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Cöllü AY, Ucarman N, Bayhan GI. Complicated clinical course of zoonotic tuberculosis due to Mycobacterium Caprae: A case report and literature review. Int J Mycobacteriol 2022; 11:466-468. [PMID: 36510938 DOI: 10.4103/ijmy.ijmy_148_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
The incidence of human tuberculosis (TB) disease due to Mycobacterium caprae, an etiologic agent of zoonotic TB along with Mycobacterium bovis, is very low. There are no guidelines for human TB caused by M. caprae, and treatment protocols for infections caused by this microorganism are based on the recommendations for M. bovis infections. We report a 15-year-old girl diagnosed with cervical lymphadenitis due to M. caprae. She did not recover completely despite 6 months of anti-TB medication. Therefore, treatment was extended to 12 months. There is a lack of information about the treatment of human M. caprae infections. Further studies evaluating the treatment in detail are needed.
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Affiliation(s)
- Ata Yigit Cöllü
- Departments of General Pediatrics, Medical Faculty, Yenimahalle Training and Research Hospital, Yildirim Beyazit University, Ankara, Turkey
| | - Nilay Ucarman
- Department of Microbiology, General Directorate of Public Health, Reference Laboratories and Biological Products, Ankara, Turkey
| | - Gülsüm Iclal Bayhan
- Departments of Pediatric Infectious Disease, Medical Faculty, Yenimahalle Training and Research Hospital, Yildirim Beyazit University, Ankara, Turkey
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Nebreda T, Álvarez-Prida E, Blanco B, Remacha MA, Samper S, Jiménez MS. Peritoneal tuberculosis due to Mycobacterium caprae. IDCases 2016; 4:50-2. [PMID: 27134824 PMCID: PMC4833828 DOI: 10.1016/j.idcr.2016.02.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2016] [Revised: 02/24/2016] [Accepted: 02/24/2016] [Indexed: 11/16/2022] Open
Abstract
The incidence of tuberculosis in humans due to Mycobacterium caprae is very low and is almost confined to Europe. We report a case of a previously healthy 41-year-old Moroccan with a 6 month history of abdominal pain, weight loss, fatigue and diarrhea. A diagnosis of peritoneal tuberculosis due to M. caprae was made.
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Affiliation(s)
- T Nebreda
- Servicio de Microbiología, Complejo Asistencial Universitario de León, León, Spain
| | - E Álvarez-Prida
- Servicio de Cirugía General, Complejo Asistencial Universitario de León, León, Spain
| | - B Blanco
- Servicio de Medicina Interna, Complejo Asistencial Universitario de León, León, Spain
| | - M A Remacha
- Servicio de Microbiología, Complejo Asistencial Universitario de León, León, Spain
| | - S Samper
- Instituto de Investigación Sanitaria Aragón, Instituto Aragonés de Ciencias de la Salud, Consorcio Centro de Investigación Biomédica en Red de Enfermedades Respiratorias, Zaragoza, Spain
| | - M S Jiménez
- Centro Nacional de Microbiología, Instituto Carlos III, Majadahonda, Madrid, Spain
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Prodinger WM, Indra A, Koksalan OK, Kilicaslan Z, Richter E. Mycobacterium caprae infection in humans. Expert Rev Anti Infect Ther 2014; 12:1501-13. [PMID: 25345680 DOI: 10.1586/14787210.2014.974560] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Mycobacterium caprae, a member of the Mycobacterium tuberculosis complex, causes tuberculosis (TB) in man and animals. Some features distinguish M. caprae from its epidemiological twin, Mycobacterium bovis: M. caprae is evolutionarily older, accounts for a smaller burden of zoonotic TB and is not globally distributed, but primarily restricted to European countries. M. caprae occurs only in a low proportion of human TB cases and this proportion may even decrease, if progress toward eradication of animal TB in Europe continues. So why bother, if M. caprae is not an enigma for diagnostic TB tests and if resistance against first-line drugs is a rarity with M. caprae? This 'European' pathogen of zoonotic TB asks interesting questions regarding the definition of a species. The latter, seemingly only an academic question, particularly requires and challenges the collaboration between human and veterinary medicine.
