Pseudomonas stutzeri

  • 文章类型: Journal Article
    启动子是表达系统的重要组成部分,因为它调节相关基因的转录开始。最佳表达水平可以通过采用启动子工程方法来实现。通常,创建T7启动子文库允许可滴定的蛋白质表达。在由β-酮酯制备β-氨基酸(西格列汀中间体)的过程中,来自Stutzeri假单胞菌的酯酶(EstPS)用于将β-酮酯转化为β-酮酸。随后,球菌肠杆菌(TAIC)的转氨酶将β-酮酸转化为其相应的β-氨基酸。这里,我们描述了EstPS表达水平的优化,以最大限度地生产西格列汀中间体。将EstPS的不同启动子强度构建到pET15b载体的T7启动子中。在这些新的共表达整个细胞的帮助下,确定每种酶的表达酶比。随着EstPS启动子的强度降低,表达水平也降低(从100%到10%)。相反,TAIC表达水平增加。该开发的系统产生比未优化的酶表达水平更高的西格列汀中间体。
    The promoter is an essential component of an expression system since it regulates the transcriptional beginning of related genes. The optimal expression level can be achieved by employing a promoter engineering approach. Typically, creating a library of T7 promoters allows for titratable protein expression. In the process of making β-amino acid (sitagliptin intermediate) from β-keto ester, esterase from Pseudomonas stutzeri (Est PS) is used to convert the β-keto ester to β-keto acid. Subsequently, transaminase from Ilumatobacter coccineus (TAIC) transforms the β-keto acid to its corresponding β-amino acid. Here, we describe the optimization of the expression levels of Est PS for the maximum production of sitagliptin intermediate. The different promoter strengths for Est PS were built into the T7 promoters of the pET15b vector. With the help of these new co-expressing entire cells, the expressed enzyme ratio for each enzyme was determined. As the strength of the promoter of Est PS decreases, the expression level also decreases (from 100% to 10%). Conversely, the TAIC expression level is increased. This developed system produced a higher sitagliptin intermediate than enzymes\' unoptimized expression level.
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  • 文章类型: Journal Article
    埃克托因,所谓的四氢嘧啶,是一种重要的渗透调节溶质,广泛应用于化妆品和蛋白质保护剂中。已经进行了一些尝试来提高外齿生产率。然而,到目前为止,仍不存在同时具有高外泌素生产能力和高葡萄糖转化率的菌株。目的构建高效生产外泌素的菌株,在大肠杆菌BL21(DE3)中过表达来自Stutzeri假单胞菌的ectABC合成基因簇ectABC。在合理设计限速酶L-2,4-二氨基丁酸转氨酶EctBps(蛋白质工程)与代谢工程相结合后,产量提高了382%(外泌素滴度从1.73g/L增加到8.33g/L)。专注于前体的富集和转化。将最终菌株YW20用于在补料分批发酵中过量生产ectoine,并产生68.9g/L的ectoine,时空产量为0.88g/L/h,报告的葡萄糖转化率最高[34%(g/g)]。从发酵液中,以99.7%的纯度和79.8%的产率纯化艾托因。本研究成功地提供了一个工程菌株以及一种有效的方法,为工业生物合成和制备艾托宁。
    Ectoine, so-called tetrahydropyrimidine, is an important osmotic adjustment solute and widely applied in cosmetics and protein protectant. Some attempts have been made to improve the ectoine productivity. However, the strains with both high ectoine production capacity and high glucose conversion were still absent so far. Aim to construct a strain for efficiently producing ectoine, ectoine synthetic gene cluster ectABC from Pseudomonas stutzeri was overexpressed in E. coli BL21 (DE3). The ection production was improved by 382 % (ectoine titer increased from 1.73 g/L to 8.33 g/L) after the rational design of rate-limiting enzyme L-2,4-diaminobutyrate transaminase EctBps (protein engineering) combined with the metabolic engineering that focused on the enrichment and conversion of precursors. The final strain YW20 was applied to overproduce ectoine in fed-batch fermentation and yield 68.9 g/L of ectoine with 0.88 g/L/h of space-time yield and the highest glucose conversion reported [34 % (g/g)]. From the fermentation broth, ectoine was purified with 99.7 % purity and 79.8 % yield. This study successfully provided an engineered strain as well as an efficient method for the industrial bio-synthesis and preparation of ectoine.
