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Amri M, Tamir EM, Drighil A, Habbal R. An infective endocarditis complicated by multiple septic emboli: case report. Egypt Heart J 2024; 76:19. [PMID: 38340179 DOI: 10.1186/s43044-024-00451-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Accepted: 01/30/2024] [Indexed: 02/12/2024] Open
Abstract
BACKGROUND Owing to challenges associated with heart failure and cardiac embolism, infectious endocarditis emerges as a critical pathology characterized by elevated mortality and morbidity rates. Our case stands out as a rare instance of endocarditis involving multisystem embolization, with a successful outcome. CASE PRESENTATION We present the case of an 81-year-old man whose admission was further complicated by various septic emboli affecting the brain (manifesting as a brain abscess and ischemic stroke), spleen (resulting in splenic infarction), and spinal cord. The patient received a diagnosis of infective endocarditis affecting the native mitral valve. Following prompt medical and surgical intervention, the overall progression was favorable despite encountering several challenges. CONCLUSIONS This case is notable for its detailed description and analysis of the multiple embolic events. More importantly, it underscores the significance of timely surgical intervention and the collaborative approach of a heart team in the face of complicated endocarditis marked by numerous septic emboli. Despite the typically grim prognosis associated with such cases, the outcomes emphasize the positive impact of timely surgery on prognosis.
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Affiliation(s)
- Meriam Amri
- Cardiology Department, CHU Ibn Rochd, Casablanca, Morocco.
| | - El Mehdi Tamir
- Cardiology Department, CHU Ibn Rochd, Casablanca, Morocco
| | | | - Rachida Habbal
- Cardiology Department, CHU Ibn Rochd, Casablanca, Morocco
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Xi H, Fu Y, Chen C, Feng X, Han W, Gu J, Ji Y. Aerococcus viridans Phage Lysin AVPL Had Lytic Activity against Streptococcus suis in a Mouse Bacteremia Model. Int J Mol Sci 2023; 24:16670. [PMID: 38068990 PMCID: PMC10706753 DOI: 10.3390/ijms242316670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 11/19/2023] [Accepted: 11/22/2023] [Indexed: 12/18/2023] Open
Abstract
Streptococcus suis (S. suis) is a swine pathogen that can cause sepsis, meningitis, endocarditis, and other infectious diseases; it is also a zoonotic pathogen that has caused a global surge in fatal human infections. The widespread prevalence of multidrug-resistant S. suis strains and the decline in novel antibiotic candidates have necessitated the development of alternative antimicrobial agents. In this study, AVPL, the Aerococcus viridans (A. viridans) phage lysin, was found to exhibit efficient bactericidal activity and broad lytic activity against multiple serotypes of S. suis. A final concentration of 300 μg/mL AVPL reduced S. suis counts by 4-4.5 log10 within 1 h in vitro. Importantly, AVPL effectively inhibited 48 h S. suis biofilm formation and disrupted preformed biofilms. In a mouse model, 300 μg/mouse AVPL protected 100% of mice from infection following the administration of lethal doses of multidrug-resistant S. suis type 2 (SS2) strain SC19, reduced the bacterial load in different organs, and effectively alleviated inflammation and histopathological damage in infected mice. These data suggest that AVPL is a valuable candidate antimicrobial agent for treating S. suis infections.
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Affiliation(s)
- Hengyu Xi
- State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Key Laboratory for Zoonosis Research of the Ministry of Education, Institute of Zoonosis, College of Veterinary Medicine, Jilin University, Changchun 130062, China; (H.X.); (Y.F.); (C.C.); (W.H.); (J.G.)
| | - Yao Fu
- State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Key Laboratory for Zoonosis Research of the Ministry of Education, Institute of Zoonosis, College of Veterinary Medicine, Jilin University, Changchun 130062, China; (H.X.); (Y.F.); (C.C.); (W.H.); (J.G.)
| | - Chong Chen
- State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Key Laboratory for Zoonosis Research of the Ministry of Education, Institute of Zoonosis, College of Veterinary Medicine, Jilin University, Changchun 130062, China; (H.X.); (Y.F.); (C.C.); (W.H.); (J.G.)
| | - Xin Feng
- State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Key Laboratory for Zoonosis Research of the Ministry of Education, Institute of Zoonosis, College of Veterinary Medicine, Jilin University, Changchun 130062, China; (H.X.); (Y.F.); (C.C.); (W.H.); (J.G.)
| | - Wenyu Han
- State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Key Laboratory for Zoonosis Research of the Ministry of Education, Institute of Zoonosis, College of Veterinary Medicine, Jilin University, Changchun 130062, China; (H.X.); (Y.F.); (C.C.); (W.H.); (J.G.)
