Corynebacterium amycolatum

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Corynebacterium amycolatum
Scientific classification OOjs UI icon edit-ltr.svg
Domain: Bacteria
Phylum: Actinomycetota
Class: Actinomycetia
Order: Mycobacteriales
Family: Corynebacteriaceae
Genus: Corynebacterium
Species:
C. amycolatum
Binomial name
Corynebacterium amycolatum
Collins et al 1988

Corynebacterium amycolatum is a gram-positive, non-spore-forming, aerobic or facultatively anaerobic bacillus capable of fermentation [1] with propionic acid as the major end product of its glucose metabolism. One of its best known relatives is Corynebacterium diphtheriae , the causative agent of diphtheria. C. amycolatum is a common component of the natural flora found on human skin and mucous membranes, and therefore is an occasional contaminant in human blood cultures but can rarely cause infections such as endocarditis. [2]

Contents

Identification

First described in 1988, C. amycolatum is one of the diphtheroid most often isolated from clinical samples. However, it is often difficult to differentiate from other fermentative corynebacteria such as C. minutissimum and C. xerosis, both of which are known human pathogens. One method of differentiation, however, is by observing the cell wall. Unlike other members of this genus, C. amycolatum lacks mycolic acid, long fatty acids usually found in the cell wall. C. amycolatum also differs in its colony morphology; the species characteristically produces flat, whitish-gray, matte or waxy colonies on Schaedler blood agar. Its antibiotic sensitivity may also aid in its identification; the organism is generally resistant to multiple antibiotics. Because of its relatively new status as a pathogen, however, no standard laboratory tests yet identify C. amycolatum. [3]

Disease

C. amycolatum has been shown to cause pneumonia, peritonitis, empyema, infectious endocarditis, and fatal sepsis, most of which occur as nosocomial infections. As an opportunistic pathogen, the bacterium is pathogenic in immunocompromised patients, mostly infecting those with underlying heart defects or intravascular devices. Corynebacterium endocarditis usually infects the left side of the heart in males, though C. amycolatum has shown a predilection for women. [4] While cases of disease have been small in number, this underreporting could be due to misdiagnosis of C. amycolatum as C. xerosis, which is a known human pathogen. [2] [5]

Treatment

For the few cases thus far, vancomycin or daptomycin has been used in tandem with rifampicin for a duration ranging from four weeks to six months. [6] Valve replacement was also required in some cases of infectious endocarditis. [7] Due to its recent pathogenic status, however, few treatments have been tested, and an optimal treatment regimen has yet to be established.[ citation needed ]

Antibiotic resistance

One of C. amycolatum's characteristic traits is its resistance to a wide range of antibiotics. Various strains tested have shown resistance to beta lactam antibiotics, lincosamides, macrolides, and quinolones. Multiple drug-resistant strains were mainly isolated from wounds of patients treated in departments of general surgery and vascular surgery. However, the bacterium was shown to be particularly sensitive to glycopeptide and lipopeptide antibiotics. [8]

Related Research Articles

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<i>Klebsiella pneumoniae</i> Species of bacterium

Klebsiella pneumoniae is a Gram-negative, non-motile, encapsulated, lactose-fermenting, facultative anaerobic, rod-shaped bacterium. It appears as a mucoid lactose fermenter on MacConkey agar.

<span class="mw-page-title-main">Infective endocarditis</span> Medical condition

Infective endocarditis is an infection of the inner surface of the heart, usually the valves. Signs and symptoms may include fever, small areas of bleeding into the skin, heart murmur, feeling tired, and low red blood cell count. Complications may include backward blood flow in the heart, heart failure – the heart struggling to pump a sufficient amount of blood to meet the body's needs, abnormal electrical conduction in the heart, stroke, and kidney failure.

<i>Serratia</i> Genus of bacteria

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<span class="mw-page-title-main">Hospital-acquired infection</span> Infection that is acquired in a hospital or other health care facility

A hospital-acquired infection, also known as a nosocomial infection, is an infection that is acquired in a hospital or other healthcare facility. To emphasize both hospital and nonhospital settings, it is sometimes instead called a healthcare-associated infection. Such an infection can be acquired in hospital, nursing home, rehabilitation facility, outpatient clinic, diagnostic laboratory or other clinical settings. A number of dynamic processes can bring contamination into operating rooms and other areas within nosocomial settings. Infection is spread to the susceptible patient in the clinical setting by various means. Healthcare staff also spread infection, in addition to contaminated equipment, bed linens, or air droplets. The infection can originate from the outside environment, another infected patient, staff that may be infected, or in some cases, the source of the infection cannot be determined. In some cases the microorganism originates from the patient's own skin microbiota, becoming opportunistic after surgery or other procedures that compromise the protective skin barrier. Though the patient may have contracted the infection from their own skin, the infection is still considered nosocomial since it develops in the health care setting. Nosocomial infection tends to lack evidence that it was present when the patient entered the healthcare setting, thus meaning it was acquired post-admission.

