Opportunistic pathogen

机会性病原体
  • 文章类型: Journal Article
    据报道,口链球菌是一种机会性细菌,涉及各种血液传播感染,如亚急性细菌性心内膜炎。败血症,细菌性脑膜炎,在某些情况下还有龋齿。在各种靶标中,肽脱甲酰基酶,S.oralis似乎是最有效的药物靶标,因为它参与蛋白质合成被选择用于本研究。由于无法获得来自口腔链球菌的肽脱甲酰基酶的PDB结构,因此该研究以肺炎链球菌的蛋白质和6OW2的同源性建模为模板。此后,分子对接,分子动力学模拟,ADME分析,并进行了MMPBSA分析,以探索植物成分作为来自S.oralisis的肽脱甲酰基酶的潜在抑制剂的抑制潜力。认为Actinonin是参考药物。在2370种植物化合物中,对A1-Barrizenol(IMPHY010984)的最佳观察结果为-8.5kcal/mol的结合亲和力。计算的RMSD,RMSF,IMPHY010984的结合自由能平均为约0.10±0.03nm,0.08±0.05nm,分别为131±21kJ/mol,而RMSD,RMSF,平均在约0.19±0.04nm处记录参考药物的结合自由能,0.11±0.08nm,-94±18kJ/mol。根据计算机观察,IMPHY010984被证明是优于参考药物的候选药物。该研究反映了IMPHY010984作为S.oralis预防性治疗的潜力。
    Streptococcus oralis an opportunistic bacterium has been reported to be involved in various blood borne infections like subacute bacterial endocarditis, septicemia, bacterial meningitis and in some cases dental caries too. Among various targets the peptide deformylase, of S.oralis appears to be most potent druggable target as it is involved in protein synthesis is opted for the current study. Due to unavailability of PDB structure of peptide deformylase from S. oralis the study initiates with homology modelling of the protein and 6OW2 of S pneumoniae is considered as the template. Thereafter, Molecular docking, Molecular dynamic simulation, ADME analysis, and MMPBSA analysis was carried out to explore the inhibitory potential of phyto-constituents as potential inhibitors for Peptide deformylase from S.oralis. Actinonin was considered as reference drug. Among 2370 phyto compounds the best observations were recorded for A1-Barrigenol (IMPHY010984) with binding affinity of -8.5 kcal/mol. Calculated RMSD, RMSF, Binding Free Energy for IMPHY010984 averaged at about 0.10 ± 0.03 nm, 0.08 ± 0.05 nm, 131 ± 21 kJ/mol respectively whereas the RMSD, RMSF, Binding Free Energy recorded for reference drug averaged at about 0.19 ± 0.04 nm, 0.11 ± 0.08 nm, -94 ± 18 kJ/mol respectively. Based on in silico observations IMPHY010984 is proved out as superior candidate over reference drug. The study reflects the potential of IMPHY010984 as prophylactic therapeutics for S.oralis.
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  • 文章类型: Journal Article
    机会病原体是环境微生物,其通常是无害的并且仅偶尔引起疾病。与专性病原体不同,机会性病原体的生长和存活不依赖于宿主感染或传播。他们多才多艺的生活方式使得破译毒力如何以及为什么在机会性病原体中进化变得具有挑战性。巧合进化假说(CEH)假设毒力是由灭绝或多效性引起的,即,性状进化以适应生活在一个环境中,而在另一个环境中具有不同的功能。特别是,适应以避免或生存原生捕食已被认为有助于细菌毒力的进化(训练场假说)。在这里,我们使用实验进化来确定原生捕食者施加的选择压力如何影响已获得多药耐药性的无处不在的环境机会性细菌病原体的毒力和适应性:粘质沙雷菌。为了这个目标,我们在有或没有通才的原生捕食者的情况下进化了粘质链球菌,嗜热四膜虫.经过60天的进化,我们通过比较进化后的粘质链球菌和祖先菌株来评估基因型和表型的变化。整个进化种群和个体分离株的全基因组鸟枪(WGS)测序揭示了许多平行进化的案例,远远超出了统计上的偶然预期,与毒力相关的基因。我们的表型分析表明,在存在捕食者的情况下进化保持毒力,而没有捕食者的进化导致毒力减弱。我们还发现毒力之间存在显著的相关性,生物膜的形成,增长,和放牧抗性。总的来说,我们的结果提供了证据,细菌毒力和毒力相关性状是由原生生物捕食施加的选择压力维持的。
    Opportunistic pathogens are environmental microbes that are generally harmless and only occasionally cause disease. Unlike obligate pathogens, the growth and survival of opportunistic pathogens does not rely on host infection or transmission. Their versatile lifestyles make it challenging to decipher how and why virulence has evolved in opportunistic pathogens. The Coincidental Evolution Hypothesis (CEH) postulates that virulence results from exaptation or pleiotropy, i.e., traits evolved