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Li SY, Huang YE, Chen JY, Lai CH, Mao YC, Huang YT, Liu PY. Genomics of Ochrobactrum pseudogrignonense (newly named Brucella pseudogrignonensis) reveals a new bla OXA subgroup. Microb Genom 2021; 7. [PMID: 34448692 PMCID: PMC8549353 DOI: 10.1099/mgen.0.000626] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Ochrobactrum pseudogrignonense (newly named Brucella pseudogrignonensis) is an emerging pathogen in immunodeficient and immunocompetent patients. Most documented cases associated with Ochrobactrum are frequently catheter-related and exhibit wide-spectrum β-lactam resistance. Misidentification of this pathogen using commercial bacterial identification kits is common. We identified a case of O. pseudogrignonense infection associated with cholelithiasis. The O. pseudogrignonense genome was sequenced and reconstructed using a Nanopore and Illumina hybrid strategy. A novel bla OXA-919 divergent from existing OXA members was identified and subsequent analysis revealed its existence in all available O. pseudogrignonense genomes, which forms a new phylogenetic subgroup distinct from other OXA clusters. Further analysis demonstrated the presence of the novel bla OXA-919 in the chromosome of several other Ochrobactrum species. Our study indicated that Ochrobactrum chromosomes may be a reservoir of bla OXA-919 β-lactamases.
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Affiliation(s)
- Shu-Yuan Li
- Division of Infectious Diseases, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, ROC
| | - Yin-En Huang
- Department of Computer Science and Information Engineering, National Chung Cheng University, Chia-Yi, Taiwan, ROC
| | - Jhih-Yang Chen
- Department of Computer Science and Information Engineering, National Chung Cheng University, Chia-Yi, Taiwan, ROC
| | - Chung-Hsu Lai
- Division of Infectious Diseases, Department of Internal Medicine, E-Da Hospital, Kaohsiung, Taiwan, ROC.,School of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan, ROC
| | - Yan-Chiao Mao
- Department of Emergency Medicine, Division of Clinical Toxicology, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.,School of Medicine, National Defense Medical Center, Taipei, Taiwan, ROC
| | - Yao-Ting Huang
- Department of Computer Science and Information Engineering, National Chung Cheng University, Chia-Yi, Taiwan, ROC
| | - Po-Yu Liu
- Division of Infectious Diseases, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.,Rong Hsing Research Center for Translational Medicine, National Chung Hsing University, Taichung, Taiwan, ROC.,Ph.D. Program in Translational Medicine, National Chung Hsing University, Taichung, Taiwan, ROC
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Abstract
Ochrobactrum species are non-enteric, Gram-negative organisms that are closely related to the genus Brucella. Since the designation of the genus in 1988, several distinct species have now been characterised and implicated as opportunistic pathogens in multiple outbreaks. Here, we examine the genus, its members, diagnostic tools used for identification, data from recent Ochrobactrum whole genome sequencing and the pathogenicity associated with reported Ochrobactrum infections. This review identified 128 instances of Ochrobactrum spp. infections that have been discussed in the literature. These findings indicate that infection review programs should consider investigation of possible Ochrobactrum spp. outbreaks if these bacteria are clinically isolated in more than one patient and that Ochrobactrum spp. are more important pathogens than previously thought.
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Affiliation(s)
- Michael P. Ryan
- Department of Applied Sciences, Limerick Institute of Technology, Moylish V94 EC5T, Limerick, Ireland;
- Molecular Biochemistry Laboratory, Department of Chemical Sciences, School of Natural Sciences, Bernal Institute, University of Limerick, Limerick V94 T9PX2, Ireland
| | - J. Tony Pembroke
- Molecular Biochemistry Laboratory, Department of Chemical Sciences, School of Natural Sciences, Bernal Institute, University of Limerick, Limerick V94 T9PX2, Ireland
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Affiliation(s)
- Hyun-Mi Ko
- Dental Science Research Institute, Department of Oral Anatomy, School of Dentistry, Chonnam National University, Gwangju, Korea
| | - Jun-Hyeon Jo
- Department of Laboratory Medicine, Kwangju Christian Hospital, Gwangju, Korea
| | - Hae-Gyeong Baek
- Department of Laboratory Medicine, Kwangju Christian Hospital, Gwangju, Korea
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Aguilera-Arreola MG, Ostria-Hernández ML, Albarrán-Fernández E, Juárez-Enriquez SR, Majalca-Martínez C, Rico-Verdín B, Ruiz EA, Ruiz-Palma MDS, Morales-García MR, Contreras-Rodríguez A. Correct Identification of Ochrobactrum anthropi From Blood Culture Using 16rRNA Sequencing: A First Case Report in an Immunocompromised Patient in Mexico. Front Med (Lausanne) 2018; 5:205. [PMID: 30079338 PMCID: PMC6062634 DOI: 10.3389/fmed.2018.00205] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2018] [Accepted: 06/29/2018] [Indexed: 11/23/2022] Open
Abstract
The present report describes the misidentification of Brucella spp. from a positive blood culture using traditional microbiology tests. A molecular test identified the bacterium as Ochrobactrum anthropi. According to the information available, this report is the first to include this type of case in Mexico.