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  • 文章类型: Journal Article
    已经报道了在弱电场下增强的反硝化。然而,由于混合培养系统复杂的种间相互作用,很难研究增强反硝化的机理。在这项研究中,Stutzeri假单胞菌,能够在厌氧条件下反硝化,选择用于在0.2、0.4和0.6V的恒定外部电压下处理低COD/N(2.0,化学需氧量浓度与NO3--N之比)人工废水。结果表明,在0.2V下,P.stutzeri表现出最高的硝酸盐还原效率。闭路组硝酸盐最大去除率为15.96mg/(L·h),比开路组高19.39%。此外,在弱电场下观察到亚硝酸盐积累显着减少。酶活性分析表明,硝酸还原酶活性在闭路组中显著增加,亚硝酸还原酶活性受到抑制。转录组分析表明,氨基酸代谢,碳水化合物代谢,能量代谢增加,提高Stutzeri对环境胁迫的抵抗力和反硝化的碳源利用效率。当前的研究检查了弱电场对酶活性和微生物代谢途径的影响,并为弱电场增强反硝化的机制提供了有价值的见解。
    Enhanced denitrification has been reported under weak electric fields. However, it is difficult to investigate the mechanism of enhanced denitrification due to the complex interspecific interactions of mixed-culture systems. In this study, Pseudomonas stutzeri, capable of denitrification under anaerobic conditions, was selected for treating low COD/N (2.0, ratio between concentration of chemical oxygen demand and NO3--N) artificial wastewater under constant external voltages of 0.2, 0.4, and 0.6 V. The results revealed that P. stutzeri exhibited the highest efficiency in nitrate reduction at 0.2 V. Moreover, the maximum nitrate removal rate was 15.96 mg/(L·h) among the closed-circuit groups, 19.39% higher than that under the open-circuit group. Additionally, a notable reduction in nitrite accumulation was observed under weak electric fields. Enzyme activity analysis showed that the nitrate reductase activities were significantly increased among the closed-circuit groups, while nitrite reductase activities were inhibited. Transcriptomic analysis indicated that amino acid metabolism, carbohydrate metabolism, and energy metabolism were increased, enhancing the resistance of P. stutzeri to environmental stress and the efficiency of carbon source utilization for denitrification. The current study examined the impacts of weak electric fields on enzyme activities and microbial metabolic pathways and offers valuable insights into the mechanism by which denitrification is enhanced by weak electric fields.
