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Effect of chemotherapeutic agents on natural transformation frequency in Acinetobacter baylyi 化疗药物对巴氏不动杆菌自然转化频率的影响
Pub Date : 2024-07-10 DOI: 10.1099/acmi.0.000733.v4
Macaulay Winter, M. Vos, A. Buckling, Pål J. Johnsen, Klaus Harms
Natural transformation is the ability of a bacterial cell to take up extracellular DNA which is subsequently available for recombination into the chromosome (or maintenance as an extrachromosomal element). Like other mechanisms of horizontal gene transfer, natural transformation is a significant driver for the dissemination of antimicrobial resistance. Recent studies have shown that many pharmaceutical compounds such as antidepressants and anti-inflammatory drugs can upregulate transformation frequency in the model species Acinetobacter baylyi. Chemotherapeutic compounds have been shown to increase the abundance of antimicrobial resistance genes and increase colonization rates of potentially pathogenic bacteria in patient gastrointestinal tracts, indicating an increased risk of infection and providing a pool of pathogenicity or resistance genes for transformable commensal bacteria. We here test for the effect of six cancer chemotherapeutic compounds on A. baylyi natural transformation frequency, finding two compounds, docetaxel and daunorubicin, to significantly decrease transformation frequency, and daunorubicin to also decrease growth rate significantly. Enhancing our understanding of the effect of chemotherapeutic compounds on the frequency of natural transformation could aid in preventing the horizontal spread of antimicrobial resistance genes.
自然转化是指细菌细胞吸收细胞外 DNA 的能力,这些 DNA 随后可重组到染色体中(或作为染色体外元件保持)。与其他横向基因转移机制一样,自然转化也是抗菌药耐药性传播的重要驱动力。最近的研究表明,许多药物化合物(如抗抑郁药和消炎药)可提高模式物种贝氏不动杆菌(Acinetobacter baylyi)的转化频率。化疗化合物已被证明会增加抗菌药耐药性基因的丰度,并增加潜在致病菌在患者胃肠道中的定植率,这表明感染风险增加,并为可转化的共生细菌提供了致病性或耐药性基因库。我们在这里测试了六种癌症化疗化合物对巴氏杀菌杆菌自然转化频率的影响,发现多西他赛和多诺霉素这两种化合物能显著降低转化频率,多诺霉素还能显著降低生长速度。进一步了解化疗化合物对自然转化频率的影响有助于防止抗菌药耐药性基因的水平传播。
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引用次数: 0
Multiple novel caliciviruses identified from stoats (Mustela erminea) in the United Kingdom. 从英国鼬(Mustela erminea)身上发现多种新型卡里西病毒。
Pub Date : 2024-07-09 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000813.v4
Joseph Hinds, Ternenge Apaa, Rhys H Parry, Amy J Withers, Laura MacKenzie, Ceri Staley, Joshua Morrison, Malcolm Bennett, Samantha Bremner-Harrison, Elizabeth A Chadwick, Frank Hailer, Stephen W R Harrison, Xavier Lambin, Mathew Loose, Fiona Mathews, Rachael Tarlinton, Adam Blanchard

The Caliciviridae family, comprising positive-sense RNA viruses, is characterised by its non-enveloped, small virions, broad host range, and notable tendency for host switching. These viruses are primarily associated with gastroenteric disease, though they can lead to haemorrhagic or respiratory infections. Our study employed a metagenomics analysis of faecal samples from stoats (Mustela erminea), identifying two novel calicivirus species, named stoat vesivirus and stoat valovirus. Stoat vesivirus was identified in three samples (ST008, ST006, ST004), exhibiting a genome wide nucleotide identity of approximately 92 %. The complete coding sequences of these samples were 8471 (ST004) and 8322 (ST006) nucleotides in length, respectively. Each comprised three open reading frames (ORF), closely resembling the Vesivirus mink calicivirus (China/2/2016), with 70-72 % similarity in ORF1, 61-62 % in ORF2 and 71 % in ORF3. Phylogenetic analysis robustly supported stoat vesivirus as belonging within the Vesivirus genus. The second calivicirus (stoat valovirus), detected solely in sample ST008, was 6527 nucleotides in length and with complete coding sequences present. It shared highest similarity with St-Valérien swine virus and marmot norovirus HT16, showing 39.5 and 38.8 % protein identity with ORF1 and 43.3 and 42.9 % for VP1. Stoat valovirus is borderline for meeting the ICTV criteria for a new genus, demonstrating 60 % divergence in ORF1 compared to the other valovirus', however it clusters basally within the Valovirus genus, supporting leaving it included in this genus.