<i>Corynebacterium diphtheriae</i> Species of prokaryote

Corynebacterium diphtheriae is the pathogenic bacterium that causes diphtheria. It is also known as the Klebs–Löffler bacillus, because it was discovered in 1884 by German bacteriologists Edwin Klebs (1834–1912) and Friedrich Löffler (1852–1915). The bacteria are usually harmless unless they are infected by a bacteriophage that carries a gene that gives rise to a toxin. This toxin causes the disease. Diphtheria is caused by the adhesion and infiltration of the bacteria into the mucosal layers of the body, primarily affecting the respiratory tract and the subsequent release of an endotoxin. The toxin has a localized effect on skin lesions, as well as a metastatic, proteolytic effects on other organ systems in severe infections. Originally a major cause of childhood mortality, diphtheria has been almost entirely eradicated due to the vigorous administration of the diphtheria vaccination in the 1910s.

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Corynebacterium is a genus of Gram-positive bacteria and most are aerobic. They are bacilli (rod-shaped), and in some phases of life they are, more specifically, club-shaped, which inspired the genus name.

<i>Enterobacter</i> Genus of bacteria

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Moraxella catarrhalis is a fastidious, nonmotile, Gram-negative, aerobic, oxidase-positive diplococcus that can cause infections of the respiratory system, middle ear, eye, central nervous system, and joints of humans. It causes the infection of the host cell by sticking to the host cell using trimeric autotransporter adhesins.

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References

  1. Sengupta M, Naina P, Balaji V, Anandan S (December 2015). "Corynebacterium amycolatum: An Unexpected Pathogen in the Ear". Journal of Clinical and Diagnostic Research. 9 (12): DD01–DD03. doi:10.7860/JCDR/2015/15134.7002. PMC   4717710 . PMID   26816893.
  2. 1 2 Knox, Karen (2002). "Nosocomial Endocarditis Caused by Corynebacterium amycolatum and Other Nondiphtheriae Corynebacteria". Emerging Infectious Diseases. Centers for Disease Control and Prevention. 8 (1): 97–9. doi:10.3201/eid0801.010151. PMC   2730276 . PMID   11749760 . Retrieved 30 October 2012.
  3. Sengupta M, Naina P, Balaji V, Anandan S (December 2015). "Corynebacterium amycolatum: An Unexpected Pathogen in the Ear". Journal of Clinical and Diagnostic Research. 9 (12): DD01–DD03. doi:10.7860/JCDR/2015/15134.7002. PMC   4717710 . PMID   26816893.
  4. Belmares, Jaime; Stephanie Detterline; Janet B Pak; Jorge P Parada (2007). "Corynebacterium endocarditis species-specific risk factors and outcomes". BMC Infectious Diseases. 7: 4. doi: 10.1186/1471-2334-7-4 . PMC   1804271 . PMID   17284316.
  5. Berner, R; K Pelz; C Wilhelm; A Funke; J U Leititis; M Brandis (April 1997). "Fatal sepsis caused by Corynebacterium amycolatum in premature infant". Journal of Clinical Microbiology. 35 (4): 1011–1012. doi:10.1128/JCM.35.4.1011-1012.1997. PMC   229725 . PMID   9157120.
  6. Sengupta M, Naina P, Balaji V, Anandan S (December 2015). "Corynebacterium amycolatum: An Unexpected Pathogen in the Ear". Journal of Clinical and Diagnostic Research. 9 (12): DD01–DD03. doi:10.7860/JCDR/2015/15134.7002. PMC   4717710 . PMID   26816893.
  7. "Endocarditis". The Lecturio Medical Concept Library. Retrieved 19 July 2021.
  8. Koneman, Elmer (2006). Koneman's Color Atlas and Textbook of Diagnostic Microbiology, 6 ed. Lippincott Williams & Wilkins. p. 798. ISBN   9780781730143.