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  • 文章类型: Journal Article
    有效处理含有复杂污染物的工业废水,如硝酸盐(NO3--N)和有机污染物,迄今为止仍然是一个重大挑战。这里,一个菌株诺卡诺多西。分离具有反硝化和降解对硝基苯酚(PNP)的ZS2,并通过动力学分析优化其培养条件。使用聚乙烯醇(PVA)制备亲水性海绵载体,羧甲基纤维素(CMC),和壳聚糖(CS)构建生物反应器。此外,为了进一步提高生物反应器的PNP降解和反硝化性能,介绍了具有反硝化能力的Stutzeri假单胞菌GF2。结果表明,PNP和NO3--N的去除率分别达到97.9%和91.9%,分别,当水力停留时间(HRT)为6h时,C/N为2.0,pH为6.5。即使进水PNP浓度波动,生物反应器也表现出稳定的反硝化性能。潜在的功能预测结果表明,氨基酸的丰度,脂肪酸,碳水化合物随着进水C/N的降低而增加,反映了微生物群落调整碳源利用以维持细胞生长的趋势,代谢平衡,抵抗不利的C/N环境。该研究为有效去除废水处理中的有机污染物和NO3--N提供了新的见解。
    Effective treatment of industrial wastewater containing complex pollutants, such as nitrate (NO3--N) and organic pollutants, remains a significant challenge to date. Here, a strain Nocardioides sp. ZS2 with denitrification and degradation of p-nitrophenol (PNP) was isolated and its culture conditions were optimized by kinetic analysis. Hydrophilic sponge carriers were prepared using polyvinyl alcohol (PVA), carboxymethyl cellulose (CMC), and chitosan (CS) to construct bioreactors. Furthermore, to further enhance the PNP degradation and denitrification performance of bioreactors, Pseudomonas stutzeri GF2 with denitrification capability was introduced. The results revealed that the removal efficiencies of PNP and NO3--N reached 97.9 % and 91.9 %, respectively, when hydraulic retention time (HRT) of 6 h, C/N of 2.0, and pH of 6.5. The bioreactor exhibited stable denitrification performance even with fluctuations in the influent PNP concentration. The potential functional prediction results revealed that the abundance of amino acids, fatty acids, and carbohydrates increased as the influent C/N decreased, reflecting a tendency of the microbial community to adjust carbon source utilization to maintain cell growth, metabolic balance, and resist adverse C/N environments. This research provides new insights into the effective removal of organic pollutants and NO3--N in wastewater treatment.
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  • 文章类型: Journal Article
    在这项研究中,评估了具有异养硝化-好氧反硝化能力的自聚集细菌Pseudomonas菌株XL-2改善颗粒化和氮去除的可能性。结果表明,补充菌株XL-2促进了肉芽形成,使R1(实验组用XL-2菌株)在14d以颗粒为主,比R2(无菌株XL-2的对照组)早12天。这归因于细胞外聚合物(EPS)分泌的促进,特别是通过添加菌株XL-2的蛋白质,从而改善污泥的疏水性并改变蛋白质二级结构以促进聚集。同时,添加菌株XL-2提高了R1的同步硝化反硝化效率。微生物群落分析表明,XL-2菌株在好氧颗粒污泥中成功增殖,并可能诱导黄杆菌和副球菌等有利于EPS分泌和反硝化的属的富集。共同促进造粒和提高脱氮效率。
    In this study, the possibility of an auto-aggregating bacterium Pseudomonas strain XL-2 with heterotrophic nitrification-aerobic denitrification capacity for improving granulation and nitrogen removal was evaluated. The results showed that the supplementation of strain XL-2 promoted granulation, making R1 (experimental group with strain XL-2) dominated by granules at 14 d, which was 12 days earlier than R2 (control group without strain XL-2). This was attributed to the promotion of extracellular polymeric substances (EPS) secretion, particularly proteins by adding strain XL-2, thereby improving the hydrophobicity of sludge and altering the proteins secondary structures to facilitate aggregation. Meanwhile, adding strain XL-2 improved simultaneous nitrification and denitrification efficiency of R1. Microbial community analysis indicated that strain XL-2 successfully proliferated in aerobic granule sludge and might induce the enrichment of genera such as Flavobacterium and Paracoccus that were favorable for EPS secretion and denitrification, jointly promoting granulation and enhancing nitrogen removal efficiency.