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Affiliation(s)
- Wolfgang M Prodinger
- Division of Hygiene and Medical Microbiology, Innsbruck Medical University, Innsbruck, Schoepfstrasse 41, 6020 Austria
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Rodriguez-Campos S, Smith NH, Boniotti MB, Aranaz A. Overview and phylogeny of Mycobacterium tuberculosis complex organisms: implications for diagnostics and legislation of bovine tuberculosis. Res Vet Sci 2014; 97 Suppl:S5-S19. [PMID: 24630673 DOI: 10.1016/j.rvsc.2014.02.009] [Citation(s) in RCA: 94] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2013] [Revised: 02/04/2014] [Accepted: 02/15/2014] [Indexed: 10/25/2022]
Abstract
Members of the Mycobacterium tuberculosis complex (MTBC) cause a serious disease with similar pathology, tuberculosis; in this review, bovine tuberculosis will be considered as disease caused by any member of the MTBC in bovids. Bovine tuberculosis is responsible for significant economic loss due to costly eradication programs and trade limitations and poses a threat to both endangered and protected species as well as to public health. We here give an overview on all members of the MTBC, focusing on their isolation from different animal hosts. We also review the recent advances made in elucidating the evolutionary and phylogenetic relationships of members of the MTBC. Because the nomenclature of the MTBC is controversial, its members have been considered species, subspecies or ecotypes, this review discusses the possible implications for diagnostics and the legal consequences of naming of new species.
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Affiliation(s)
- Sabrina Rodriguez-Campos
- Institute of Veterinary Bacteriology, Veterinary Faculty, University of Bern, Laenggassstrasse 122, 3012 Bern, Switzerland.
| | - Noel H Smith
- Animal Health and Veterinary Laboratories Agency, Weybridge, New Haw, Addlestone, Surrey KT15 3NB, UK
| | - Maria B Boniotti
- Centro Nazionale di Referenza per la Tubercolosi Bovina, Istituto Zooprofilattico Sperimentale della Lombardia e dell'Emilia Romagna, via Bianchi 9, 25124 Brescia, Italy
| | - Alicia Aranaz
- Departamento de Sanidad Animal, Veterinary Faculty, Universidad Complutense de Madrid, Avda. Puerta de Hiero s/n, 28040 Madrid, Spain
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Pérez-Lago L, Navarro Y, García-de-Viedma D. Current knowledge and pending challenges in zoonosis caused by Mycobacterium bovis: a review. Res Vet Sci 2013; 97 Suppl:S94-S100. [PMID: 24360647 DOI: 10.1016/j.rvsc.2013.11.008] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2013] [Accepted: 11/17/2013] [Indexed: 10/25/2022]
Abstract
Mycobacterium bovis is both the causative agent of bovine tuberculosis (TB) and a zoonotic pathogen. In humans, considerably fewer cases of TB are caused by M. bovis than M. tuberculosis; nevertheless, diagnostic limitations mean that currently available data on prevalence grossly underestimate the true dimension of the problem. The routes of transmission from animals to humans are well known and include direct exposure to infected animals or consumption of contaminated animal products. Application of fingerprinting tools facilitates analysis of the molecular epidemiology of M. bovis in animal-to-human and human-to-human transmission. Apart from cattle and M. bovis, other animal species and members within the M. tuberculosis complex can contribute to the zoonosis. Improvements in diagnostic techniques, application of more advanced discriminatory genotyping tools, and collaboration between veterinary and human health care researchers are key to our understanding of this zoonosis.
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Affiliation(s)
- Laura Pérez-Lago
- Servicio de Microbiología Clínica y Enfermedades Infecciosas, Hospital General Universitario Gregorio Marañón, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; CIBER Enfermedades Respiratorias-CIBERES (CD06/06/0058), Spain
| | - Yurena Navarro
- Servicio de Microbiología Clínica y Enfermedades Infecciosas, Hospital General Universitario Gregorio Marañón, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; CIBER Enfermedades Respiratorias-CIBERES (CD06/06/0058), Spain; CEI Campus Moncloa, UCM-UPM, Madrid, Spain
| | - Darío García-de-Viedma
- Servicio de Microbiología Clínica y Enfermedades Infecciosas, Hospital General Universitario Gregorio Marañón, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; CIBER Enfermedades Respiratorias-CIBERES (CD06/06/0058), Spain; CEI Campus Moncloa, UCM-UPM, Madrid, Spain.