- Jiangsu Co-Innovation Center for the Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou University, Yangzhou 225009, China
| | - Jingmin Gu
- State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Key Laboratory for Zoonosis Research of the Ministry of Education, Institute of Zoonosis, College of Veterinary Medicine, Jilin University, Changchun 130062, China; (H.X.); (Y.F.); (C.C.); (W.H.); (J.G.)
- Jiangsu Co-Innovation Center for the Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou University, Yangzhou 225009, China
| | - Yalu Ji
- State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Key Laboratory for Zoonosis Research of the Ministry of Education, Institute of Zoonosis, College of Veterinary Medicine, Jilin University, Changchun 130062, China; (H.X.); (Y.F.); (C.C.); (W.H.); (J.G.)
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Bapir R, Ahmed SF, Salih AM, Kakamad FH, Hussein KFH, Salih KM, Ali RM, Hussein DM, Mustafa MQ, Abdalla BA, Salih RQ. Aerococcus viridans pyelonephritis in a young age female patient with type 1 diabetes mellitus: a rare case report. AFRICAN JOURNAL OF UROLOGY 2022. [DOI: 10.1186/s12301-022-00327-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Abstract
Background
Aerococcus species are Gram-positive cocci, with negative catalase and oxidase activities and growth characteristics similar to viridans streptococci. They rarely cause infection in humans. However, there are reports of bacteremia, meningitis, septic arthritis, and endocarditis due to this pathogen in the literature. Herein we report a rare case of pyelonephritis due to A. viridans.
Case presentation
A 31-year-old-female patient with type 1 diabetes mellitus was presented with left loin pain, fever, nausea, and anorexia for 3 days. She had a history of obstructive nephropathy due to sloughed necrotic papillae 3 months earlier, mandating bilateral JJ stent insertion. She was treated with a 2 weeks course of doxycycline (100 mg, twice daily) based on the antibiotic susceptibility profile of her urine culture and responded well.
Conclusion
This case highlights the possibility of complicated urinary tracts infection due to a rare human pathogen.
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Scholtz SL, Faron ML, Buchan BW, Ledeboer NA. Comparison of Methods for Determining the Antibiotic Susceptibility of Aerococcus Species in a Clinical Setting. Am J Clin Pathol 2022; 157:781-788. [PMID: 34893797 DOI: 10.1093/ajcp/aqab195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 10/21/2021] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES Aerococcus spp are Gram-positive cocci increasingly recognized as uropathogens. The Clinical and Laboratory Standards Institute recently published specific breakpoints for Aerococcus spp (M45, third edition); however, the standardized method used for antimicrobial susceptibility testing (AST) requires media not often maintained in clinical laboratories. The purpose of this study was to evaluate and compare alternative methods of AST for Aerococcus isolates. METHODS AST was performed on 134 clinical isolates using the Etest on three different types of agar, Vitek 2, and BD Phoenix. These results were compared with broth microdilution using the Sensititre STP6F. RESULTS Aerococcus exhibited low minimum inhibitory concentrations to benzylpenicillin, meropenem, linezolid, and vancomycin. Variable resistance was seen to levofloxacin, ceftriaxone, and tetracycline. Meropenem and vancomycin met all acceptance criteria with every alternative method tested. Benzylpenicillin and linezolid did not meet essential agreement on any AST method. Tetracycline met the majority of acceptance criteria with the exception of more than 3% very major error when using the Etest on chocolate agar, the Vitek 2, and BD Phoenix. CONCLUSIONS Overall, the alternate AST method with the highest agreement with broth microdilution was the Etest on Mueller-Hinton agar with 5% sheep blood and may be an optimal alternative to broth microdilution.
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Affiliation(s)
| | | | - Blake W Buchan
- Medical College of Wisconsin, Milwaukee, WI, USA
- Wisconsin Diagnostic Laboratories, Milwaukee, WI, USA
| | - Nathan A Ledeboer
- Medical College of Wisconsin, Milwaukee, WI, USA
- Wisconsin Diagnostic Laboratories, Milwaukee, WI, USA
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Santos-Veloso MAO, Barros MDNDDS, Carvalho MH, Barbosa DADCK, Rodrigues JV. Aerococcus spp infective endocarditis following a prostate biopsy: a case report. Rev Inst Med Trop Sao Paulo 2021; 63:e18. [PMID: 33787738 PMCID: PMC7997663 DOI: 10.1590/s1678-9946202163018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Accepted: 02/23/2021] [Indexed: 11/21/2022] Open
Abstract
We report a rare case of an infective endocarditis by Aerococcus
spp in a bioprosthetic aortic valve following a prostate biopsy, in an
asymptomatic adult with no additional risk factor for prostate cancer, excepting
for age. The diagnosis was based on the presence of vegetations on the
bioprosthesis seen on the echocardiogram, positive blood cultures and fever, and
a favorable clinical outcome following the treatment with ceftriaxone and
gentamicin.