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  • 文章类型: Journal Article
    RNA分子伴侣Hfq是众多生物过程的全球调节因子,如碳/氮代谢和植物相关的重氮生物的环境适应;然而,其靶RNA和潜在的固氮机制在很大程度上仍然未知。这里,我们使用增强的UV交联免疫沉淀结合高通量测序来鉴定数百种可能参与固氮的Hfq结合RNA,碳基质利用,生物膜的形成,和其他功能。总的来说,这些过程使菌株A1501具有在竞争激烈的根际中茁壮成长的必要能力。我们的发现揭示了以前未知的Hfq靶基因。其中值得注意的是nifM,编码固氮酶还原酶溶解度所必需的异构酶;amtB,编码铵转运蛋白;oprB,编码碳水化合物孔蛋白;和cheZ,编码趋化蛋白。此外,我们鉴定了100多个功能未知的基因,这扩大了重氮生物中Hfq的潜在直接调控目标。我们的数据表明,Hfq直接与调节蛋白的mRNA相互作用(RsmA,阿尔古,和NifA),调节性ncRNARsmY,和其他潜在目标,从而揭示了固氮和其他代谢途径中的机制联系。
    目的:许多实验方法在区分Hfq介导的调节的直接和间接作用方面经常面临挑战。基于高通量测序的新技术越来越深入地了解Hfq在基因表达中的全球调控。这里,增强的UV交联免疫沉淀与高通量测序相结合,用于鉴定根相关的Stutzeri假单胞菌A1501中的Hfq结合位点和潜在靶标,并鉴定数百种预测参与代谢的新型Hfq结合RNA。环境适应,和固氮。特别是,我们已经在转录后水平显示了Hfq与各种调节蛋白mRNA及其潜在靶标的相互作用。这项研究不仅增强了我们对Hfq调控的理解,重要的是,还提供了一个框架,用于解决根相关固氮的综合调控网络。
    The RNA chaperone Hfq acts as a global regulator of numerous biological processes, such as carbon/nitrogen metabolism and environmental adaptation in plant-associated diazotrophs; however, its target RNAs and the mechanisms underlying nitrogen fixation remain largely unknown. Here, we used enhanced UV cross-linking immunoprecipitation coupled with high-throughput sequencing to identify hundreds of Hfq-binding RNAs probably involved in nitrogen fixation, carbon substrate utilization, biofilm formation, and other functions. Collectively, these processes endow strain A1501 with the requisite capabilities to thrive in the highly competitive rhizosphere. Our findings revealed a previously uncharted landscape of Hfq target genes. Notable among these is nifM, encoding an isomerase necessary for nitrogenase reductase solubility; amtB, encoding an ammonium transporter; oprB, encoding a carbohydrate porin; and cheZ, encoding a chemotaxis protein. Furthermore, we identified more than 100 genes of unknown function, which expands the potential direct regulatory targets of Hfq in diazotrophs. Our data showed that Hfq directly interacts with the mRNA of regulatory proteins (RsmA, AlgU, and NifA), regulatory ncRNA RsmY, and other potential targets, thus revealing the mechanistic links in nitrogen fixation and other metabolic pathways.
    OBJECTIVE: Numerous experimental approaches often face challenges in distinguishing between direct and indirect effects of Hfq-mediated regulation. New technologies based on high-throughput sequencing are increasingly providing insight into the global regulation of Hfq in gene expression. Here, enhanced UV cross-linking immunoprecipitation coupled with high-throughput sequencing was employed to identify the Hfq-binding sites and potential targets in the root-associated Pseudomonas stutzeri A1501 and identify hundreds of novel Hfq-binding RNAs that are predicted to be involved in metabolism, environmental adaptation, and nitrogen fixation. In particular, we have shown Hfq interactions with various regulatory proteins\' mRNA and their potential targets at the posttranscriptional level. This study not only enhances our understanding of Hfq regulation but, importantly, also provides a framework for addressing integrated regulatory network underlying root-associated nitrogen fixation.