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Hansen N, Seiler C, Rumpf J, Kraft P, Dlaske H, Abele-Horn M, Muellges W. Human Tuberculous Meningitis Caused by Mycobacterium caprae. Case Rep Neurol 2012; 4:54-60. [PMID: 22536183 PMCID: PMC3335363 DOI: 10.1159/000337299] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Introduction Tuberculous meningitis (TM) causes substantial morbidity and mortality in humans. Human TM has been known to be induced by bacteria from the Mycobacterium tuberculosis complex (MTBC), such as M. tuberculosis and M. bovis. Case Presentation We describe a case of meningitis treated with fosfomycin, which showed partial effectiveness in an 80-year-old patient. After a lethal myocardial infarction, M. caprae (MC) was identified in cerebrospinal fluid culture. This isolated acid-fast organism was first identified as MTBC by MTBC-specific PCR (16S rDNA-PCR). Furthermore, species-specific identification of the isolate was done by gyrB PCR-restriction fragment length polymorphism analysis of a part of gyrB DNA. Colony morphology of the isolated MC strain showed dysgonic growth on Lowenstein-Jensen medium. The strain was susceptible to pyrazinamide (PZA). Conclusion This isolated strain was convincingly identified as MC according to the phenotypic and genotypic characteristics and PZA sensitivity. This is the first report of MC causing TM.
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Affiliation(s)
- Niels Hansen
- Department of Neurology, University Hospital of Wuerzburg, Wuerzburg, Germany
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Seseña G, Rodríguez MJ, Martínez MDC, Jiménez MS. [Shepherd with fever of 2 weeks of evolution]. Enferm Infecc Microbiol Clin 2009; 27:56-7. [PMID: 19218005 DOI: 10.1016/j.eimc.2008.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2007] [Accepted: 06/16/2008] [Indexed: 11/15/2022]
Affiliation(s)
- Germán Seseña
- Servicio de Microbiología, Hospital Virgen de la Luz, Cuenca, España.
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Djelouadji Z, Raoult D, Daffé M, Drancourt M. A single-step sequencing method for the identification of Mycobacterium tuberculosis complex species. PLoS Negl Trop Dis 2008; 2:e253. [PMID: 18618024 PMCID: PMC2453075 DOI: 10.1371/journal.pntd.0000253] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2007] [Accepted: 05/20/2008] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND The Mycobacterium tuberculosis complex (MTC) comprises closely related species responsible for strictly human and zoonotic tuberculosis. Accurate species determination is useful for the identification of outbreaks and epidemiological links. Mycobacterium africanum and Mycobacterium canettii are typically restricted to Africa and M. bovis is a re-emerging pathogen. Identification of these species is difficult and expensive. METHODOLOGY/PRINCIPAL FINDINGS The Exact Tandem Repeat D (ETR-D; alias Mycobacterial Interspersed Repetitive Unit 4) was sequenced in MTC species type strains and 110 clinical isolates, in parallel to reference polyphasic identification based on phenotype profiling and sequencing of pncA, oxyR, hsp65, gyrB genes and the major polymorphism tandem repeat. Inclusion of M. tuberculosis isolates in the expanding, antibiotic-resistant Beijing clone was determined by Rv0927c gene sequencing. The ETR-D (780-bp) sequence unambiguously identified MTC species type strain except M. pinnipedii and M. microti thanks to six single nucleotide polymorphisms, variable numbers (1-7 copies) of the tandem repeat and two deletions/insertions. The ETR-D sequencing agreed with phenotypic identification in 107/110 clinical isolates and with reference polyphasic molecular identification in all isolates, comprising 98 M. tuberculosis, 5 M. bovis BCG type, 5 M. canettii, and 2 M. africanum. For M. tuberculosis isolates, the ETR-D sequence was not significantly associated with the Beijing clone. CONCLUSIONS/SIGNIFICANCE ETR-D sequencing allowed accurate, single-step identification of the MTC at the species level. It circumvented the current expensive, time-consuming polyphasic approach. It could be used to depict epidemiology of zoonotic and human tuberculosis, especially in African countries where several MTC species are emerging.