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Affiliation(s)
- Marcelo Antônio Oliveira Santos-Veloso
- Hospital dos Servidores do Estado, Serviço de Clínica Médica, Recife, Pernambuco, Brazil.,Universidade Federal de Pernambuco, Departamento de Biociências, Programa de Pós-Graduação em Inovação Terapêutica, Recife, Pernambuco, Brazil
| | | | - Marcos Holmes Carvalho
- Hospital dos Servidores do Estado, Serviço de Clínica Médica, Recife, Pernambuco, Brazil
| | | | - Jorge Vieira Rodrigues
- Hospital dos Servidores do Estado, Serviço de Cirurgia Torácica, Recife, Pernambuco, Brazil
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The Characteristics and Genome Analysis of vB_AviM_AVP, the First Phage Infecting Aerococcus viridans. Viruses 2019; 11:v11020104. [PMID: 30691182 PMCID: PMC6409932 DOI: 10.3390/v11020104] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Revised: 01/20/2019] [Accepted: 01/23/2019] [Indexed: 01/21/2023] Open
Abstract
Aerococcus viridans is an opportunistic pathogen that is clinically associated with various human and animal diseases. In this study, the first identified A. viridans phage, vB_AviM_AVP (abbreviated as AVP), was isolated and studied. AVP belongs to the family Myoviridae. AVP harbors a double-stranded DNA genome with a length of 133,806 bp and a G + C content of 34.51%. The genome sequence of AVP showed low similarity (<1% identity) to those of other phages, bacteria, or other organisms in the database. Among 165 predicted open reading frames (ORFs), there were only 69 gene products exhibiting similarity (≤65% identity) to proteins of known functions in the database. In addition, the other 36 gene products did not match any viral or prokaryotic sequences in any publicly available database. On the basis of the putative functions of the ORFs, the genome of AVP was divided into three modules: nucleotide metabolism and replication, structural components, and lysis. A phylogenetic analysis of the terminase large subunits and capsid proteins indicated that AVP represents a novel branch of phages. The observed characteristics of AVP indicate that it represents a new class of phages.
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Schwendner P, Mahnert A, Koskinen K, Moissl-Eichinger C, Barczyk S, Wirth R, Berg G, Rettberg P. Preparing for the crewed Mars journey: microbiota dynamics in the confined Mars500 habitat during simulated Mars flight and landing. MICROBIOME 2017; 5:129. [PMID: 28974259 PMCID: PMC5627443 DOI: 10.1186/s40168-017-0345-8] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2017] [Accepted: 09/18/2017] [Indexed: 05/08/2023]
Abstract
BACKGROUND The Mars500 project was conceived as the first full duration simulation of a crewed return flight to Mars. For 520 days, six crew members lived confined in a specifically designed spacecraft mock-up. The herein described "MIcrobial ecology of Confined Habitats and humAn health" (MICHA) experiment was implemented to acquire comprehensive microbiota data from this unique, confined manned habitat, to retrieve important information on the occurring microbiota dynamics, the microbial load and diversity in the air and on various surfaces. In total, 360 samples from 20 (9 air, 11 surface) locations were taken at 18 time-points and processed by extensive cultivation, PhyloChip and next generation sequencing (NGS) of 16S rRNA gene amplicons. RESULTS Cultivation assays revealed a Staphylococcus and Bacillus-dominated microbial community on various surfaces, with an average microbial load that did not exceed the allowed limits for ISS in-flight requirements indicating adequate maintenance of the facility. Areas with high human activity were identified as hotspots for microbial accumulation. Despite substantial fluctuation with respect to microbial diversity and abundance throughout the experiment, the location within the facility and the confinement duration were identified as factors significantly shaping the microbial diversity and composition, with the crew representing the main source for microbial dispersal. Opportunistic pathogens, stress-tolerant or potentially mobile element-bearing microorganisms were predicted to be prevalent throughout the confinement, while the overall microbial diversity dropped significantly over time. CONCLUSIONS Our findings clearly indicate that under confined conditions, the community structure remains a highly dynamic system which adapts to the prevailing habitat and micro-conditions. Since a sterile environment is not achievable, these dynamics need to be monitored to avoid spreading of highly resistant or potentially pathogenic microorganisms and a potentially harmful decrease of microbial diversity. If necessary, countermeasures are required, to maintain a healthy, diverse balance of beneficial, neutral and opportunistic pathogenic microorganisms. Our results serve as an important data collection for (i) future risk estimations of crewed space flight, (ii) an optimized design and planning of a spacecraft mission and (iii) for the selection of appropriate microbial monitoring approaches and potential countermeasures, to ensure a microbiologically safe space-flight environment.