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  • 文章类型: Journal Article
    好氧反硝化已成为一种有前途且有效的废水脱氮方法。然而,好氧反硝化细菌的直接应用面临着脱氮效率低,细菌损失,稳定性差。为了解决这些问题,本研究使用NaHCO3改性的聚乙烯醇(PVA)/海藻酸钠(SA)凝胶(NaHCO3-PVA/SA)开发了一种新型微生物颗粒载体。这种载体表现出几种有利的性质,包括出色的传质效率,良好的生物相容性,方便成膜,丰富的生物量,和特殊的污染物处理能力。载体用0.3%NaHCO3、8.0%PVA、和1.0%SA,导致平均孔径显着增加3.4倍,传质效率提高12.8%。该载体用于固定好氧反硝化细菌StutzerimasstutzeriW-2,以增强脱氮能力(NaHCO3-PVA/SA@W-2),导致NO3--N的去除率为99.06%,比未经修改的高出21.39%。与非固定化W-2相比,降解效率提高了43.70%。经过五次重复使用,NO3--N和TN去除率保持在99%和93.01%,分别。这些结果为改性载体作为大规模废水处理过程中脱氮的有效工具的工业应用提供了坚实的基础。
    Aerobic denitrification has emerged as a promising and efficient method for nitrogen removal from wastewater. However, the direct application of aerobic denitrifying bacteria has faced challenges such as low nitrogen removal efficiency, bacterial loss, and poor stability. To address these issues, this study developed a novel microbial particle carrier using NaHCO3-modified polyvinyl alcohol (PVA)/sodium alginate (SA) gel (NaHCO3-PVA/SA). This carrier exhibits several advantageous properties, including excellent mass transfer efficiency, favorable biocompatibility, convenient film formation, abundant biomass, and exceptional pollutant treatment capacity. The carrier was modified with 0.3% NaHCO3, 8.0% PVA, and 1.0% SA, resulting in a remarkable 3.4-fold increase in the average pore diameter and a 12.8% improvement in mass transfer efficiency. This carrier was utilized to immobilize the aerobic denitrifying bacterium Stutzerimonas stutzeri W-2 to enhance nitrogen removal (NaHCO3-PVA/SA@W-2), resulting in a NO3--N removal efficiency of 99.06%, which was 21.39% higher than that without modification. Compared with the non-immobilized W-2, the degradation efficiency was improved by 43.70%. After five reuses, the NO3--N and TN removal rates remained at 99% and 93.01%, respectively. These results provide a solid foundation for the industrial application of the modified carrier as an effective tool for nitrogen removal in large-scale wastewater treatment processes.
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  • 文章类型: Journal Article
    对氏假单胞菌作为人类感染原因的认识一直在增加。然而,仅有病例报告和少量Stutzeri血流感染报告。关于这些感染的流行病学数据极其匮乏。我们的目标是描述发病率,流行病学,抗菌素耐药率,澳大利亚一个以人群为基础的大型队列研究中的stutzeri血流感染的结局。
    回顾性,在昆士兰州进行的实验室监测研究,澳大利亚(人口约500万),2000-2019年。临床信息来自公立医院入院和生命统计数据库。
    总共,确定了228次Stutzeri血流感染。后来观察到发病率增加,尤其是老年男性,并且在一年中的多雨月份以及该州最温暖,最潮湿的地区都较高。大多数血流感染是社区发作,其中120例(52.6%)与社区相关,59例(25.9%)与门诊医疗相关。只有49例(21.5%)被医院感染。最常见的感染灶是皮肤和软组织,下呼吸道,和腹内。无分离株表现出耐药性。31例患者(13.6%)死亡。具有呼吸道感染源的患者的死亡率更高(21%)。
    P.Stutzeri血流感染主要是社区发病,包括门诊医疗相关病例,随着发病率的增加,尤其是老年男性。没有观察到抗微生物剂耐药性。有呼吸道感染源的患者死亡率较高。在考虑这些感染的流行病学和患者管理时,这些新的观察数据具有意义。
    UNASSIGNED: The recognition of Pseudomonas stutzeri as a cause of infections in humans has been increasing. However, only case reports and small series of P. stutzeri bloodstream infections have been published. Epidemiological data on these infections are extremely scarce. Our objective was to describe the incidence, epidemiology, antimicrobial resistance rates, and outcomes of P. stutzeri bloodstream infections in a large population-based cohort in Australia.