for adaptation to living in one environment that have a different function in another. In particular, adaptation to avoid or survive protist predation has been suggested to contribute to the evolution of bacterial virulence (the training grounds hypothesis). Here we used experimental evolution to determine how the selective pressure imposed by a protist predator impacts the virulence and fitness of a ubiquitous environmental opportunistic bacterial pathogen that has acquired multi-drug resistance: Serratia marcescens. To this aim, we evolved S. marcescens in the presence or absence of generalist protist predator, Tetrahymena thermophila. After 60 days of evolution, we evaluated genotypic and phenotypic changes by comparing evolved S. marcescens to the ancestral strain. Whole genome shotgun (WGS) sequencing of the entire evolved populations and individual isolates revealed numerous cases of parallel evolution, many more than statistically expected by chance, in genes associated with virulence. Our phenotypic assays suggested that evolution in the presence of a predator maintained virulence, whereas evolution in the absence of a predator resulted in attenuated virulence. We also found a significant correlation between virulence, biofilm formation, growth, and grazing resistance. Overall, our results provide evidence that bacterial virulence and virulence related traits are maintained by selective pressures imposed by protist predation.
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  • 文章类型: Case Reports
    肺孢子虫肺炎(PCP)是一种在免疫功能低下的个体中发现的危及生命的疾病,特别是在人类免疫缺陷病毒(HIV)阳性患者中。这里,我们报告了一例PCP病例,其中一名可能有免疫能力的25岁男性患者有一个月的胸痛病史,呼吸困难,以及近期盗汗的非生产性咳嗽。患者最近移民到美国,没有任何已知的病史或家族史。胸部X光片显示中度气胸,并放置了胸管。胸部计算机断层扫描(CT)扫描显示弥漫性肺部疾病,在弥漫性磨玻璃混浊的背景下伴有多个薄壁和厚壁囊性病变。根据这些放射学发现和随后的HIV阳性血清学,对PCP的怀疑很大。进行支气管肺泡灌洗,和焦氏肺孢子虫PCR阳性。开始适当的治疗,病人恢复得很好。通过这份报告,我们的目的是强调认识到PCP的各种临床和影像学表现的重要性,即使是在没有明显危险因素的患者中.及时和有针对性的治疗可以减轻与这种机会病原体相关的发病率和死亡率。
    Pneumocystis jirovecii pneumonia (PCP) is a life-threatening condition found in immunocompromised individuals, especially in human immunodeficiency virus (HIV) positive patients. Here, we report a case of PCP in a presumably immunocompetent 25-year-old male patient who presented with a one-month history of chest pain, dyspnea, and a nonproductive cough with recent development of night sweats. The patient recently immigrated to the United States without any known medical or family history. A chest radiograph revealed moderate pneumothorax for which a chest tube was placed. A chest computed tomography (CT) scan revealed diffuse lung disease with multiple thin- and thick-walled cystic lesions on a background of diffuse ground-glass opacities. Based on these radiologic findings and subsequent positive HIV serology, there was a high suspicion of PCP. Bronchoalveolar lavage was performed, and PCR for Pneumocystis jirovecii was positive. Appropriate treatment was initiated, and the patient recovered well. Through this report, we aim to highlight the importance of recognizing the various clinical and radiologic findings of PCP even in patients with no overt risk factors. Prompt and targeted treatment could mitigate morbidity and mortality associated with this opportunistic pathogen.
