Corynebacterium ulcerans

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Corynebacterium ulcerans
Corynebacterium ulcerans 01.jpg
Scientific classification OOjs UI icon edit-ltr.svg
Domain: Bacteria
Phylum: Actinomycetota
Class: Actinomycetia
Order: Mycobacteriales
Family: Corynebacteriaceae
Genus: Corynebacterium
Species:
C. ulcerans
Binomial name
Corynebacterium ulcerans
(ex Gilbert and Stewart 1927) Riegel et al. 1995

Corynebacterium ulcerans is a rod-shaped, aerobic, and Gram-positive bacterium. Most Corynebacterium species are harmless, but some cause serious illness in humans, especially in immunocompromised humans. C. ulcerans has been known to cause diphtheria and diphtheria-like infections in patients. Previously thought to simply be contaminants recovered from diphtheria patients, “coryneform” or “diphtheroids” are now believed to be the cause of such infections. [1]

Contents

Disease

Increasingly over the past few decades, C. ulcerans has been recognized as an emerging pathogen in over six countries across the globe including the United States, the United Kingdom, and Japan. [2] C. diphtheriae is the causative agent of classical diphtheria, and C. ulcerans has been found to carry the same gene that codes for the diphtheria toxin. [2] After swabbing lesions on a 53-year-old woman in Germany who experienced swelling of her pharynx and who developed a whitish pseudomembrane, doctors were able to grow C. ulcerans. [2] This made it the first documented case of classical diphtheria caused by C. ulcerans in Germany.

C. ulcerans can also cause zoonotic infections. [3] In 2003, A 47-year-old woman in Le Kremlin-Bicêtre, France was admitted to the intensive care unit for labored breathing. It was found that as a result of a kidney graft received the previous year, the patient was immunocompromised and vulnerable to C. ulcerans, which was found growing from a swab of her throat. Testing determined the patient likely contracted C. ulcerans from chronic labial ulcerations in her dog. [4]

In addition to classical diphtheria, C. ulcerans can also cause skin infections that resemble classical cutaneous diphtheria as a result of production of the diphtheria toxin. [5] By contracting this skin infection, patients become more vulnerable to contracting infections from other bacteria that exist naturally in the patient's environment that can cause life-threatening diseases.

Treatment

Patients who contract diphtheria and diphtheria-like symptoms as a result of C. ulcerans require treatment with diphtheria antitoxin and antibiotics. [6] Surgery and other more extreme measures must be taken if not treated immediately.[ citation needed ]

Related Research Articles

<span class="mw-page-title-main">Diphtheria</span> Bacterial disease

Diphtheria is an infection caused by the bacterium Corynebacterium diphtheriae. Most infections are asymptomatic or have a mild clinical course, but in some outbreaks, the mortality rate approaches 10%. Signs and symptoms may vary from mild to severe, and usually start two to five days after exposure. Symptoms often develop gradually, beginning with a sore throat and fever. In severe cases, a grey or white patch develops in the throat, which can block the airway, and create a barking cough similar to what is observed in croup. The neck may also swell, in part due to the enlargement of the facial lymph nodes. Diphtheria can also involve the skin, eyes, or genitals, and can cause complications, including myocarditis, inflammation of nerves, kidney problems, and bleeding problems due to low levels of platelets.

<span class="mw-page-title-main">Exotoxin</span> Toxin from bacteria that destroys or disrupts cells

An exotoxin is a toxin secreted by bacteria. An exotoxin can cause damage to the host by destroying cells or disrupting normal cellular metabolism. They are highly potent and can cause major damage to the host. Exotoxins may be secreted, or, similar to endotoxins, may be released during lysis of the cell. Gram negative pathogens may secrete outer membrane vesicles containing lipopolysaccharide endotoxin and some virulence proteins in the bounding membrane along with some other toxins as intra-vesicular contents, thus adding a previously unforeseen dimension to the well-known eukaryote process of membrane vesicle trafficking, which is quite active at the host–pathogen interface.

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

Corynebacterium diphtheriae is a Gram-positive 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 exotoxin. 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.

<i>Corynebacterium</i> Genus of bacteria

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.