    UNASSIGNED: Retrospective, laboratory-based surveillance study conducted in Queensland, Australia (population ≈ 5 million) during 2000-2019. Clinical information was obtained from public hospital admissions and vital statistics databases.
    UNASSIGNED: In total, 228 episodes of P. stutzeri bloodstream infections were identified. Increased incidence was observed in the later years, especially in older men, and was higher during the rainy months of the year and in the warmest and more humid regions of the state. The majority of bloodstream infections were community-onset with 120 (52.6%) community-associated and 59 (25.9%) ambulatory healthcare-associated episodes. Only 49 cases (21.5%) were nosocomial. The most common foci of infection were skin and soft tissue, lower respiratory tract, and intra-abdominal. No isolate showed antimicrobial resistance. Thirty-one patients (13.6%) died. The mortality rate in patients with a respiratory infectious source was higher (21%).
    UNASSIGNED: P. stutzeri bloodstream infection was predominantly a community-onset condition including ambulatory healthcare related cases, with increasing incidence, especially in older males. No antimicrobial resistance was observed. Mortality was high in patients with respiratory infectious source. This new observational data have implications when considering the epidemiology of these infections and for patient management.
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  • 文章类型: Journal Article
    接种促进植物生长的根际细菌(PGPR)菌株可促进植物生长,同时减少农业土壤中的一氧化二氮(N2O)排放。然而,有限的PGPR菌株可以减少农业土壤中的N2O排放,接种后缓解氮氧化物的微生物生态机制知之甚少。在温室盆栽实验中,在两种具有不同质地的蔬菜农业土壤中,研究了用StutzerionasNRCB010和NRCB025接种对番茄生长和氮排放的影响。接种NRCB010和NRCB025均能显著促进番茄生长。此外,接种NRCB010使细纹和粗纹土壤的氮氧化物排放量减少了38.7%和52.2%,分别,接种NRCB025可使粗化土壤的氮氧化物排放量减少76.6%。接种NRCB010和NRCB025主要通过改变土壤微生物群落组成和氮循环功能基因的丰度来减少氮排放。氮O缓解效应可能部分解释为(amoA+amoB)/(nosZI+nosZII)和(nirS+nirK)/(nosZI+nosZII)比率的降低,分别。土壤pH和有机质是解释N循环功能基因丰度变化和随后的NO2O排放的关键变量。此外,接种后,氮O缓解效果因土壤质地和单个菌株而异。这项研究提供了开发具有植物生长促进和氮O缓解作用的生物肥料的见解。
    目的:植物生长促进根际细菌(PGPR)已用于减轻农业土壤中的一氧化二氮(N2O)排放,但对N2O缓解背后的微生物生态机制知之甚少。这就是为什么只有有限的PGPR菌株可以减少农业土壤中的N2O排放。因此,揭示PGPR菌株的土壤生态机制对接种后获得有效可靠的氮O缓解作用具有重要意义。接种Stutzerimonasstutzeri菌株可能通过改变土壤微生物群落组成和参与硝化和反硝化的基因丰度,减少了两种质地不同的土壤的NO2O排放。我们的发现为PGPR菌株减少蔬菜农业土壤中N2O排放的土壤生态机制提供了详细的见解。
    Inoculation with plant growth-promoting rhizobacteria (PGPR) strains has promoted plant growth and decreased nitrous oxide (N₂O) emissions from agricultural soils simultaneously. However, limited PGPR strains can mitigate N₂O emissions from agricultural soils, and the microbial ecological mechanisms underlying N₂O mitigation after inoculation are poorly understood. In greenhouse pot experiments, the effects of inoculation with Stutzerimonas stutzeri NRCB010 and NRCB025 on tomato growth and N₂O emissions were investigated in two vegetable agricultural soils with contrasting textures. Inoculation with NRCB010 and NRCB025 significantly promoted tomato growth in both soils. Moreover, inoculation with NRCB010 decreased the N₂O emissions from the fine- and coarse-textured soils by 38.7% and 52.2%, respectively, and inoculation with NRCB025 decreased the N₂O emissions from the coarse-textured soil by 76.6%. Inoculation with NRCB010 and NRCB025 decreased N₂O emissions mainly by altering soil microbial community composition and the abundance of nitrogen-cycle functional genes. The N₂O-mitigating effect might be partially explained by a decrease in the (amoA + amoB)/(nosZI + nosZII) and (nirS + nirK)/(nosZI + nosZII) ratios, respectively. Soil pH and organic matter were key variables that explain the variation in abundance of N-cycle functional genes and subsequent N₂O emission. Moreover, the N₂O-mitigating effect varied depending on soil textures and individual strain after inoculation. This study provides insights into developing biofertilizers with plant growth-promoting and N₂O-mitigating effects.