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  • 文章类型: Journal Article
    背景:无色杆菌属。是机会性病原体,主要感染免疫功能低下患者和囊性纤维化(CF)患者,由于固有耐药性和获得性抗菌素耐药性的可能性,被认为是难以治疗的病原体。物种鉴定仍然具有挑战性,导致对每个分类单元中的抗性描述不精确。头孢多醇是一种广谱铁载体头孢菌素,越来越多地用于治疗嗜酸性杆菌感染,其敏感性数据仍然很少。我们旨在描述一组包含CF或非CF(NCF)患者的不同物种和分离来源的无色杆菌菌株对头孢地洛的敏感性。
    方法:我们研究了230株无色杆菌菌株(来自CF,来自NCF患者的163)通过基于nrdA基因的分析鉴定,根据哌拉西林他唑巴坦的药敏数据,美罗培南和甲氧苄啶-磺胺甲恶唑。根据EUCAST指南,使用肉汤微量稀释参考方法确定头孢地洛的最低抑制浓度(MIC)。
    结果:菌株属于15种。A.xylosoxidans代表了主要物种(71.3%)。MIC范围为≤0.015至16mg/L,MIC50/90总体≤0.015/0.5mg/L,而27个(11.7%)美罗培南非敏感菌株为0.125/2mg/L。头孢地醇的MIC与CF/NCF的起源或物种无关,尽管木氧氧曲霉的MIC在统计学上低于整体上认为的其他物种的MIC。考虑到EUCAST非物种相关断点(2mg/L),228株(99.1%)对头孢地洛敏感。两种头孢地洛耐药菌株(A.CF患者的xylosoxidans)占美罗培南非易感菌株的3.7%和MDR菌株的12.5%。
    结论:头孢地洛对大量准确鉴定的无色杆菌菌株表现出优异的体外活性,不论物种和起源。
    BACKGROUND: Achromobacter spp. are opportunistic pathogens, mostly infecting immunocompromised patients and patients with cystic fibrosis (CF) and considered as difficult-to-treat pathogens due to both intrinsic resistance and the possibility of acquired antimicrobial resistance. Species identification remains challenging leading to imprecise descriptions of resistance in each taxon. Cefiderocol is a broad-spectrum siderophore cephalosporin increasingly used in the management of Achromobacter infections for which susceptibility data remain scarce. We aimed to describe the susceptibility to cefiderocol of a collection of Achromobacter strains encompassing different species and isolation sources from CF or non-CF (NCF) patients.
    METHODS: We studied 230 Achromobacter strains (67 from CF, 163 from NCF patients) identified by nrdA gene-based analysis, with available susceptibility data for piperacillin-tazobactam, meropenem and trimethoprim-sulfamethoxazole. Minimal inhibitory concentrations (MICs) of cefiderocol were determined using the broth microdilution reference method according to EUCAST guidelines.
    RESULTS: Strains belonged to 15 species. A. xylosoxidans represented the main species (71.3%). MICs ranged from ≤ 0.015 to 16 mg/L with MIC50/90 of ≤ 0.015/0.5 mg/L overall and 0.125/2 mg/L against 27 (11.7%) meropenem-non-susceptible strains. Cefiderocol MICs were not related to CF/NCF origin or species although A. xylosoxidans MICs were statistically lower than those of other species considered as a whole. Considering the EUCAST non-species related breakpoint (2 mg/L), 228 strains (99.1%) were susceptible to cefiderocol. The two cefiderocol-resistant strains (A. xylosoxidans from CF patients) represented 3.7% of meropenem-non-susceptible strains and 12.5% of MDR strains.
    CONCLUSIONS: Cefiderocol exhibited excellent in vitro activity against a large collection of accurately identified Achromobacter strains, irrespective of species and origin.