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Affiliation(s)
- Petra Schwendner
- Radiation Biology Department, Institute of Aerospace Medicine, German Aerospace Center e.V. (DLR), Linder Höhe, 51147 Cologne, Germany
- Institute for Microbiology, University of Regensburg, Universitaetsstrasse 31, 93053 Regensburg, Germany
- Present address: UK Center for Astrobiology, University of Edinburgh, School of Physics and Astronomy, Peter Guthrie Tait Road, Edinburgh, EH9 3FD UK
| | - Alexander Mahnert
- Institute of Environmental Biotechnology, Graz University of Technology, Petersgasse 12/I, 8010 Graz, Austria
| | - Kaisa Koskinen
- Medical University of Graz, Department of Internal Medicine, Auenbruggerplatz 15, 8036 Graz, Austria
- BioTechMed-Graz, Mozartgasse 12/II, 8010 Graz, Austria
| | - Christine Moissl-Eichinger
- Medical University of Graz, Department of Internal Medicine, Auenbruggerplatz 15, 8036 Graz, Austria
- BioTechMed-Graz, Mozartgasse 12/II, 8010 Graz, Austria
| | - Simon Barczyk
- Radiation Biology Department, Institute of Aerospace Medicine, German Aerospace Center e.V. (DLR), Linder Höhe, 51147 Cologne, Germany
| | - Reinhard Wirth
- Institute for Microbiology, University of Regensburg, Universitaetsstrasse 31, 93053 Regensburg, Germany
| | - Gabriele Berg
- Institute of Environmental Biotechnology, Graz University of Technology, Petersgasse 12/I, 8010 Graz, Austria
| | - Petra Rettberg
- Radiation Biology Department, Institute of Aerospace Medicine, German Aerospace Center e.V. (DLR), Linder Höhe, 51147 Cologne, Germany
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Ahn K, Hwang GY, Uh Y, Yoon KJ, Hyun S. Vancomycin Resistance due to vanA Gene Expression in an Aerococcus viridans Isolate: First Case in Korea. Ann Lab Med 2017; 37:288-289. [PMID: 28224779 PMCID: PMC5339105 DOI: 10.3343/alm.2017.37.3.288] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Revised: 10/11/2016] [Accepted: 12/29/2016] [Indexed: 11/19/2022] Open
Affiliation(s)
- Kwangjin Ahn
- Department of Laboratory Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
| | - Gyu Yel Hwang
- Department of Laboratory Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
| | - Young Uh
- Department of Laboratory Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
| | - Kap Jun Yoon
- Department of Laboratory Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
| | - Shinyoung Hyun
- Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
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Pan Z, Ma Y, Ma J, Dong W, Yao H. Acute meningitis of piglets and mice caused by co-infected with Streptococcus suis and Aerococcus viridans. Microb Pathog 2016; 106:60-64. [PMID: 27816682 DOI: 10.1016/j.micpath.2016.10.024] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2016] [Revised: 10/29/2016] [Accepted: 10/31/2016] [Indexed: 10/20/2022]
Abstract
The two opportunistic pathogens, Streptococcus suis (S. suis) and Aerococcus. viridans (A. viridans) were isolated from the brains of piglets suffered bacterial meningitis in a farm of China. The murine model has been established to evaluate the pathogenicity and symbiotic relationship of S. suis and A. viridans simultaneously infection. Our results demonstrated the ability of new serotype S. suis to cause the classical bacterial meningitis and death were greatly enhanced during co-infection with A. viridans in mice at a proportion. We also examined the distribution and titer of bacteria coinfection in organs, the titer of S. suis appeared a significant trend for an increase in the lung meanwhile the concentration titer of A. viridans maintain a low level. This is the first reported the A. viridans and S. suis coinfection cause the bacterial meningitis outbroke in the piglets and mice. Moreover, further investigation of the pathogenesis of A. viridans and S. suis is urgently needed in swine industry.