Caliciviridae 病毒科由正义 RNA 病毒组成,其特点是病毒无包膜、病毒体小、宿主范围广,并有明显的宿主转换倾向。这些病毒主要与肠胃疾病有关,但也可能导致出血性或呼吸道感染。我们的研究采用元基因组学方法分析了白鼬(Mustela erminea)的粪便样本,发现了两种新型钙病毒,分别命名为白鼬vesivirus和白鼬valovirus。在三个样本(ST008、ST006 和 ST004)中鉴定出了白鼬膀胱病毒,其基因组全核苷酸同一性约为 92%。这些样本的完整编码序列长度分别为 8471(ST004)和 8322(ST006)个核苷酸。每个样本都包含三个开放阅读框(ORF),与水貂卡里科病毒(China/2/2016)非常相似,ORF1相似度为70-72%,ORF2为61-62%,ORF3为71%。系统进化分析有力地支持了白鼬囊状病毒属于囊状病毒属。第二种卡里维奇病毒(白鼬缬病毒)仅在样本 ST008 中检测到,全长 6527 个核苷酸,有完整的编码序列。它与圣瓦莱里安猪病毒(St-Valérien swine virus)和旱獭诺沃克病毒(Marmot norovirus HT16)的相似度最高,ORF1和VP1的蛋白质一致性分别为39.5%和38.8%,VP1的蛋白质一致性分别为43.3%和42.9%。鼬缬病毒在符合 ICTV 新属标准方面处于边缘状态,其 ORF1 与其他缬病毒相比有 60% 的差异,但它基本聚集在缬病毒属中,支持将其归入缬病毒属。
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引用次数: 0
Pathogenicity and enzyme screening of some selected non-dermatophytic moulds. 一些选定的非皮炎霉菌的致病性和酶筛选。
Pub Date : 2024-07-08 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000683.v5
C N Nwofor, N E Onyenwe, C B Osuoha

Ten non-dermatophytic moulds isolated from both symptomatic and asymptomatic cattle skin, including Penicillum citrinum, Aspergillus welwitschiae, Aspergillus aculeatus, Curvularia kusanol, Cladosporium teniussmum, Pestalotiopsis microspora, Fusarium oxysporum, Fusarium linchenicola, Absidia sp. and Aspergillus fumigatus, were subjected to a pathogenicity test using albino mice. These isolates were also screened for five enzymes using a standard plate method. Results from pathogenicity tests showed that Absidia sp., Cladosporium tenuissimum and Aspergillus welwitschiae were able to elicit discoloration, lesion production and alopecia on the albino mice skin, respectively, providing evidence of clinical symptoms associated with cutaneous mycoses. The enzyme screening results revealed the highest zone of activity for keratinase (65 mm), amylase (86 mm), protease (60 mm), lipase (60 mm) and cellulase (86 mm) which were observed on Pestalotiopsis microspora, Aspergillus welwitschiae, Cladosporium tenuissimum, Aspergillus welwitschiae and Aspergillus welwitschiae respectively. Pathogenicity tests showed that some of these moulds may be virulent and this can be attributed to their possession of some virulence factors, including secretion of hydrolytic enzymes.

