Aeromonas | |
---|---|
Aeromonas hydrophila | |
Scientific classification | |
Domain: | Bacteria |
Phylum: | Pseudomonadota |
Class: | Gammaproteobacteria |
Order: | Aeromonadales |
Family: | Aeromonadaceae |
Genus: | Aeromonas Stanier 1943 |
Species | |
A. aquariorum Contents |
Aeromonas is a genus of Gram-negative, facultative anaerobic, rod-shaped, bacteria that morphologically resemble members of the family Enterobacteriaceae. Most of the 14 described species have been associated with human diseases. The most important pathogens are A. hydrophila , A. caviae , and A. veronii biovar sobria. The organisms are ubiquitous in fresh and brackish water. [2]
They group with the gamma subclass of the Proteobacteria. [3]
Two major diseases associated with Aeromonas are gastroenteritis and wound infections, with or without bacteremia. Gastroenteritis typically occurs after the ingestion of contaminated water or food, whereas wound infections result from exposure to contaminated water. In its most severe form, Aeromonas spp. can cause necrotizing fasciitis, which is life-threatening, usually requiring treatment with antibiotics and even amputation. [4]
Although some potential virulence factors (e.g. endotoxins, hemolysins, enterotoxins, adherence factors) have been identified, their precise roles are unknown. [5] [6]
Literature exists on this subject, but many papers have not adequately studied the causal role of the Aeromonas strain(s) that were isolated from the cases that were studied. The presence of an Aeromonas strain in a fecal specimen does not prove or even imply that the strain was causing the diarrhea. Gastrointestinal disease in children is usually an acute, severe illness, whereas that in adults tends to be chronic diarrhea. Severe Aeromonas gastroenteritis resembles shigellosis, with blood and leukocytes in the stool. Acute diarrheal disease is self-limited, and only supportive care is indicated in affected patients.
Wound infections are the second-most common type of human infection associated with Aeromonas. [7] They are associated with penetrating wounds or abrasions that place the wound in contact with fresh water or soil. [7]
Aeromonas species are endosymbionts of Hirudo medicinalis , a species of leech that is FDA-approved for use in vascular surgery such as skin grafts and flaps. [8] [9] Aeromonas aides leeches in digesting blood meals. [10] H. medicinalis used after surgery has led to Aeromonas infections, most commonly with A. veronii. [8] This can present as a local cellulitis, though can progress to subcutaneous abscess and sepsis. [8]
Aeromonas species have also been associated with pneumonia after near-drowning events, especially in fresh water. [11] Most commonly, this has been reported with A. hydrophila, though the ability of clinical laboratories to correctly identify species of Aeromonas has been limited. [11] Aeromonas pneumonia due to episodes of near-drowning are frequently complicated by bacteremia and death. [11]
Aeromonas species are resistant to penicillins, most cephalosporins, and erythromycin. Ciprofloxacin is consistently active against their strains in the U.S. and Europe, but resistant cases have been reported in Asia. [ citation needed ]
[12] Aeromonas spp. are ubiquitous in river and freshwater lakes and have frequently been observed in drinking water systems. An interest in Aeromonas in nonchlorinated drinking water in the Netherlands was initiated from the 1980s, after the observation of a sudden increase of Aeromonas numbers in drinking water at the municipal Dune Waterworks of The Hague in 1984. Extensive studies with phenotyping and genotyping methods demonstrated that Aeromonas isolates from fresh and drinking water environments were phenotypically and genotypically different from Aeromonas isolates from patients. In response to these studies, the Environmental Protection Agency (EPA) in the United States removed Aeromonas from the contaminant candidate list (CCL) in 2009. In the Netherlands, the presence of Aeromonas in drinking water is currently not considered a health-related problem. Aeromonas is only a minor part (<0.01%) of the diverse autochthonous microflora. Drinking water companies limit the multiplication of bacteria, protozoans and invertebrates (all natural parts of drinking-water distribution systems [13] ). The authorities in the Netherlands included Aeromonas in the Dutch Drinking Water Decree as an additional operational indicator (beside heterotrophic plate count [HPC]) for microbial regrowth, limited to 1,000 CFU/100 ml, obtained by growth on specific ampicillin-dextrin agar plates at 30 °C. When drinking water companies do not comply with this standard, they have to minimize the growth conditions. A recent study on indicator parameters for regrowth concluded that HPCs and aeromonads are more reliable indicators for regrowth in drinkwater distribution systems the Netherlands than ATP and bacterial cell numbers. Another field study in the Netherlands showed that noncompliance with the Aeromonas standard in two distribution systems coincided with increased HPCs (within the limits of the Dutch Drinking Water Decree), occasional coliform regrowth, and enhanced numbers of macroinvertebrates (e.g., water lice). Furthermore, it has been observed that Aeromonas isolates are mainly associated with sediment in the distribution system and to a lesser extent with drinking water, but not with the biofilm on the pipe wall, demonstrating that sediment or loose deposits (consisting of small and larger [in]organic and biological suspended solids, including invertebrates) are the main niche for Aeromonas. The results from these studies, thus, show that Aeromonas is still useful as a regrowth indicator in nonchlorinated drinking-water.