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Affiliation(s)
- Zihao Pan
- College of Veterinary Medicine, Nanjing Agricultural University, Nanjing 210095, China; OIE Reference Laboratory for Swine Streptococcosis, Nanjing 210095, China
| | - Ye Ma
- College of Veterinary Medicine, Nanjing Agricultural University, Nanjing 210095, China; OIE Reference Laboratory for Swine Streptococcosis, Nanjing 210095, China
| | - Jiale Ma
- College of Veterinary Medicine, Nanjing Agricultural University, Nanjing 210095, China
| | - Wenyang Dong
- College of Veterinary Medicine, Nanjing Agricultural University, Nanjing 210095, China; OIE Reference Laboratory for Swine Streptococcosis, Nanjing 210095, China
| | - Huochun Yao
- College of Veterinary Medicine, Nanjing Agricultural University, Nanjing 210095, China; OIE Reference Laboratory for Swine Streptococcosis, Nanjing 210095, China.
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Powell MK, Benková K, Selinger P, Dogoši M, Kinkorová Luňáčková I, Koutníková H, Laštíková J, Roubíčková A, Špůrková Z, Laclová L, Eis V, Šach J, Heneberg P. Opportunistic Infections in HIV-Infected Patients Differ Strongly in Frequencies and Spectra between Patients with Low CD4+ Cell Counts Examined Postmortem and Compensated Patients Examined Antemortem Irrespective of the HAART Era. PLoS One 2016; 11:e0162704. [PMID: 27611681 PMCID: PMC5017746 DOI: 10.1371/journal.pone.0162704] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2016] [Accepted: 08/27/2016] [Indexed: 12/05/2022] Open
Abstract
Objective AIDS-related mortality has changed dramatically with the onset of highly active antiretroviral therapy (HAART), which has even allowed compensated HIV-infected patients to withdraw from secondary therapy directed against opportunistic pathogens. However, in recently autopsied HIV-infected patients, we observed that associations with a broad spectrum of pathogens remain, although detailed analyses are lacking. Therefore, we focused on the possible frequency and spectrum shifts in pathogens associated with autopsied HIV-infected patients. Design We hypothesized that the pathogens frequency and spectrum changes found in HIV-infected patients examined postmortem did not recapitulate the changes found previously in HIV-infected patients examined antemortem in both the pre- and post-HAART eras. Because this is the first comprehensive study originating from Central and Eastern Europe, we also compared our data with those obtained in the West and Southwest Europe, USA and Latin America. Methods We performed autopsies on 124 HIV-infected patients who died from AIDS or other co-morbidities in the Czech Republic between 1985 and 2014. The pathological findings were retrieved from the full postmortem examinations and autopsy records. Results We collected a total of 502 host-pathogen records covering 82 pathogen species, a spectrum that did not change according to patients’ therapy or since the onset of the epidemics, which can probably be explained by the fact that even recently deceased patients were usually decompensated (in 95% of the cases, the last available CD4+ cell count was falling below 200 cells*μl-1) regardless of the treatment they received. The newly identified pathogen taxa in HIV-infected patients included Acinetobacter calcoaceticus, Aerococcus viridans and Escherichia hermannii. We observed a very limited overlap in both the spectra and frequencies of the pathogen species found postmortem in HIV-infected patients in Europe, the USA and Latin America. Conclusions The shifts documented previously in compensated HIV-infected patients examined antemortem in the post-HAART era are not recapitulated in mostly decompensated HIV-infected patients examined postmortem.
