When an underestimated zoonosis and antimicrobial resistance collide: Corynebacterium ulcerans.

Access microbiology Pub Date : 2024-11-22 eCollection Date: 2024-01-01 DOI:10.1099/acmi.0.000898.v3
Giovanni Mori, Giulia Errico, Sara Giancristoforo, Donatella Visentin, Antonella Castagna, Laura Viel, Debora Dellamaria, Giovanni Lorenzin, Gaia Ortalli, Claudio Scarparo, Massimiliano Lanzafame
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Abstract

In the European region, diphtheria is now rarely suspected in patients presenting with upper respiratory tract symptoms. Corynebacterium ulcerans is the underestimated zoonosis that is replacing C. diphtheria infections in industrialized countries, but extensive human and animal prevalence studies are lacking. The range of hosts that can act as reservoirs for C. ulcerans is very broad, companion pets currently being the main source of human infection. We report a case of macrolide-resistant C. ulcerans infection with no apparent zoonotic transmission and outline the efforts required for the public and zooprophylactic management of these cases. We describe the main critical issues to be addressed to comprehensively tackle this zoonosis in the future.

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当被低估的人畜共患病和抗菌素耐药性发生冲突时:棒状杆菌溃疡。
在欧洲区域,现在很少怀疑出现上呼吸道症状的患者患有白喉。溃疡棒状杆菌是一种被低估的人畜共患病,正在工业化国家取代白喉支原体感染,但缺乏广泛的人类和动物患病率研究。可以作为溃疡杆菌宿主的宿主范围非常广泛,伴侣宠物目前是人类感染的主要来源。我们报告了一例大环内酯耐药溃疡杆菌感染,没有明显的人畜共患传播,并概述了公众和动物预防管理这些病例所需的努力。我们描述了未来全面应对这一人畜共患病需要解决的主要关键问题。
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