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  • 文章类型: Journal Article
    妇科和产科传染病对妇女的健康至关重要。越来越多的证据表明核梭杆菌的存在(F.核仁),厌氧性口腔共生和潜在的牙周病原体,各种人类疾病的发展和进展,包括癌症。虽然近年来已经广泛研究了这种机会性口腔病原体在结直肠癌中的作用,关于其流行病学证据和与妇科疾病(GD)的机制联系的研究仍在进行中。因此,本次审查,这是同类中的第一个,旨在对F.核仁进行全面而严格的重新评估,包括在促进不良妊娠结局(APO)和各种GD中的遗传学和机制作用,包括癌症。此外,这篇综述讨论了新的概念进展,这些进展将核仁F.的免疫调节作用与乳腺的发育和进展联系起来,卵巢,子宫内膜,和宫颈癌通过激活各种直接和间接信号通路。然而,需要进一步的研究来探索和阐明宿主F的高度动态过程。核仁相互作用并发现新的途径,这将为开发针对这种疾病的更好的预防和治疗策略铺平道路。
    Gynecological and obstetric infectious diseases are crucial to women\'s health. There is growing evidence that links the presence of Fusobacterium nucleatum (F. nucleatum), an anaerobic oral commensal and potential periodontal pathogen, to the development and progression of various human diseases, including cancers. While the role of this opportunistic oral pathogen has been extensively studied in colorectal cancer in recent years, research on its epidemiological evidence and mechanistic link to gynecological diseases (GDs) is still ongoing. Thus, the present review, which is the first of its kind, aims to undertake a comprehensive and critical reappraisal of F. nucleatum, including the genetics and mechanistic role in promoting adverse pregnancy outcomes (APOs) and various GDs, including cancers. Additionally, this review discusses new conceptual advances that link the immunomodulatory role of F. nucleatum to the development and progression of breast, ovarian, endometrial, and cervical carcinomas through the activation of various direct and indirect signaling pathways. However, further studies are needed to explore and elucidate the highly dynamic process of host-F. nucleatum interactions and discover new pathways, which will pave the way for the development of better preventive and therapeutic strategies against this pathobiont.
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  • 文章类型: Journal Article
    了解不同非生物和生物因素下城市地表水中粪便和机会性水性病原体丰度的动态变化,有助于预测娱乐活动中的微生物水质和保护公共卫生。比如游泳。然而,缺乏对地表水中病原体行为的各种因素之间相互作用的全面了解。在这项研究中,盐度的影响,光,温度和本地微生物群的存在,在不同盐度(0.4、5.4、9.4和15.4ppt)的孵育7天期间,对莱茵河中大肠杆菌和铜绿假单胞菌的腐烂/持久性进行了测试,在光/暗状态下(亮/暗)和没有光(暗),温度(3、12和20°C),以及土著微生物群的存在/不存在。结果表明,光,土著微生物群,和温度显著影响大肠杆菌的衰变。此外,观察到这四种环境条件对大肠杆菌衰变的显著(p<0.01)四因素交互影响。然而,铜绿假单胞菌,温度和本地微生物群是衰减或生长的两个决定性因素。土著微生物群之间存在显著的三因素相互作用影响,温度,和盐度(p<0.01);土著微生物群,光,和温度(p<0.01);和光,温度,发现盐度(p<0.05)对铜绿假单胞菌的腐烂。由于这些互动效应,在基于单一环境条件预测地表水中大肠杆菌和铜绿假单胞菌的衰变/持久性时应谨慎。此外,大肠杆菌和铜绿假单胞菌对环境条件的不同反应突出表明,仅大肠杆菌监测就低估了非粪便机会性病原体对地表水的健康风险,例如铜绿假单胞菌。关键点:非生物和生物因素相互作用地影响大肠杆菌和铜绿假单胞菌的腐烂。在给定条件下,大肠杆菌和铜绿假单胞菌的行为显着不同。只有大肠杆菌作为指标低估了微生物水质。
    Understanding the dynamic change in abundance of both fecal and opportunistic waterborne pathogens in urban surface water under different abiotic and biotic factors helps the prediction of microbiological water quality and protection of public health during recreational activities, such as swimming. However, a comprehensive understanding of the interaction among various factors on pathogen behavior in surface water is missing. In this study, the effect of salinity, light, and temperature and the presence of indigenous microbiota, on the decay/persistence of Escherichia coli and Pseudomonas aeruginosa in Rhine River water were tested during 7 days of incubation with varying salinity (0.4, 5.4, 9.4, and 15.4 ppt), with light under a light/dark regime (light/dark) and without light (dark), temperature (3, 12, and 20 °C), and presence/absence of indigenous microbiota. The results demonstrated that light, indigenous microbiota, and temperature significantly impacted the decay of E. coli. Moreover, a significant (p<0.01) four-factor interactive impact of these four environmental conditions on E. coli decay was observed. However, for P. aeruginosa, temperature and indigenous microbiota were two determinate factors on the decay or growth. A significant three-factor interactive impact between indigenous microbiota, temperature, and salinity (p<0.01); indigenous microbiota, light, and temperature (p<0.01); and light, temperature, and salinity (p<0.05) on the decay of P. aeruginosa was found. Due to these interactive effects, caution should be taken when predicting decay/persistence of E. coli and P. aeruginosa in surface water based on a single environmental condition. In addition, the different response of E. coli and P. aeruginosa to the environmental conditions highlights that E. coli monitoring alone underestimates health risks of surface water by non-fecal opportunistic pathogens, such as P. aeruginosa. KEY POINTS: Abiotic and biotic factors interactively affect decay of E. coli and P. aeruginosa E.coli and P.aeruginosa behave significantly different under the given conditions Only E. coli as an indicator underestimates the microbiological water quality.