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Affiliation(s)
- Marta K. Powell
- Charles University in Prague, Third Faculty of Medicine, Prague, Czech Republic
- Na Bulovce Hospital, Pathological-Anatomical Department, Prague, Czech Republic
| | - Kamila Benková
- Na Bulovce Hospital, Pathological-Anatomical Department, Prague, Czech Republic
| | - Pavel Selinger
- Na Bulovce Hospital, Pathological-Anatomical Department, Prague, Czech Republic
- Charles University in Prague, Second Faculty of Medicine, Department of Forensic Medicine, Prague, Czech Republic
| | - Marek Dogoši
- Na Bulovce Hospital, Pathological-Anatomical Department, Prague, Czech Republic
- Charles University in Prague, First Faculty of Medicine, Department of Forensic Medicine and Toxicology, Prague, Czech Republic
| | - Iva Kinkorová Luňáčková
- Na Bulovce Hospital, Pathological-Anatomical Department, Prague, Czech Republic
- Bioptická laboratoř s.r.o., Plzeň, Czech Republic
| | - Hana Koutníková
- Na Bulovce Hospital, Pathological-Anatomical Department, Prague, Czech Republic
| | - Jarmila Laštíková
- Na Bulovce Hospital, Pathological-Anatomical Department, Prague, Czech Republic
| | - Alena Roubíčková
- Na Bulovce Hospital, Pathological-Anatomical Department, Prague, Czech Republic
| | - Zuzana Špůrková
- Na Bulovce Hospital, Pathological-Anatomical Department, Prague, Czech Republic
| | - Lucie Laclová
- Na Bulovce Hospital, Pathological-Anatomical Department, Prague, Czech Republic
- Charles University in Prague, Second Faculty of Medicine, Department of Forensic Medicine, Prague, Czech Republic
| | - Václav Eis
- Charles University in Prague, Third Faculty of Medicine, Prague, Czech Republic
- Teaching Hospital Královské Vinohrady, Department of Pathology, Prague, Czech Republic
| | - Josef Šach
- Charles University in Prague, Third Faculty of Medicine, Prague, Czech Republic
- Teaching Hospital Královské Vinohrady, Department of Pathology, Prague, Czech Republic
| | - Petr Heneberg
- Charles University in Prague, Third Faculty of Medicine, Prague, Czech Republic
- * E-mail:
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Zhou WQ, Niu DM, Zhang ZZ, Ning MZ, Shen H, Zhang K. Vancomycin resistance due to VanA in an Aerococcus viridans isolate. Indian J Med Microbiol 2015; 32:462-5. [PMID: 25297044 DOI: 10.4103/0255-0857.142238] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
| | | | | | | | | | - K Zhang
- Department of Laboratory Medicine , Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, China
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12
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Saishu N, Morimoto K, Yamasato H, Ozaki H, Murase T. Characterization of Aerococcus viridans isolated from milk samples from cows with mastitis and manure samples. J Vet Med Sci 2015; 77:1037-42. [PMID: 25843745 PMCID: PMC4591142 DOI: 10.1292/jvms.15-0100] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Thirty-eight Aerococcus viridans isolates were obtained from milk from
478 cows with clinical mastitis in a farm during the periods between November 2011 and
February 2012, and between December 2012 and March 2013. Additional isolates were obtained
from processed manure (a mixture of composted manure, straw and hydrated lime) and bedding
materials. The processed manure was later used to cover the floor of the stalls in barns
as bedding materials. The temperatures recorded in the composted and processed manure were
not as high as those generally observed during satisfactory composting. To reveal the
association of A. viridans in manure-related products with intramammary
infection in cows, isolates were characterized by their DNA fragment patterns as
determined by pulsed-field gel electrophoresis (PFGE) and antimicrobial susceptibility
testing. Isolates obtained from milk, processed manure and bedding materials had identical
DNA fragment patterns. Antimicrobial susceptibilities were determined for 29 isolates from
milk, processed manure and bedding materials. Of these, 26 (89.7%) were resistant to
clindamycin, whereas virtually all the isolates were susceptible to 12 other
antimicrobials including cefalosporins that have been used to treat bovine mastitis in
Japan. In vitro, three A. viridans isolates from milk
and an isolate from processed manure survived for 3 hr in Good’s buffer (pH 9) at high
temperature (50°C). The results suggest that the processed manure and bedding materials in
this farm were possible sources of A. viridans that caused infection in
the cows with mastitis.
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Affiliation(s)
- Nobukazu Saishu
- Tottori Prefectural Kurayoshi Livestock Hygiene Service Center, 2-132 Seidani-cho, Kurayoshi, Tottori 682-0017, Japan
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Aerococcus viridans native valve endocarditis. CANADIAN JOURNAL OF INFECTIOUS DISEASES & MEDICAL MICROBIOLOGY 2014; 24:155-8. [PMID: 24421827 DOI: 10.1155/2013/470413] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Aerococcus viridans is an infrequent human pathogen and few cases of infective endocarditis have been reported. A case involving a 69-year-old man with colon cancer and hemicolectomy 14 years previously, without recurrence, is reported. A diagnosis of native mitral valve endocarditis was established on the basis of clinical presentation, characteristic echocardiographic findings and pathological specimen examination after urgent valve replacement. A viridans endocarditis appears to be particularly virulent, requiring a surgical approach in four of 10 cases reported and death in one of nine. Given the aggressive nature of A viridans endocarditis and the variable time to diagnosis (a few days to seven months), prompt recognition of symptoms and echocardiography, in addition to blood cultures, should be performed when symptoms persist.