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Affiliation(s)
- Ma G Aguilera-Arreola
- Medical Bacteriology Laboratory, Department of Microbiology, Instituto Politécnico Nacional, Escuela Nacional de Ciencias Biológicas, Mexico City, Mexico
| | - Martha L Ostria-Hernández
- Medical Bacteriology Laboratory, Department of Microbiology, Instituto Politécnico Nacional, Escuela Nacional de Ciencias Biológicas, Mexico City, Mexico
| | - Enrique Albarrán-Fernández
- Department of Epidemiology, Centro Médico Nacional, 20 de Noviembre del Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Mexico City, Mexico
| | - Sara R Juárez-Enriquez
- Special Test Laboratory, Centro Médico Nacional, 20 de Noviembre - Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Mexico City, Mexico
| | - Cristina Majalca-Martínez
- Special Test Laboratory, Centro Médico Nacional, 20 de Noviembre - Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Mexico City, Mexico
| | - Beatríz Rico-Verdín
- Department of Epidemiology, Centro Médico Nacional, 20 de Noviembre del Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Mexico City, Mexico
| | - Enrico A Ruiz
- Ecology Laboratory, Department of Zoology, Instituto Politécnico Nacional, Escuela Nacional de Ciencias Biológicas, Mexico City, Mexico
| | - María Del Socorro Ruiz-Palma
- Medical Bacteriology Laboratory, Department of Microbiology, Instituto Politécnico Nacional, Escuela Nacional de Ciencias Biológicas, Mexico City, Mexico.,General Microbiology Laboratory, Department of Microbiology, Instituto Politécnico Nacional, Escuela Nacional de Ciencias Biológicas, Mexico City, Mexico
| | - María R Morales-García
- General Microbiology Laboratory, Department of Microbiology, Instituto Politécnico Nacional, Escuela Nacional de Ciencias Biológicas, Mexico City, Mexico.,Biotechnology Area, Instituto Politécnico Nacional, Centro de Investigación en Ciencia Aplicada y Tecnología Avanzada, Querétaro, Mexico
| | - Araceli Contreras-Rodríguez
- General Microbiology Laboratory, Department of Microbiology, Instituto Politécnico Nacional, Escuela Nacional de Ciencias Biológicas, Mexico City, Mexico
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Abstract
We report herein on a case of bacteremia caused by Ochrobactrum intermedium (O. intermedium) identified with biotyper matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS). An 86-year-old man was admitted to our hospital with paralysis of the right side of the body and dysphagia. He was diagnosed as having a pontine infarction based on the brain MRI findings and was admitted to hospital to have anti-platelet therapy. Three days after admission, he had a fever. Although he had redness and swelling at the peripheral venous catheter insertion site, he was diagnosed as having aspiration pneumonia, since he had fine crackles on auscultation. Soon after taking two sets of blood cultures and removal of the peripheral venous catheter, sulbactam/ampicillin (SBT/ABPC) was administrated. Fifty three hours after incubation, gram-negative bacilli was detected from an aerobic bottle and identified as O. intermedium with MALDI-TOF MS (Bruker MS). Antimicrobial chemotherapy was changed to meropenem (MEPM). He was treated for a total of seven days, and recovered without relapse. Infection caused by O. intermedium has been very uncommon, however, O. intermedium has been recognized as an emerging pathogen in immunodeficient and immunocompetent patients. Since identification of Ochrobactrum species by biochemical methods could be difficult, MALDI-TOF MS might be helpful to clarify Ochrobactrum species just as in the present case.
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