacteriology Laboratory of the Pasteur Institute of Bangui for analysis. Conventional bacteriology showed that the isolate was a Gram-negative bacillus, which was identified as B. cepacia by using API 20 NE, with 99.9%confidence. In addition, the strain presented an acquired resistance to ticarcillin-clavulanate, ceftazidime and imipenem but remained susceptible to cotrimoxazole. As B. cepacia had never previously been isolated from cerebrospinal fluid in Africa, we chose to identify the strain by 16S rRNA gene sequencing. The molecular data showed that the isolate belonged to B. cepacia group. This is the first report of a case of meningitis caused by B. cepacia in CAR and developing countries.

[Interferometric studies of the dynamics of hydration and dry matter content during light-dependent germination of the Anabaena variabilis Kützing akinetes]

Calculations following interference-microscopical measurements performed on akinetes (A), heterocyts (H), and "vegetative" cells (F) of the Cyanobacterium (blue-green alga) Anabaena variabilis resulted in significant higher values of mean absolute dry matter content of the akinetes (2.06 . 10(-10) g; as compared to 0.46 . 10(-10) g and 0.31 . 10(-10) g for H and F, respectively). tthe water content of these resting cells (63%) was significantly lower than in the other two types of cells (H: 85%, F: 77%). Light exposition of the akinetes in fresh nutrition medium (i. e., conditions allowing germination within 30--50 h) resulted in a decrease of the relative dry matter content so that already in the period preceding the outgrowth of the germling the water content of the vegetative cells was achieved. Simultaneously their volume increased by the uptake of water; whereas the absolute content of dry matter remained constant or was even temporarily diminished during the first period. Only in the second period the values increased in some cases and then remained constant up to germination. The increased dry matter content, however, was not a precondition necessary for the germination of the akinetes. In darkness under otherwise unaltered conditions the values remained unchanged or, after a light period, came back to the initial level. The results demonstrate that formation and germination of the resting cells of Cyanobacteria as well are connected with an alteration in the hydratation level, i. e., in cells which continuously are kept under water saturated conditions. This increase by hydratation during the germination period is, as the germination process itself, strictly controlled by light.