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14
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Odontogenic Infection Due to Aerococcus viridans: A Case Report. J Oral Maxillofac Surg 2013; 71:1552-4. [DOI: 10.1016/j.joms.2013.03.022] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2013] [Revised: 03/19/2013] [Accepted: 03/21/2013] [Indexed: 11/20/2022]
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15
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The microbial community in the feces of the white rhinoceros (Ceratotherium simum) as determined by barcoded pyrosequencing analysis. PLoS One 2013; 8:e70103. [PMID: 23922920 PMCID: PMC3724812 DOI: 10.1371/journal.pone.0070103] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2013] [Accepted: 06/17/2013] [Indexed: 11/28/2022] Open
Abstract
As a non-ruminant herbivore, the white rhinoceros has the ability to utilize fibrous plant matter through microbial fermentation in the hindgut. So far, there has been no report using molecular techniques to study the gut microbiota of the white rhinoceros. We used barcoded pyrosequencing to characterize 105,651 sequences of 16S rRNA genes obtained from fecal samples from five white rhinoceroses. Results showed that Firmicutes and Bacteroidetes were the predominant phyla in the samples, which were comprised largely of unclassified bacteria. The microbiota of one animal treated with drug therapy differed from those in other healthy animals, and was dominated by Aerococcus -related bacteria. The core microbiota in the healthy rhinoceros were dominated by phyla Firmicutes and Bacteroidetes, represented by the Ruminococcaceae, Lachnospiraceae, Rikenellaceae and Prevotellaceae families. The present work provides a phylogenetic framework for understanding the complex microbial community of the rhinoceros; however, further studies are required to link the distinctive microbiota with their digestive role in the hindgut of the white rhinoceros.
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16
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Braem G, De Vliegher S, Verbist B, Heyndrickx M, Leroy F, De Vuyst L. Culture-independent exploration of the teat apex microbiota of dairy cows reveals a wide bacterial species diversity. Vet Microbiol 2011; 157:383-90. [PMID: 22266158 DOI: 10.1016/j.vetmic.2011.12.031] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2011] [Revised: 12/20/2011] [Accepted: 12/22/2011] [Indexed: 11/16/2022]
Abstract
Due to their close proximity to the mammary gland tissue, the bacterial communities lining the teat apex of the udders from lactating cows influence udder health. Denaturing gradient gel electrophoresis of the amplified V3 variable region of the 16S rRNA gene was used as a culture-independent method to reveal the bacterial composition of 48 samples originating from the teat apices of twelve Friesian-Holstein dairy cows suffering from clinical mastitis in one quarter. The microbiota belonged to four bacterial phyla: the Actinobacteria (32% of all genera), the Bacteroidetes (1%), the Firmicutes (42%), and the Proteobacteria (25%), encompassing 17 bacterial genera. Some differences in occurrence of these genera were seen when comparing quarters that were non-infected (n=22), subclinically infected (n=14), or clinically infected (n=12). Besides commensal skin-associated bacteria, opportunistic pathogenic bacteria, and mastitis-causing pathogens were found as well. The species diversity varied considerably among the most prevalent bacterial genera. While Corynebacterium and Staphylococcus displayed a large diversity among the recovered sequences, indicating the possible presence of a variety of different species, only a single bacterial species (represented by one sequence) was obtained for the genera Aerococcus, Acinetobacter, and Psychrobacter. In conclusion, introducing culture-independent analysis of teat apical skin swabs in mastitis research revealed an unexpected wide bacterial diversity, with variations between quarters with a different clinical status. In addition to potential mastitis-causing pathogens, it exposed the yet poorly mapped presence of skin-associated and other bacteria residing in close proximity to the mammary gland tissue. PCR-DGGE may thus be considered as a useful tool for the entanglement of animal skin microbiota, in casu the teat apices of dairy cows.
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Affiliation(s)
- Gorik Braem
- Research Group of Industrial Microbiology and Food Biotechnology (IMDO), Faculty of Sciences and Bio-engineering Sciences, Vrije Universiteit Brussel, Pleinlaan 2, B-1050 Brussels, Belgium
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17
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Chen LY, Yu WC, Huang SH, Lin ML, Chen TL, Fung CP, Liu CY. Successful treatment of Aerococcus viridans endocarditis in a patient allergic to penicillin. JOURNAL OF MICROBIOLOGY, IMMUNOLOGY, AND INFECTION = WEI MIAN YU GAN RAN ZA ZHI 2011; 45:158-60. [PMID: 22154998 DOI: 10.1016/j.jmii.2011.09.010] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2009] [Revised: 07/30/2010] [Accepted: 11/04/2010] [Indexed: 11/29/2022]
Abstract
Aerococcus viridans is a rare human pathogen that occasionally causes endocarditis. Most of the reported cases of endocarditis have been treated with penicillin. Here we describe a patient who was allergic to penicillin and was successfully treated with cefotaxime.