利用白化小鼠对从有症状和无症状的牛皮中分离出的 10 种非皮癣霉菌进行了致病性试验,这些霉菌包括柠檬青霉、韦氏曲霉、钝顶曲霉、库桑醇曲霉、天牛孢霉、微孢镰刀菌、氧孢镰刀菌、林肯镰刀菌、Absidia sp.和烟曲霉。还用标准平板法对这些分离物进行了五种酶的筛选。致病性试验结果表明,Absidia sp.、Cladosporium tenuissimum 和 Aspergillus welwitschiae 能够分别引起白化小鼠皮肤变色、产生病变和脱发,提供了与皮肤真菌病相关的临床症状的证据。酶筛选结果显示,角质酶(65 毫米)、淀粉酶(86 毫米)、蛋白酶(60 毫米)、脂肪酶(60 毫米)和纤维素酶(86 毫米)的活性区最大,分别出现在 Pestalotiopsis microspora、Aspergillus welwitschiae、Cladosporium tenuissimum、Aspergillus welwitschiae 和 Aspergillus welwitschiae 上。致病性试验表明,其中一些霉菌可能具有毒性,这可能是因为它们具有一些致病因子,包括分泌水解酶。
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引用次数: 0
Invasive Streptococcus pyogenes infection: a case report. 侵袭性化脓性链球菌感染:病例报告。
Pub Date : 2024-07-08 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000767.v3
Samia Bazhar, Yassine ElBenaissi, Elmostafa Benaissa, Yassine Ben Lahlou, Mariama Chadli

The Group A Streptococcus (GAS), also known as Streptococcus pyogenes (S. pyogenes), is a human pathogen causing various infections, ranging from mild, such as tonsillitis and impetigo, to severe and invasive conditions like septicemia and necrotizing fasciitis. Despite a decline in incidence and severity during the twentieth century due to antibiotics, there has been a reported increase in severe cases since the 1980s in industrialized countries. S. pyogenes is a human pathogen with a natural reservoir in the pharynx and skin, exhibits asymptomatic carriage in various body sites. It is responsible for a spectrum of clinical manifestations, from asymptomatic carriage to severe invasive infections. Transmission occurs through respiratory droplets or direct contact with skin lesions. Bacteriologically, S. pyogenes is a Gram-positive β-hemolytic streptococcus. This summary highlights a case of invasive Group A Streptococcus infection in a 28-year-old diagnosed at the microbiology laboratory of the Mohammed V Military Training Hospital in Rabat, Morocco. A 28-year-old patient, without any specific medical history, presented with acute febrile oligoarthritis. Following a recent flu-like syndrome and febrile tonsillitis, the patient experienced asymmetric inflammatory oligoarthralgia affecting the left knee, left ankle, and right shoulder, accompanied by functional impairment of the left lower limb. Upon admission, clinical examination revealed swelling, positive patellar tap, and sternal involvement. Laboratory and imaging findings indicated an abscessed collection in the left knee and anterior mediastinitis. Emergency aspirations revealed Group A Streptococcus, specifically Streptococcus pyogenes, leading to a diagnosis of septic arthritis. Dual antibiotic therapy and knee joint drainage resulted in symptom resolution after 45 days. The rise in severe Group A Streptococcus infection underscores the need for early detection and treatment. Widely sharing the French High Council for Public Health's antibiotic prophylaxis recommendations is crucial for awareness. Collaborating between clinicians and microbiologists is essential for effective management.

A 组链球菌(GAS)又称化脓性链球菌(S. pyogenes),是一种人类病原体,可引起各种感染,轻者如扁桃体炎和脓疱疮,重者如败血症和坏死性筋膜炎等侵袭性疾病。尽管在二十世纪,由于抗生素的使用,化脓性链球菌感染的发病率和严重程度有所下降,但自二十世纪八十年代以来,在工业化国家,据报道严重病例有所增加。化脓性链球菌是一种人类病原体,在咽部和皮肤有天然贮存库,在身体各部位有无症状携带。它可导致一系列临床表现,从无症状携带到严重的侵入性感染。传播途径是通过呼吸道飞沫或直接接触皮肤病变部位。细菌学上,化脓性链球菌是一种革兰氏阳性的β-溶血性链球菌。本摘要重点介绍摩洛哥拉巴特穆罕默德五世军事训练医院微生物实验室确诊的一例 28 岁侵袭性 A 群链球菌感染病例。患者 28 岁,无特殊病史,因急性发热性少关节炎就诊。继最近的流感样综合征和发热性扁桃体炎后,患者出现了非对称性炎性少关节痛,影响到左膝、左踝和右肩,并伴有左下肢功能障碍。入院时,临床检查发现肿胀、髌骨拍击阳性和胸骨受累。实验室和影像学检查结果显示,患者左膝有脓肿积聚,并伴有前纵隔炎。紧急抽吸发现了 A 组链球菌,特别是化脓性链球菌,诊断为化脓性关节炎。双重抗生素治疗和膝关节引流术使患者在 45 天后症状缓解。严重的 A 型链球菌感染率的上升凸显了早期发现和治疗的必要性。广泛传播法国公共卫生高级委员会的抗生素预防建议对提高人们的认识至关重要。临床医生和微生物学家之间的合作对于有效管理至关重要。
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引用次数: 0
Methods to assess antibacterial, antifungal and antiviral surfaces in relation to touch and droplet transfer: a review, gap-analysis and suggested approaches. 评估与触摸和飞沫传播有关的抗菌、抗真菌和抗病毒表面的方法:综述、差距分析和建议方法。
Pub Date : 2024-07-05 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000804.v3
Alexander J Cunliffe, Peter Askew, Gillian Iredale, Abby Marchant, James Redfern

