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Georgitsi MD, Vitoros V, Panou C, Tsangaris I, Aimoniotou E, Gatselis NK, Chasou E, Kouliatsis G, Leventogiannis K, Velissaris D, Belesiotou E, Dioritou-Aggaliadou O, Giannitsioti E, Netea MG, Giamarellos-Bourboulis EJ, Giannikopoulos G, Alexiou Z, Voloudakis N, Koutsoukou A. Individualized significance of the -251 A/T single nucleotide polymorphism of interleukin-8 in severe infections. Eur J Clin Microbiol Infect Dis 2016; 35:563-70. [PMID: 26768584 DOI: 10.1007/s10096-015-2571-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2015] [Accepted: 12/28/2015] [Indexed: 12/29/2022]
Abstract
Based on the concept of the individualized nature of sepsis, we investigated the significance of the -251 A/T (rs4073) single nucleotide polymorphism (SNP) of interleukin (IL)-8 in relation to the underlying infection. Genotyping was performed in 479 patients with severe acute pyelonephritis (UTI, n = 146), community-acquired pneumonia (CAP, n = 109), intra-abdominal infections (IAI, n = 119), and primary bacteremia (BSI, n = 105) by restriction fragment length polymorphism of the polymerase chain reaction (PCR) product and compared with 104 healthy volunteers. Circulating IL-8 was measured within the first 24 h of diagnosis by an immunosorbent assay. Carriage of the AA genotype was protective from the development of UTI (odds ratio 0.38, p: 0.007) and CAP (odds ratio 0.30, p: 0.004), but not from IAI and BSI. Protection from the development of severe sepsis/septic shock was provided for carriers of the AA genotype among patients with UTI (odds ratio 0.15, p: 0.015). This was accompanied by greater concentrations of circulating IL-8 among patients with the AA genotype. It is concluded that carriage of rs4073 modifies susceptibility for severe infection in an individualized way. This is associated with a modulation of circulating IL-8.
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Affiliation(s)
- M D Georgitsi
- 4th Department of Internal Medicine, University of Athens, Medical School, Athens, Greece
| | - V Vitoros
- 1st Department of Internal Medicine, Thriasion Elefsis General Hospital, Elefsis, Greece
| | - C Panou
- Department of Urology, Lamia General Hospital, Lamia, Greece
| | - I Tsangaris
- 2nd Department of Critical Care Medicine, University of Athens, Medical School, Athens, Greece
| | - E Aimoniotou
- Intensive Care Unit, Aghios Dimitrios General Hospital, Thessaloniki, Greece
| | - N K Gatselis
- Department of Medicine and Research Laboratory of Internal Medicine, Medical School, University of Thessaly, Larissa, Greece
| | - E Chasou
- Intensive Care Unit, "G.Gennimatas" General Hospital, Thessaloniki, Greece
| | - G Kouliatsis
- Department of Critical Care Medicine, University of Thrace, Medical School, Alexandroupolis, Greece
| | - K Leventogiannis
- 4th Department of Internal Medicine, University of Athens, Medical School, Athens, Greece
| | - D Velissaris
- Department of Internal Medicine, University of Patras, Patras, Greece
| | - E Belesiotou
- Department of Clinical Microbiology, Evangelismos General Hospital, Athens, Greece
| | | | - E Giannitsioti
- 4th Department of Internal Medicine, University of Athens, Medical School, Athens, Greece
| | - M G Netea
- Department of Internal Medicine, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - E J Giamarellos-Bourboulis
- 4th Department of Internal Medicine, University of Athens, Medical School, Athens, Greece. .,4th Department of Internal Medicine, ATTIKON University General Hospital, 1 Rimini Street, 12462, Athens, Greece.
| | - G Giannikopoulos
- Department of Internal Medicine, Chios General Hospital, Chios, Greece
| | - Z Alexiou
- 2nd Department of Internal Medicine, Thriasion Elefsis General Hospital, Elefsis, Greece
| | - N Voloudakis
- 2nd Department of Surgery, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece
| | - A Koutsoukou
- 1st Department of Respiratory Medicine, University of Athens, Medical School, Athens, Greece
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Koukoulaki M, Bakalis A, Kalatzis V, Belesiotou E, Papastamopoulos V, Skoutelis A, Drakopoulos S. Acute prostatitis caused by Raoultella planticola in a renal transplant recipient: a novel case. Transpl Infect Dis 2014; 16:461-4. [PMID: 24750300 DOI: 10.1111/tid.12213] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2013] [Accepted: 12/14/2013] [Indexed: 11/30/2022]
Abstract
We present a unique case of acute bacterial prostatitis caused by a very rare human pathogen, Raoultella planticola, in a renal allograft recipient 3.5 months post transplantation. Only a few cases of human infection by this pathogen have been reported worldwide. The present study reports the case of a 67-year-old man who was admitted to our transplant unit 3.5 months post transplantation with fever, dysuria, suprapubic pain, symptoms and signs of acute prostatitis, and elevated markers of inflammation and prostate-specific antigen. R. planticola was isolated in the urine culture. The patient was treated with ciprofloxacin (based on the antibiogram) and had a full recovery, with satisfactory renal function. To the best of our knowledge, this is not only the first reported case of R. planticola prostatitis, but also the first report of such an infection in a solid organ transplant recipient or in a patient on immunosuppressive medication.
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Affiliation(s)
- M Koukoulaki
- First Department of Surgery and Transplant Unit, Evangelismos General Hospital, Athens, Greece
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Belesiotou E, Routsi C, Nepka M, Magira E, Kaltsas P, Psaroudaki Z, Kraniotaki E, Argyropoulou A, Pittaras T, Zakynthinos S. Clostridium difficile infection in ICU patients. Crit Care 2014. [PMCID: PMC4069411 DOI: 10.1186/cc13534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Platsouka E, Kraniotaki E, Belesiotou E, Argyropoulou A, Perivolioti E, Paniara O. R2144 Molecular study of methicillin-resistant Staphylococcus aureus bacteraemia in a tertiary care hospital. Int J Antimicrob Agents 2007. [DOI: 10.1016/s0924-8579(07)71983-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Kraniotaki E, Platsouka E, Belesiotou E, Nepka M, Psaroudaki Z, Argyropoulou A, Paniara O. P670 Molecular epidemiology of VIM-1 producing Klebsiella pneumoniae isolates. Int J Antimicrob Agents 2007. [DOI: 10.1016/s0924-8579(07)70511-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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