<span class="mw-page-title-main">Gas gangrene</span> Human bacterial infection

Gas gangrene is a bacterial infection that produces tissue gas in gangrene. This deadly form of gangrene usually is caused by Clostridium perfringens bacteria. About 1,000 cases of gas gangrene are reported yearly in the United States.

<span class="mw-page-title-main">Cutaneous leishmaniasis</span> Medical condition

Cutaneous leishmaniasis is the most common form of leishmaniasis affecting humans. It is a skin infection caused by a single-celled parasite that is transmitted by the bite of a phlebotomine sand fly. There are about thirty species of Leishmania that may cause cutaneous leishmaniasis.

<span class="mw-page-title-main">Diphtheria toxin</span> Exotoxin

Diphtheria toxin is an exotoxin secreted mainly by Corynebacterium diphtheriae but also by Corynebacterium ulcerans and Corynebacterium pseudotuberculosis, the pathogenic bacterium that causes diphtheria. The toxin gene is encoded by a prophage called corynephage β. The toxin causes the disease in humans by gaining entry into the cell cytoplasm and inhibiting protein synthesis.

<i>Sporothrix schenckii</i> Species of fungus

Sporothrix schenckii, a fungus that can be found worldwide in the environment, is named for medical student Benjamin Schenck, who in 1896 was the first to isolate it from a human specimen. The species is present in soil as well as in and on living and decomposing plant material such as peat moss. It can infect humans as well as animals and is the causative agent of sporotrichosis, commonly known as "rose handler's disease." The most common route of infection is the introduction of spores to the body through a cut or puncture wound in the skin. Infection commonly occurs in otherwise healthy individuals but is rarely life-threatening and can be treated with antifungals. In the environment it is found growing as filamentous hyphae. In host tissue it is found as a yeast. The transition between the hyphal and yeast forms is temperature dependent making S. schenckii a thermally dimorphic fungus.

Microbial toxins are toxins produced by micro-organisms, including bacteria, fungi, protozoa, dinoflagellates, and viruses. Many microbial toxins promote infection and disease by directly damaging host tissues and by disabling the immune system. Endotoxins most commonly refer to the lipopolysaccharide (LPS) or lipooligosaccharide (LOS) that are in the outer plasma membrane of Gram-negative bacteria. The botulinum toxin, which is primarily produced by Clostridium botulinum and less frequently by other Clostridium species, is the most toxic substance known in the world. However, microbial toxins also have important uses in medical science and research. Currently, new methods of detecting bacterial toxins are being developed to better isolate and understand these toxins. Potential applications of toxin research include combating microbial virulence, the development of novel anticancer drugs and other medicines, and the use of toxins as tools in neurobiology and cellular biology.

Elek's test or the Elek plate test is an in vitro test of virulence performed on specimens of Corynebacterium diphtheriae, the bacteria that causes diphtheria. It is used to test for toxigenicity of C. diphtheriae strains.

<span class="mw-page-title-main">Cutaneous diphtheria infection</span> Medical condition

Cutaneous diphtheria is an infection of the skin by Corynebacterium diphtheriae. It is also known as "desert sore".

<span class="mw-page-title-main">Corynebacteriophage</span> Virus of bacteria

A corynebacteriophage is a DNA-containing bacteriophage specific for bacteria of genus Corynebacterium as its host. Corynebacterium diphtheriae virus strain Corynebacterium diphtheriae phage introduces toxigenicity into strains of Corynebacterium diphtheriae as it encodes diphtheria toxin, it has subtypes beta c and beta vir. According to proposed taxonomic classification, corynephages β and ω are unclassified members of the genus Lambdavirus, family Siphoviridae.

Corynebacterium amycolatum is a gram-positive, non-spore-forming, aerobic or facultatively anaerobic bacillus capable of fermentation 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.

Staphylococcus schleiferi is a Gram-positive, cocci-shaped bacterium of the family Staphylococcaceae. It is facultatively anaerobic, coagulase-variable, and can be readily cultured on blood agar where the bacterium tends to form opaque, non-pigmented colonies and beta (β) hemolysis. There exists two subspecies under the species S. schleiferi: Staphylococcus schleiferi subsp. schleiferi and Staphylococcus schleiferi subsp. coagulans.

