Clinical and genomic features of a Listeria monocytogenes fatal case of meningitis in Madagascar.

Access microbiology Pub Date : 2024-06-27 eCollection Date: 2024-01-01 DOI:10.1099/acmi.0.000764.v3
Saïda Rasoanandrasana, Mamitina Alain Noah Rabenandrasana, Lucia Mélanie Ravaoharisoa, Narindra Randrianaivo, Vonintsoa Lalaina Rahajamanana, Zafindrasoa Domoina Rakotovao-Ravahatra, Alexandra Moura, Marc Lecuit, Andriamiadana Luc Rakotovao
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Abstract

Listeriosis constitutes a significant public health threat due to its high mortality rate. This study investigates the microbiological and genomic characteristics of Listeria monocytogenes isolates in Madagascar, where listeriosis is a notifiable disease. The analysis focuses on a fatal case of meningeal listeriosis in a 12-year-old child. Genomic analysis revealed a novel cgMLST type (L2-SL8-ST8-CT11697; CC8, serogroup Iia) with typical virulence and antibiotic resistance profiles. These isolates, unique to Madagascar, formed an independent clade in the phylogenetic tree. This study presents the first genomic characterization of Listeria isolates in Madagascar, highlighting the necessity of ongoing genomic surveillance to strengthen listeriosis prevention and control strategies in the region.

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马达加斯加一例李斯特菌脑膜炎死亡病例的临床和基因组特征。
李斯特菌病死亡率很高,对公共卫生构成严重威胁。本研究调查了马达加斯加李斯特菌分离物的微生物学和基因组特征,在马达加斯加,李斯特菌病是一种应呈报的疾病。分析的重点是一名 12 岁儿童脑膜李斯特菌病的致命病例。基因组分析发现了一种新型 cgMLST 类型(L2-SL8-ST8-CT11697;CC8,Iia 血清群),具有典型的毒力和抗生素耐药性特征。这些马达加斯加特有的分离株在系统发生树中形成了一个独立的支系。这项研究首次提出了马达加斯加李斯特菌分离物的基因组特征,强调了持续进行基因组监测以加强该地区李斯特菌病预防和控制策略的必要性。
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