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  • 文章类型: Journal Article
    鲍曼不动杆菌的抗菌素耐药性在全球范围内日益流行,这引起了人们对感染治疗有效性的担忧。此外,毒力因子基因在鲍曼不动杆菌的发病机制及其引起严重疾病的倾向中的关键作用尤其重要。比较基因组学,包括多位点序列分型(MLST),增强了我们对鲍曼不动杆菌流行病学的理解。虽然有关于鲍曼不动杆菌的大量文件,对抗生素耐药机制和致病因素的综合研究,它们与序列类型(ST)的相关性仍未完全阐明。在这项研究中,我们的目的是探讨抗菌素耐药基因之间的关系,毒力因子基因,和STs使用来自223个公开可用的鲍曼不动杆菌菌株的基因组数据。核心系统发育分析揭示了鲍曼不动杆菌基因组中五个主要的STs,与他们孤立的地理来源有关。此外,鲍曼不动杆菌的抗性组和病毒组遵循与其泛基因组进化一致的进化模式。在主要的STS中,我们观察到对“氨基糖苷”和“磺酰胺”抗生素的抗性基因的显着变化,强调基因型变异在确定抗性谱中的作用。此外,毒力因子基因的存在,特别是外毒素和营养/代谢因子基因,在区分主要的STS方面发挥了至关重要的作用,表明基因组成和致病性之间的潜在联系。了解这些关联可以提供有价值的见解鲍曼不动杆菌的毒力潜力和临床结果,能够开发有效的策略来对抗这种机会性病原体引起的感染。
    The increasing global prevalence of antimicrobial resistance in Acinetobacter baumannii has led to concerns regarding the effectiveness of infection treatment. Moreover, the critical role of virulence factor genes in A. baumannii\'s pathogenesis and its propensity to cause severe disease is of particular importance. Comparative genomics, including multi-locus sequence typing (MLST), enhances our understanding of A. baumannii epidemiology. While there is substantial documentation on A. baumannii, a comprehensive study of the antibiotic-resistant mechanisms and the virulence factors contributing to pathogenesis, and their correlation with Sequence Types (STs) remains incompletely elucidated. In this study, we aim to explore the relationship between antimicrobial resistance genes, virulence factor genes, and STs using genomic data from 223 publicly available A. baumannii strains. The core phylogeny analysis revealed five predominant STs in A. baumannii genomes, linked to their geographical sources of isolation. Furthermore, the resistome and virulome of A. baumannii followed an evolutionary pattern consistent with their pan-genome evolution. Among the major STs, we observed significant variations in resistant genes against \"aminoglycoside\" and \"sulphonamide\" antibiotics, highlighting the role of genotypic variations in determining resistance profiles. Furthermore, the presence of virulence factor genes, particularly exotoxin and nutritional / metabolic factor genes, played a crucial role in distinguishing the major STs, suggesting a potential link between genetic makeup and pathogenicity. Understanding these associations can provide valuable insights into A. baumannii\'s virulence potential and clinical outcomes, enabling the development of effective strategies to combat infections caused by this opportunistic pathogen.