Staphylococcus pseudintermedius is a gram-positive spherically shaped bacterium of the genus Staphylococcus found worldwide. It is primarily a pathogen for domestic animals, but has been known to affect humans as well. S. pseudintermedius is an opportunistic pathogen that secretes immune-modulating virulence factors, has many adhesion factors, and the potential to create biofilms, all of which help to determine the pathogenicity of the bacterium. Diagnoses of S. pseudintermedius have traditionally been made using cytology, plating, and biochemical tests. More recently, molecular technologies like MALDI-TOF, DNA hybridization and PCR have become preferred over biochemical tests for their more rapid and accurate identifications. This includes the identification and diagnosis of antibiotic resistant strains.

Corynebacterium otitidis is a coryneform Gram-positive bacterium first isolated from patients with otitis media.

Corynebacterium macginleyi is a species of bacteria with type strain JCL-2. It is considered pathogenic.

CRM197 is a non-toxic mutant of diphtheria toxin, currently used as a carrier protein for polysaccharides and haptens to make them immunogenic. There is some dispute about the toxicity of CRM197, with evidence that it is toxic to yeast cells and some mammalian cell lines.

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

Corynebacterium xerosis is a gram-positive, rod-shaped bacterium in the genus Corynebacterium. Although it is frequently a harmless commensal organism living on the skin and mucous membranes, C. xerosis is also a clinically-relevant opportunistic pathogen that has been attributed to a number of different infections in animals and humans. However, its actual prominence in human medicine is up for debate due to early difficulties distinguishing it from other Corynebacterium species in clinical isolates.

<i>Corynebacterium striatum</i> Species of bacterium

Corynebacterium striatum is a bacterium that is a member of the Corynebacterium genus. It is classified as non-diphtheritic. The bacterium is a gram-positive prokaryote that assumes a 'club-like' morphology, more formally known as a corynebacteria structure. It is non-lipophilic and undergoes aerobic respiration and is also a facultative anaerobe it is catalase negative and oxidase positive glucose and sucrose fermenter.

References

  1. Bernar, Kathryn (2012). "The Genus Corynebacterium and Other Medically Relevant Coryneform-Like Bacteria". Journal of Clinical Microbiology. 50 (10): 3152–8. doi:10.1128/JCM.00796-12. PMC   3457441 . PMID   22837327.
  2. 1 2 3 Sing, A; Bierschenk, S; Heesemann, J (2005). "Classical Diphtheria Caused by Corynebacterium ulcerans in Germany: Amino Acid Sequence Differences between Diphtheria Toxins from Corynebacterium diphtheriae and C. ulcerans". Clinical Infectious Diseases. 40 (2): 325–326. doi: 10.1086/426687 . PMID   15655760.
  3. Hogg, R. A.; Wessels, J; Hart, J; Efstratiou, A; De Zoysa, A; Mann, G; Allen, T; Pritchard, G. C. (2009). "Possible zoonotic transmission of toxigenic Corynebacterium ulcers from companion animals in a human case of fatal diphtheria". Veterinary Record. 165 (23): 691–692. doi:10.1136/vr.165.23.691. PMID   19966333. S2CID   8726176.
  4. Lartigue, M. F.; Monnet, X; Le Flèche, A; Grimont, P. A.; Benet, J. J.; Durrbach, A; Fabre, M; Nordmann, P (2005). "Corynebacterium ulcerans in an Immunocompromised Patient with Diphtheria and Her Dog". Journal of Clinical Microbiology. 43 (2): 999–1001. doi:10.1128/JCM.43.2.999-1001.2005. PMC   548063 . PMID   15695729.
  5. Wagner, Jutta; Ignatius, Ralf; Voss, Stefan; Höpfner, Volker; Ehlers, Stefan; Funke, Guido; Weber, Ulrich; Hahn, Helmut (2001). "Infection of the Skin Caused by Corynebacterium ulcerans and Mimicking Classical Cutaneous Diphtheria". Clinical Infectious Diseases. 33 (9): 1598–600. doi: 10.1086/322969 . PMID   11568853.
  6. "Notes from the Field: Respiratory Diphtheria-Like Illness Caused by Toxigenic Corynebacterium ulcerans --- Idaho, 2010". 28 January 2011.