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Affiliation(s)
- Zoheira Djelouadji
- Unité des Rickettsies CNRS UMR6020, IFR 48, Faculté de Médecine, Université de la Méditerranée, Marseille, France
| | - Didier Raoult
- Unité des Rickettsies CNRS UMR6020, IFR 48, Faculté de Médecine, Université de la Méditerranée, Marseille, France
| | - Mamadou Daffé
- Département de Mécanismes Moléculaires des Infections Mycobactériennes, Institut de Pharmacologie et Biologie structurale, Toulouse, France
| | - Michel Drancourt
- Unité des Rickettsies CNRS UMR6020, IFR 48, Faculté de Médecine, Université de la Méditerranée, Marseille, France
- * E-mail:
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Romero B, Aranaz A, Bezos J, Alvarez J, de Juan L, Tariq Javed M, Mateos A, Gómez-Mampaso E, Domínguez L. Drug susceptibility of Spanish Mycobacterium tuberculosis complex isolates from animals. Tuberculosis (Edinb) 2007; 87:565-71. [PMID: 17900988 DOI: 10.1016/j.tube.2007.08.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2007] [Revised: 08/10/2007] [Accepted: 08/15/2007] [Indexed: 10/22/2022]
Abstract
Mycobacterium bovis and Mycobacterium caprae are zoonotic bacteria that cause tuberculosis with several clinical manifestations. We have evaluated the susceptibility to anti-tuberculosis drugs of a panel of Spanish isolates of animal origin. The analysis of the sequence of the main genes involved in resistance was performed in 41 M. bovis and five M. caprae. The katG, inhA, rpsL, embB and gyrA genes had single nucleotide polymorphisms, not previously described in other organisms of the complex. Thirty-two M. bovis and three M. caprae isolates were tested for susceptibility to isoniazid (INH), rifampin, streptomycin, ethambutol, and ofloxacin using the standard proportion method. The results revealed that the isolates were sensitive to the five drugs. However, interference caused by sodium pyruvate in the INH test was detected: 94.3% grew at 0.2 microg INH/ml and 68.6% grew at 1 microg INH/ml. In the medium without pyruvate, 34.3% of the isolates did not grow whereas growth of the others was poor and slow. Nine M. bovis isolates were also tested by ESP Culture System II test and were sensitive to INH. The susceptibility of M. bovis to INH cannot be reliably determined using the standard proportion method due to the M. bovis growth requirements and the interference of pyruvate with INH.
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Affiliation(s)
- Beatriz Romero
- Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, 28040 Madrid, Spain
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Abstract
The continuous evolution of mycobacterial taxonomy may represent a source of confusion for laboratories and clinicians. Apart from the obvious pathogenic strains of the Mycobacterium tuberculosis complex, Mycobacterium leprae and Mycobacterium ulcerans, the role of other mycobacteria may be associated with varying conditions ranging from contamination to specific disease processes. Of the more than 120 mycobacterial species recognized currently, very few have not been reported as pathogenic in humans or animals. Although the attempt to keep pace with the steadily increasing number of mycobacterial species seems hopeless, a careful review of the recent literature relevant to the newly described species may be advantageous. The aim of this present update is to provide epidemiological and clinical information along with major phenotypic and genotypic characteristics of the species described in the last 3 years.
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Affiliation(s)
- Enrico Tortoli
- Regional Reference Centre for Mycobacteria, Careggi Hospital, Florence, Italy.
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Sintchenko V, Jelfs P, Dally M, Crighton T, Gilbert GL. A case of urinary tuberculosis due to Mycobacterium bovis subspecies caprae. Pathology 2006; 38:376-8. [PMID: 16916737 DOI: 10.1080/00313020600821391] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Meyer S, Naumann L, Landthaler M, Vogt T. Lupus vulgaris caused by Mycobacterium bovis ssp. caprae. Br J Dermatol 2005; 153:220-2. [PMID: 16029364 DOI: 10.1111/j.1365-2133.2005.06673.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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