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  • 文章类型: Journal Article
    无色杆菌属。在患有囊性纤维化(CF)等潜在疾病的患者中,环境来源的机会病原体越来越多。尽管最近取得了进展,它们的毒力因子仍未得到充分研究,和铁载体的生产尚未在该属中进行研究。这项研究的目的是评估大量无色杆菌属中铁载体的生产。并根据菌株和物种的起源评估变异性。共研究了163个菌株,包括128个临床菌株(CF和非CF患者)和35个环境来源的菌株。通过液体铬天青-磺酸盐测定法定量铁载体。通过基于nrdA基因的系统发育鉴定物种。菌株被分配给20个物种,以木氧歧化杆菌为代表最多(占菌株的51.5%)。在72.4%的菌株中观察到铁载体的产生,含量范围为10.1%至90%的铁载体单位。与环境来源的菌株相比,临床菌株的产铁载体菌株的患病率明显更高,而铁载体的产量更高。根据物种进行了高度可变的观察:A.xylosoxidans具有独特的特征(生产菌株的患病率最高,产量最高,特别是CF菌株)。铁载体是通常由无色杆菌属成员产生的细菌生长的重要因素。在这项研究中观察到的意义必须进一步研究。的确,根据物种和菌株起源观察到的差异表明,铁载体可能代表无色杆菌属病理生理学的重要决定因素。感染,并且还有助于木酮氧化菌在人类感染中的特殊流行病学成功。重要细菌。在患有各种潜在疾病的人类中被认为是新兴的机会病原体,包括囊性纤维化(CF)。尽管对它们的病理生理特性的研究越来越多,其毒力因子仍未完全描述。特别是,代表细菌生长重要因素的铁载体尚未在该属中进行研究。进行了一项基于人群的研究,以探索无色杆菌属成员产生铁载体的能力,整体和相关亚组(无色杆菌属;菌株起源,临床-来自CF或非CF患者-或环境)。这项研究提供了原始数据,表明铁载体的产生是嗜铬杆菌菌株的共同特征,特别是在临床菌株中观察到。主要物种,木氧嗜酸性杆菌,既包括流行率最高的产生铁载体的菌株之一,也包括产生最大量铁载体的菌株,特别是CF菌株。这些观察结果可能代表了该物种流行病学成功的其他优势。
    Achromobacter spp. are opportunistic pathogens of environmental origin increasingly isolated in patients with underlying conditions like cystic fibrosis (CF). Despite recent advances, their virulence factors remain incompletely studied, and siderophore production has not yet been investigated in this genus. The aim of this study was to evaluate the production of siderophores in a large collection of Achromobacter spp. and evaluate the variability according to the origin of the strain and species. A total of 163 strains were studied, including 128 clinical strains (CF and non-CF patients) and 35 strains of environmental origin. Siderophores were quantified by the liquid chrome azurol-sulphonate assay. Species were identified by nrdA gene-based phylogeny. Strains were assigned to 20 species, with Achromobacter xylosoxidans being the most represented (51.5% of strains). Siderophore production was observed in 72.4% of the strains, with amounts ranging from 10.1% to 90% siderophore units. A significantly higher prevalence of siderophore-producing strains and greater production of siderophores were observed for clinical strains compared with strains of environmental origin. Highly variable observations were made according to species: A. xylosoxidans presented unique characteristics (one of the highest prevalence of producing strains and highest amounts produced, particularly by CF strains). Siderophores are important factors for bacterial growth commonly produced by members of the Achromobacter genus. The significance of the observations made during this study must be further investigated. Indeed, the differences observed according to species and the origin of strains suggest that siderophores may represent important determinants of the pathophysiology of Achromobacter spp. infections and also contribute to the particular epidemiological success of A. xylosoxidans in human infections.
    OBJECTIVE: Achromobacter spp. are recognized as emerging opportunistic pathogens in humans with various underlying diseases, including cystic fibrosis (CF). Although their pathophysiological traits are increasingly studied, their virulence factors remain incompletely described. Particularly, siderophores that represent important factors of bacterial growth have not yet been studied in this genus. A population-based study was performed to explore the ability of members of the Achromobacter genus to produce siderophores, both overall and in relevant subgroups (Achromobacter species; strain origin, either clinical-from CF or non-CF patients-or environmental). This study provides original data showing that siderophore production is a common trait of Achromobacter strains, particularly observed among clinical strains. The major species, Achromobacter xylosoxidans, encompassed both one of the highest prevalence of siderophore-producing strains and strains producing the largest amounts of siderophores, particularly observed for CF strains. These observations may represent additional advantages accounting for the epidemiological success of this species.