The name Aeromonas derives from:
Greek aer, aeros (ἀήρ, ἀέρος), air, gas; and -monas|monas (μονάς), unit, monad; gas(-producing) monad. [14]
Members of the genus Aeromonas can be referred to as aeromonads (viz. trivialisation of names).
Norovirus, also known as Norwalk virus and sometimes referred to as the winter vomiting disease, is the most common cause of gastroenteritis. Infection is characterized by non-bloody diarrhea, vomiting, and stomach pain. Fever or headaches may also occur. Symptoms usually develop 12 to 48 hours after being exposed, and recovery typically occurs within one to three days. Complications are uncommon, but may include dehydration, especially in the young, the old, and those with other health problems.
Vibrio is a genus of Gram-negative bacteria, possessing a curved-rod (comma) shape, several species of which can cause foodborne infection or soft-tissue infection called Vibriosis. Infection is commonly associated with eating undercooked seafood. Being highly salt tolerant and unable to survive in fresh water, Vibrio spp. are commonly found in various salt water environments. Vibrio spp. are facultative anaerobes that test positive for oxidase and do not form spores. All members of the genus are motile. They are able to have polar or lateral flagellum with or without sheaths. Vibrio species typically possess two chromosomes, which is unusual for bacteria. Each chromosome has a distinct and independent origin of replication, and are conserved together over time in the genus. Recent phylogenies have been constructed based on a suite of genes.
Hirudo medicinalis, or the European medicinal leech, is one of several species of leeches used as medicinal leeches.
Coliform bacteria are defined as either motile or non-motile Gram-negative non-spore forming bacilli that possess β-galactosidase to produce acids and gases under their optimal growth temperature of 35–37 °C. They can be aerobes or facultative aerobes, and are a commonly used indicator of low sanitary quality of foods, milk, and water. Coliforms can be found in the aquatic environment, in soil and on vegetation; they are universally present in large numbers in the feces of warm-blooded animals as they are known to inhabit the gastrointestinal system. While coliform bacteria are not normally causes of serious illness, they are easy to culture, and their presence is used to infer that other pathogenic organisms of fecal origin may be present in a sample, or that said sample is not safe to consume. Such pathogens include disease-causing bacteria, viruses, or protozoa and many multicellular parasites. Every drinking water source must be tested for the presence of these total coliform bacteria.
Vibrio parahaemolyticus (V. parahaemolyticus) is a curved, rod-shaped, Gram-negative bacterial species found in the sea and in estuaries which, when ingested, may cause gastrointestinal illness in humans. V. parahaemolyticus is oxidase positive, facultatively aerobic, and does not form spores. Like other members of the genus Vibrio, this species is motile, with a single, polar flagellum.
Burkholderia cepacia complex (BCC) is a species complex consisting of Burkholderia cepacia and at least 20 different biochemically similar species of Gram-negative bacteria. They are catalase-producing and lactose-nonfermenting. Members of BCC are opportunistic human pathogens that most often cause pneumonia in immunocompromised individuals with underlying lung disease. Patients with sickle-cell haemoglobinopathies are also at risk. The species complex also attacks young onion and tobacco plants, and displays a remarkable ability to digest oil.
Aeromonas veronii is a Gram-negative, rod-shaped bacterium found in fresh water and in association with animals. In humans A. veronii can cause diseases ranging from wound infections and diarrhea to sepsis in immunocompromised patients. In leeches, this bacterium is thought to function as a symbiote aiding in the digestion of blood, provision of nutrients, or preventing other bacteria from growing. Humans treated with medicinal leeches after vascular surgery can be at risk for infection from A. veronii and are commonly placed on prophylactic antibiotics. Most commonly ciprofloxacin is used but there have been reports of resistant strains leading to infection.
Aeromonas hydrophila is a heterotrophic, Gram-negative, rod-shaped bacterium mainly found in areas with a warm climate. This bacterium can be found in fresh or brackish water. It can survive in aerobic and anaerobic environments, and can digest materials such as gelatin and hemoglobin. A. hydrophila was isolated from humans and animals in the 1950s. It is the best known of the species of Aeromonas. It is resistant to most common antibiotics and cold temperatures and is oxidase- and indole-positive. Aeromonas hydrophila also has a symbiotic relationship as gut flora inside of certain leeches, such as Hirudo medicinalis.