    OBJECTIVE: Plant growth-promoting rhizobacteria (PGPR) have been applied to mitigate nitrous oxide (N₂O) emissions from agricultural soils, but the microbial ecological mechanisms underlying N₂O mitigation are poorly understood. That is why only limited PGPR strains can mitigate N₂O emissions from agricultural soils. Therefore, it is of substantial significance to reveal soil ecological mechanisms of PGPR strains to achieve efficient and reliable N₂O-mitigating effect after inoculation. Inoculation with Stutzerimonas stutzeri strains decreased N₂O emissions from two soils with contrasting textures probably by altering soil microbial community composition and gene abundance involved in nitrification and denitrification. Our findings provide detailed insight into soil ecological mechanisms of PGPR strains to mitigate N₂O emissions from vegetable agricultural soils.
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  • 文章类型: Journal Article
    目的:描述一例玻璃体腔注射后由三种异常细菌引起的眼内炎,其结果,和潜在的问题。
    结果:一名70岁女性患者在玻璃体内注射阿柏西普治疗老年性黄斑变性后被诊断为急性眼内炎。进行标准的轻敲和注射程序。对前房和玻璃体样品的微生物学分析显示存在三个非发酵革兰氏阴性棒:Stutzeri假单胞菌,嗜麦芽窄食单胞菌,和嗜血杆菌.玻璃体内注射万古霉素和头孢他啶后结果良好,视敏度几乎完全恢复到基线水平。未发现潜在的感染源。
    结论:玻璃体内注射后的眼内炎可由多种细菌引起,包括一些罕见的革兰氏阴性物种。它们有时可以共存于一个病人身上,但它们的毒力可能差异很大。由于与非发酵革兰氏阴性棒相关的可变抗生素敏感性和频繁的多重耐药性,需要迅速的微生物方法。通过标准管理可以取得良好的结果。
    OBJECTIVE: To describe a puzzling case of endophthalmitis caused by three unusual bacteria after intravitreal injection, its outcome, and underlying questions.
    RESULTS: A 70-year-old female patient was diagnosed with acute endophthalmitis following intravitreal aflibercept injection for age-related macular degeneration. A standard tap and inject procedure was performed. Microbiological analyses on the anterior chamber and vitreous samples yielded the presence of three non-fermenting Gram-negative rods: Pseudomonas stutzeri, Stenotrophomonas maltophilia, and Ochrobactrum anthropi. The outcome was favorable after intravitreal injections of vancomycin and ceftazidime, with an almost complete recovery of the visual acuity to its baseline level. No potential source of infection was identified.
    CONCLUSIONS: Endophthalmitis following intravitreal injection can be caused by a wide variety of bacteria, including some rare Gram-negative species. They can sometimes co-exist in a single patient, but their virulence may vary greatly. Due to the variable antibiotic susceptibility and frequent multiresistance associated with non-fermenting Gram-negative rods, a prompt microbiological approach is required. Favorable outcome can be achieved with standard management.
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