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  • 文章类型: Case Reports
    隐球菌病,癌症患者中相对罕见的感染通常与诊断延迟和高病死率相关,这是由于其高度异质性和变形蛋白表现。在这种情况下,早期识别和开始适当的抗真菌治疗可能会产生有利的结果。在这里,我们报告了印度南部三级医疗癌症中心的癌症患者中的三例隐球菌病。所有三名患者均为不同年龄的男性,表现为实体器官或血液系统恶性肿瘤形式的免疫抑制,并正在使用免疫抑制药物,例如类固醇或化学治疗剂。他们出现了隐球菌血症和隐球菌性脑膜炎。在该亚组患者中,经微生物证实的隐球菌病患者的预后较差。
    Cryptococcosis, a relatively uncommon infection in cancer patients is often associated with delayed diagnosis and high fatality rate due to its highly heterogeneous and protean manifestations. Early recognition and initiation of appropriate antifungal therapy might have a favourable outcome in such cases. Here we report three cases of Cryptococcosis among cancer patients in a tertiary care cancer centre in South India. All three patients were males of different ages at presentation with immunosuppression in the form of solid organ or hematologic malignancy and were using immunosuppressive medications like steroids or chemotherapeutic agents. They presented with cryptococcemia and cryptococcal meningitis. Patients with microbiologically proven cryptococcosis had poor outcome in this subgroup of patients.
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  • 文章类型: Journal Article
    哥斯达黎加一家商业孵化器公司报告了鸡胚和第一周鸡的死亡率。在哥斯达黎加国立大学的禽类病理学实验室和细菌学实验室检查了六只1日龄的Cobb鸡和二十四个含胚鸡蛋。12个死在壳中的胚胎显示出浸渍作用,并浸入腐烂物中,浑浊,略厚的棕色液体。此外,其他12个含胚的卵含有乳白色的黄橙色。这些胚胎的肝脏有充血,出血和多灶性乳膏坏死灶。在Fabricius的法氏囊中观察到粒细胞浸润,心肌,肝脏,肺和肾。无菌收集并培养六只胚胎鸡和所有1日龄鸡的肝脏和蛋黄。此外,将6个保存较好的胚胎和所有1日龄鸡的组织固定在缓冲的福尔马林中并包埋在石蜡中。生化和分子测试确定了睾丸激素的早期原因,中期和晚期胚胎死亡率。由于取样的含胚鸡蛋的所有蛋壳都被粪便污染了,操纵鸡蛋后的污染被认为是感染源。睾丸杆菌是一种环境微生物,很少有报道会引起人类疾病。据我们所知,这是在孵化场中首次报道的C.testeroni导致死亡。在孵化场中实施使用臭氧的清洁和消毒以消除与睾丸杆菌相关的胚胎死亡率。
    Mortality of chicken embryos and first-week chickens was reported in a commercial incubator company in Costa Rica. Six 1-day-old Cobb chickens and twenty-four embryonated chicken eggs were examined in the Laboratory of Avian Pathology and the Laboratory of Bacteriology of the National University of Costa Rica. Twelve dead-in-shell embryos showed maceration and were immersed in a putrid, turbid, slightly thick brown liquid. Additionally, the other 12 embryonated eggs had milky yellow-orange content. The livers of those embryos had congestion, haemorrhages and multifocal cream foci of necrosis. Granulocytic infiltration was observed in the bursa of Fabricius, myocardium, liver, lung and kidney. Livers and egg yolks from six embryonated chickens and all 1-day-old chickens were aseptically collected and cultured. In addition, tissues from six better conserved embryos and all 1-day-old chickens were fixed in buffered formalin and embedded in paraffin. Biochemical and molecular tests identified Comamonas testosteroni as the cause of the early, middle and late embryo mortality. As all the eggshells from the sampled embryonated eggs were dirty with soiled a fecal matter, contamination after manipulating the eggs was considered the source of infection. C. testosteroni is an environmental microorganism that has rarely been reported to cause human disease. To our knowledge, this is the first report of C. testosteroni causing mortality in a hatchery. Cleaning and disinfection using ozone were implemented in the hatchery to eliminate the embryo mortality associated with C. testosteroni.
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