To help assess whether a potentially antimicrobial material, surface, or coating provides antimicrobial efficacy, a number of standardised test methods have been developed internationally. Ideally, these methods should generate data that supports the materials efficacy when deployed in the intended end-use application. These methods can be categorised based on their methodological approach such as suspension tests, agar plate/zone diffusion tests, surface inoculation tests, surface growth tests or surface adhesion tests. To support those interested in antimicrobial coating efficacy, this review brings together an exhaustive list of methods (for porous and non-porous materials), exploring the methodological and environmental parameters used to quantify antibacterial, antifungal, or antiviral activity. This analysis demonstrates that antimicrobial efficacy methods that test either fungi or viruses are generally lacking, whilst methods that test bacteria, fungi and viruses are not designed to simulate end-use/lack realistic conditions. As such, a number of applications for antimicrobial activity across medical touch screens, medical textiles and gloves and transport seat textiles are explored as example applications, providing guidance on modifications to existing methods that may better simulate the intended end-use of antimicrobial materials.

为了帮助评估潜在的抗菌材料、表面或涂层是否具有抗菌功效,国际上已经制定了许多标准化的测试方法。理想情况下,这些方法所产生的数据应能证明材料在预期最终用途中的功效。这些方法可根据其方法论进行分类,如悬浮试验、琼脂平板/区域扩散试验、表面接种试验、表面生长试验或表面附着力试验。为了支持那些对抗菌涂层功效感兴趣的人,本综述汇集了一份详尽的方法清单(适用于多孔和无孔材料),探讨了用于量化抗菌、抗真菌或抗病毒活性的方法和环境参数。这项分析表明,目前普遍缺乏测试真菌或病毒的抗菌功效方法,而测试细菌、真菌和病毒的方法也不是为了模拟最终用途而设计的,缺乏现实条件。因此,我们以医疗触摸屏、医用纺织品和手套以及运输座椅纺织品为例,探讨了抗菌活性的一些应用,为修改现有方法提供指导,以便更好地模拟抗菌材料的预期最终用途。
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引用次数: 0
Notification of bacterial strains made available by the United Kingdom National Collection of Type Cultures in 2022. 2022 年英国国家类型培养物保藏中心提供的细菌菌株通知。
Pub Date : 2024-07-05 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000756.v3
Jake David Turnbull, Jo Dicks, Rachael Adkin, Alexander Dickinson, Dorota Kaushal, Mojisola Semowo, Hannah McGregor, Sarah Alexander

Here, we report on the one hundred and twenty-five bacterial strains made available by the National Collection of Type Cultures in 2022 alongside a commentary on the strains, their provenance and significance.

在此,我们报告了 2022 年国家模式培 养菌种保藏中心提供的 125 株细菌菌种,并对这些菌种及其来源和意义进行了评述。
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引用次数: 0
The relationship between microbial population ATP and quantitative PCR bioburdens in diesel fuel microcosms. 柴油微生态系统中微生物种群 ATP 与定量 PCR 生物因子之间的关系。
Pub Date : 2024-07-04 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000695.v4
Frederick J Passman, Jordan Schmidt, Danika Nicoletti

Historically, fuel microbiology studies have relied on culture data. Potentially relevant but unculturable bacteria were not detected. Although ATP can quantify total microbial bioburdens in fuels, it cannot differentiate among the taxa present. Quantitative PCR (qPCR) testing promises to fill this gap by quantifying targeted amplicon sequences thereby detecting both culturable and non-culturable taxa and quantifying specifically targeted taxa. In this study, fluid samples drawn from the fuel, interface and water phases of fuel over water microcosms were tested for cellular ATP concentration ([cATP]) and qPCR bioburdens. Additionally, surface swab samples from steel corrosion coupon surfaces exposed to each of these three phases were collected and tested for total ATP concentration ([tATP]) and qPCR bioburdens. Statistical relationships between ATP and qPCR bioburdens were examined. Correlation coefficients between the two variables were matrix dependent and ranged from negligible (|r|=0.2) to strong (|r|=0.7). When results were categorized into negligible, moderate and heavy bioburdens, parameter agreement was again matrix dependent. Percentage agreement between [ATP] and qPCR gene copies ranged from 11 % to 89 % - with qPCR-bioburden ratings typically being greater than ATP-bioburden ratings.