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Affiliation(s)
- Liang-Yu Chen
- Division of Infectious Diseases, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
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18
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Nasoodi A, Ali AG, Gray WJ, Hedderwick SA. Spondylodiscitis due to Aerococcus viridans. J Med Microbiol 2008; 57:532-533. [DOI: 10.1099/jmm.0.47619-0] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Aerococcus viridans is a microaerophilic, Gram-positive, catalase-negative coccus, found singly or in tetrads. To date, no case of spondylodiscitis due to this organism has been reported. We report what we believe to be the first case of spondylodiscitis caused by A. viridans, in a patient with decompensated liver failure, and discuss the possible pathogenesis of this rather uncommon pathogen in this case.
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Affiliation(s)
- A. Nasoodi
- Department of Radiology, Royal Victoria Hospital, Belfast BT12 6BA, UK
| | - A. G. Ali
- Department of Neurosurgery, Royal Victoria Hospital, Belfast BT12 6BA, UK
| | - W. J. Gray
- Department of Neurosurgery, Royal Victoria Hospital, Belfast BT12 6BA, UK
| | - S. A. Hedderwick
- Department of Infectious Diseases, Royal Victoria Hospital, Belfast BT12 6BA, UK
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19
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Martín V, Vela AI, Gilbert M, Cebolla J, Goyache J, Domínguez L, Fernández-Garayzábal JF. Characterization of Aerococcus viridans isolates from swine clinical specimens. J Clin Microbiol 2007; 45:3053-7. [PMID: 17596355 PMCID: PMC2045271 DOI: 10.1128/jcm.00156-07] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
We present here the biochemical and genetic characterization and antimicrobial susceptibility of 58 isolates of Aerococcus viridans isolated in pure culture from different clinical specimens of normally sterile body sites of pigs. A. viridans isolates were commonly susceptible to beta-lactam antimicrobials and exhibited a great genetic heterogeneity as determined by pulsed-field gel electrophoresis typing. The results indicate that A. viridans might be included in the list of possible etiological agents causing disease in pigs.
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Affiliation(s)
- V Martín
- Laboratorio Visavet, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense, 28040 Madrid, Spain
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20
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Facklam R, Lovgren M, Shewmaker PL, Tyrrell G. Phenotypic description and antimicrobial susceptibilities of Aerococcus sanguinicola isolates from human clinical samples. J Clin Microbiol 2003; 41:2587-92. [PMID: 12791884 PMCID: PMC156531 DOI: 10.1128/jcm.41.6.2587-2592.2003] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
This report describes the clinical sources and phenotypic characterization of 16 isolates of Aerococcus sanguinicola. Sixteen conventional tests were used to describe and differentiate the 16 isolates of A. sanguinicola from 30 strains of Aerococcus viridans, 27 strains of Aerococcus urinae, and a single strain each of Aerococcus christensenii and Aerococcus urinaehominis. The phenotypic characterizations of the type strains for each species and 14 A. sanguinicola isolates were also compared in the two reference laboratories. A. sanguinicola are catalase-negative, vancomycin-susceptible, gram-positive cocci arranged in clusters and tetrads, as are all Aerococcus species except A. christensenii (which is arranged in short chains). All 16 isolates of A. sanguinicola were leucine aminopeptidase and pyrrolidonylarylamidase positive, which is unique to this species among the aerococci. All A. sanguinicola isolates grew in broth containing 6.5% NaCl, hydrolyzed hippurate, and were variable in the bile-esculin test. None of the isolates deaminated arginine or were Voges-Proskauer positive. The type strain of A. sanguinicola was isolated from a blood culture of a patient living in Denmark. Seven additional isolates were from patients living in Canada, all with urinary tract infections (six were female). Eight isolates were from patients living in five different states in the United States; five were from patients with urinary tract infections, and three were from blood cultures of one patient each with pneumonia, suspected endocarditis, and unknown clinical conditions. The antimicrobial susceptibility patterns were unremarkable; all isolates tested were susceptible to penicillin, amoxicillin, cefotaxime, cefuroxime, erythromycin, chloramphenicol, vancomycin, quinupristin-dalfopristin (Synercid), rifampin, linezolid, and tetracycline. Six of the 15 cultures were resistant to ciprofloxacin and levofloxacin, but all 15 strains were susceptible to sparfloxacin. High-level resistance was detected for meropenem (2 strains) and trimethoprim-sulfamethonazole (1 strain). Intermediate resistance was detected for trimethoprim-sulfamethoxazole (10 strains) and clindamycin (3 strains).
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Affiliation(s)
- Richard Facklam
- Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
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