Elizabethkingia meningoseptica is a Gram-negative, rod-shaped bacterium widely distributed in nature. It may be normally present in fish and frogs; it may be isolated from chronic infectious states, as in the sputum of cystic fibrosis patients. In 1959, American bacteriologist Elizabeth O. King was studying unclassified bacteria associated with pediatric meningitis at the Centers for Disease Control and Prevention in Atlanta, when she isolated an organism that she named Flavobacterium meningosepticum. In 1994, it was reclassified in the genus Chryseobacterium and renamed Chryseobacterium meningosepticum(chryseos = "golden" in Greek, so Chryseobacterium means a golden/yellow rod similar to Flavobacterium). In 2005, a 16S rRNA phylogenetic tree of Chryseobacteria showed that C. meningosepticum along with C. miricola were close to each other but outside the tree of the rest of the Chryseobacteria and were then placed in a new genus Elizabethkingia named after the original discoverer of F. meningosepticum.
Leeches are segmented parasitic or predatory worms that comprise the subclass Hirudinea within the phylum Annelida. They are closely related to the oligochaetes, which include the earthworm, and like them have soft, muscular segmented bodies that can lengthen and contract. Both groups are hermaphrodites and have a clitellum, but leeches typically differ from the oligochaetes in having suckers at both ends and in having ring markings that do not correspond with their internal segmentation. The body is muscular and relatively solid, and the coelom, the spacious body cavity found in other annelids, is reduced to small channels.
Aeromonas salmonicida is a pathogenic bacterium that severely impacts salmonid populations and other species. It was first discovered in a Bavarian brown trout hatchery by Emmerich and Weibel in 1894. Aeromonas salmonicida's ability to infect a variety of hosts, multiply, and adapt, make it a prime virulent bacterium. A. salmonicida is an etiological agent for furunculosis, a disease that causes sepsis, haemorrhages, muscle lesions, inflammation of the lower intestine, spleen enlargement, and death in freshwater fish populations. It is found worldwide with the exception of South America. The major route of contamination is poor water quality; however, it can also be associated stress factors such as overcrowding, high temperatures, and trauma. Spawning and smolting fish are prime victims of furunculosis due to their immunocompromised state of being.
Aeromonas infections include skin infections such as cellulitis, pustules, and furuncles. Aeromonas species can also cause gastroenteritis.
In molecular biology, aerolysin is a cytolytic pore-forming toxin exported by Aeromonas hydrophila, a Gram-negative bacterium associated with diarrhoeal diseases and deep wound infections. It is also produced by the caterpillar of the moth Megalopyge opercularis, sometimes called the Tree Asp. The mature toxin binds to eukaryotic cells and aggregates to form holes leading to the destruction of the membrane permeability barrier and osmotic lysis. The structure of proaerolysin has been determined to 2.8A resolution and shows the protoxin to adopt a novel fold. Images of an aerolysin oligomer derived from electron microscopy have helped to construct a model of the protein in its heptameric conformation, and to outline a mechanism by which this assembly might insert into lipid bilayers to form ion channels.
A leech collector, leech gatherer, or leech finder was a person occupied with procuring medicinal leeches, which were in growing demand in 19th-century Europe. Leeches were used in bloodletting but were not easy for medical practitioners to obtain. The collector would sometimes gather the leeches by attracting them to the legs of animals, often old horses. More commonplace was for the collector to use their own legs, gathering the leech after it had finished sucking enough blood. Many in the profession suffered from the effects of the loss of blood and infections spread by the leeches.
Aeromonas dhakensis is a Gram-negative bacterium first isolated from aquariums in Portugal in 2005. The species is globally distributed in aquatic environments, like other species in the genus Aeromonas.
Aeromonas schubertii is a Gram-negative, rod-shaped bacterium. Its type strain is ATCC 43700. It is differentiated from other species by not metabolising D-mannitol. It is resistant to ampicillin and carbenicillin and susceptible to most other agents. It causes infection in several species, including humans and Channa argus.
Hirudo verbana is a species of leech.
Hirudo is a genus of leeches of the family Hirudinidae. It was described by Carl Linnaeus in his landmark 1758 10th edition of Systema Naturae.
Aeromonas eucrenophila is a Gram-negative bacterium of the genus Aeromonas isolated from fresh water and infected fish. A. eucrenophila is a pathogen of fish, and it causes diarrhoea in humans.
Aeromonas popoffii is a Gram-negative bacterium of the genus Aeromonas isolated from drinking water production plants and reservoirs in Oelegem, Belgium, and in Scotland.