一直以来,燃料微生物学研究都依赖于培养数据。潜在相关但无法培养的细菌未被检测到。虽然 ATP 可以量化燃料中的微生物生物菌总量,但它无法区分存在的类群。定量 PCR(qPCR)测试有望通过量化目标扩增片段序列来填补这一空白,从而检测可培养和不可培养的类群,并量化特定的目标类群。在本研究中,对从燃料、界面和水相的燃料过水微生态系统中提取的流体样本进行了细胞 ATP 浓度([cATP])和 qPCR 生物因子检测。此外,还收集了暴露于这三个阶段的钢腐蚀试样表面的表面拭子样本,并对总 ATP 浓度([tATP])和 qPCR 生物因子进行了检测。研究了 ATP 和 qPCR 生物因子之间的统计关系。两个变量之间的相关系数取决于矩阵,范围从可忽略(|r|=0.2)到强(|r|=0.7)不等。当结果分为可忽略、中等和重度生物负载时,参数的一致性同样取决于矩阵。ATP] 和 qPCR 基因拷贝之间的一致百分比从 11% 到 89% 不等,qPCR-生物负载等级通常高于 ATP-生物负载等级。
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引用次数: 0
Reducing Blood Culture Contamination Rates: Introduction of a Combined Education and Skin Antisepsis Intervention 降低血培养污染率:采用教育与皮肤防腐相结合的干预措施
Pub Date : 2024-07-01 DOI: 10.1099/acmi.0.000806.v3
Niamh Mullane, Niall O'Mara, Darragh Coffey, Aine Connolly, Isabelle O'Callaghan, Deborah Kelly, Deirdre Broderick, Caitriona Hickey
Background. Blood culture contamination (BCC) is an important quality concern in clinical microbiology as it can lead to unnecessary antimicrobial therapy in patients and increased workload for laboratory scientists. The Clinical Laboratory and Standards Institute recommend BCC rates to be <3 % and recently updated guidelines have set a new goal of 1 %. The aim of this project was to design and implement interventions to reduce BCC rates at our institution. Methods. We introduced a combined education and skin antisepsis intervention in a large Model 4 academic teaching hospital in the South of Ireland. BD ChloraPrep skin antisepsis applicators (2 % chlorhexidine gluconate/70 % isopropyl alcohol), licensed for use for blood culture specimen collection, were introduced, replacing Clinell (2 % chlorhexidine gluconate/70 % isopropyl alcohol) wipes. In addition, a multimodal education programme was designed and delivered. This consisted of a video demonstrating the recommended blood culture specimen collection technique using the new applicators as well as simulation training for all interns. The video was uploaded to the intranet as an educational resource available to all staff. Results. The interventions were implemented in July 2022 and BCC rates pre- and post-intervention were calculated. The average BCC rate for the 12 months preceding the intervention (July 2021 to July 2022) was 2.56 % with highest rates in the Emergency Department. This compared to an average rate of 2.2 % in the 12 months post-intervention (July 2022 to July 2023). In comparing the two rates the reduction in BCC rates between the two periods was not statistically significant (P=0.30). Conclusion. Overall BCC rates reduced but the difference between the two periods did not reach statistical significance. The resource-intensive nature of providing regular and timely feedback of contamination rates and the larger impact of in-person education and training over virtual modalities may explain the modest reduction. Further investments in these areas, particularly in the Emergency Department, will be necessary to further reduce rates in line with new recommendations.
背景。血液培养污染(BCC)是临床微生物学的一个重要质量问题,因为它可能导致患者接受不必要的抗菌治疗,并增加实验室科学家的工作量。临床实验室与标准协会建议 BCC 的发生率为 <3%,最近更新的指南将新目标设定为 1%。本项目旨在设计和实施干预措施,以降低本机构的 BCC 感染率。 方法。我们在爱尔兰南部的一家大型四级教学医院引入了教育与皮肤防腐相结合的干预措施。我们引进了获得许可用于血液培养标本采集的 BD ChloraPrep 皮肤防腐涂抹器(2% 葡萄糖酸氯己定/70% 异丙醇),取代了 Clinell(2% 葡萄糖酸氯己定/70% 异丙醇)湿巾。此外,还设计并实施了一项多模式教育计划。其中包括一段视频,演示了使用新涂抹器采集血培养标本的推荐技术,并对所有实习生进行了模拟培训。该视频已上传到内联网,作为教育资源提供给所有员工。 结果。干预措施于 2022 年 7 月实施,并计算了干预前后的 BCC 感染率。干预前 12 个月(2021 年 7 月至 2022 年 7 月)的平均 BCC 率为 2.56%,其中急诊科的 BCC 率最高。相比之下,干预后 12 个月(2022 年 7 月至 2023 年 7 月)的平均 BCC 感染率为 2.2%。在比较这两个比率时,两个时期 BCC 比率的降低并无统计学意义(P=0.30)。 结论。BCC 发病率总体上有所下降,但两个时期之间的差异未达到统计学意义上的显著性。定期及时反馈污染率需要大量资源,而且面对面的教育和培训比虚拟方式的影响更大,这可能是污染率略有下降的原因。要想按照新建议进一步降低污染率,有必要在这些领域(尤其是急诊科)进一步投资。
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引用次数: 0
Atypical presentation of varicella-zoster virus reactivation in a lung transplant patient: a case report 肺移植患者水痘-带状疱疹病毒再激活的非典型表现:病例报告
Pub Date : 2024-07-01 DOI: 10.1099/acmi.0.000763.v3
Ingrid Hoff, Eivind Rath, Slobodanka Pena-Karan, Elisabeth Sivy Nginamau, A. Holm, T. Thune, Tehmina Mustafa
Background. Varicella-zoster virus (VZV) is a human neurotropic virus which commonly causes infection during childhood, presenting as chickenpox. Later in life it may reactivate as herpes zoster. We report a rare manifestation of reactivation of VZV infection presenting as cutaneous vasculitis and varicella pneumonia in a lung transplant recipient. Case presentation. A 65-year-old man was lung transplanted bilaterally for emphysema and had repeated posttransplant chest infections and colonization with Pseudomonas aeruginosa. Nine months post-transplant he presented with dyspnoea and a cutaneous vasculitis-like eruption with a predilection over face, thorax and distal extremities. Initially, VZV reactivation was not suspected due to absence of the typical vesicular eruptions. The diagnosis was confirmed by VZV PCR from the swabs of the ulcer after skin punch biopsy of a lesion and from bronchoalveolar lavage (BAL). The histology of skin biopsy demonstrated epithelial damage and vascular damage but no typical epithelial virus associated changes. The patient responded to antiviral therapy with total remission of rash and VZV DNA was finally not detectable from repeated BAL after 29 days of therapy. However, the pulmonary radiological features and dyspnoea persisted due to reasons possibly unrelated to the VZV infection. Conclusion. Had it not been for the patient to mention the resemblance of the vasculitic rash with his primary VZV infection, the diagnosis would easily have been overlooked. In this case, the biopsy did not show typical histopathologic findings of VZV-vasculitis. What led the diagnosis was a PCR from the wound swab taken after the punch biopsy. This case serves as a reminder for atypical presentation of common conditions in immunosuppressed patients and that extensive diagnostic sampling may be warranted in this group.
背景。水痘-带状疱疹病毒(VZV)是一种人类神经性病毒,通常在儿童时期引起感染,表现为水痘。日后它可能重新活化为带状疱疹。我们报告了一起罕见的 VZV 感染再活化病例,肺移植受者表现为皮肤血管炎和水痘肺炎。 病例介绍。一名 65 岁的男性因肺气肿接受了双侧肺移植,移植后反复出现胸部感染和铜绿假单胞菌定植。移植后 9 个月,他出现呼吸困难和皮肤血管炎样糜烂,好发于面部、胸部和四肢远端。起初,由于没有典型的水泡状疹子,因此没有怀疑是 VZV 再激活。在对病灶进行皮肤打孔活检后,从溃疡拭子和支气管肺泡灌洗液(BAL)中提取的 VZV PCR 结果证实了诊断。皮肤活检组织学显示上皮损伤和血管损伤,但没有典型的上皮病毒相关改变。患者对抗病毒治疗做出了反应,皮疹完全缓解,经过 29 天的治疗后,在重复的 BAL 中终于检测不到 VZV DNA。然而,由于可能与 VZV 感染无关的原因,肺部放射学特征和呼吸困难仍然存在。 结论如果不是患者提到血管炎皮疹与他的原发性 VZV 感染相似,诊断很容易被忽视。在本病例中,活组织检查并未发现典型的 VZV-血管炎组织病理学结果。导致诊断的是冲孔活检后从伤口拭子中提取的 PCR。本病例提醒人们注意免疫抑制患者常见疾病的非典型表现,在这类患者中可能需要进行广泛的诊断取样。
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引用次数: 0
In silico analysis of Ffp1, an ancestral Porphyromonas spp. fimbrillin, shows differences with Fim and Mfa 对 Ffp1(一种卟啉单胞菌的祖先)进行的硅学分析表明,它与 Fim 和 Mfa 存在差异
Pub Date : 2024-07-01 DOI: 10.1099/acmi.0.000771.v3
L. Acuña-Amador, F. Barloy-Hubler
Background. Scant information is available regarding fimbrillins within the genus Porphyromonas, with the notable exception of those belonging to Porphyromonas gingivalis, which have been extensively researched for several years. Besides fim and mfa, a third P. gingivalis adhesin called filament-forming protein 1 (Ffp1) has recently been described and seems to be pivotal for outer membrane vesicle (OMV) production. Objective. We aimed to investigate the distribution and diversity of type V fimbrillin, particularly Ffp1, in the genus Porphyromonas. Methods. A bioinformatics phylogenomic analysis was conducted using all accessible Porphyromonas genomes to generate a domain search for fimbriae, using hidden Markov model profiles. Results. Ffp1 was identified as the sole fimbrillin present in all analysed genomes. After manual verification (i.e. biocuration) of both structural and functional annotations and 3D modelling, this protein was determined to be a type V fimbrillin, with a closer structural resemblance to a Bacteroides ovatus fimbrillin than to FimA or Mfa1 from P. gingivalis. Conclusion. It appears that Ffp1 is an ancestral fimbria, transmitted through vertical inheritance and present across all Porphyromonas species. Additional investigations are necessary to elucidate the biogenesis of Ffp1 fimbriae and their potential role in OMV production and niche adaptation.
背景。关于卟啉单胞菌属(Porphyromonas)中的丝状蛋白的资料很少,但属于牙龈卟啉单胞菌(Porphyromonas gingivalis)的丝状蛋白是个例外,多年来对这些蛋白进行了广泛的研究。除 fim 和 mfa 外,最近还发现了第三种牙龈卟啉菌粘附蛋白--丝状形成蛋白 1(Ffp1),它似乎对外膜囊(OMV)的产生起着关键作用。 研究目的我们旨在研究卟啉单胞菌属中 V 型 fimbrillin(尤其是 Ffp1)的分布和多样性。 方法。利用所有可获得的卟啉单胞菌基因组进行生物信息学系统发生学分析,使用隐马尔可夫模型剖面图对缘毛进行域搜索。 结果。在所有分析的基因组中,Ffp1 被确定为唯一存在的纤毛蛋白。在对结构和功能注释以及三维建模进行人工验证(即生物化)后,该蛋白质被确定为 V 型缘丝菌素,其结构与卵形芽孢杆菌(Bacteroides ovatus)的缘丝菌素更相似,而与牙龈球菌(P. gingivalis)的 FimA 或 Mfa1 更相似。 结论Ffp1 似乎是一种祖传的微脂囊,通过垂直遗传传播,存在于所有卟啉单胞菌物种中。有必要开展更多研究,以阐明 Ffp1 纤毛膜的生物形成及其在 OMV 生产和生态位适应中的潜在作用。
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