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The Role of Streptococcal and Staphylococcal Exotoxins and Proteases in Human Necrotizing Soft Tissue Infections
toxins Review The Role of Streptococcal and Staphylococcal Exotoxins and Proteases in Human Necrotizing Soft Tissue Infections Patience Shumba 1, Srikanth Mairpady Shambat 2 and Nikolai Siemens 1,* 1 Center for Functional Genomics of Microbes, Department of Molecular Genetics and Infection Biology, University of Greifswald, D-17489 Greifswald, Germany; [email protected] 2 Division of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, CH-8091 Zurich, Switzerland; [email protected] * Correspondence: [email protected]; Tel.: +49-3834-420-5711 Received: 20 May 2019; Accepted: 10 June 2019; Published: 11 June 2019 Abstract: Necrotizing soft tissue infections (NSTIs) are critical clinical conditions characterized by extensive necrosis of any layer of the soft tissue and systemic toxicity. Group A streptococci (GAS) and Staphylococcus aureus are two major pathogens associated with monomicrobial NSTIs. In the tissue environment, both Gram-positive bacteria secrete a variety of molecules, including pore-forming exotoxins, superantigens, and proteases with cytolytic and immunomodulatory functions. The present review summarizes the current knowledge about streptococcal and staphylococcal toxins in NSTIs with a special focus on their contribution to disease progression, tissue pathology, and immune evasion strategies. Keywords: Streptococcus pyogenes; group A streptococcus; Staphylococcus aureus; skin infections; necrotizing soft tissue infections; pore-forming toxins; superantigens; immunomodulatory proteases; immune responses Key Contribution: Group A streptococcal and Staphylococcus aureus toxins manipulate host physiological and immunological responses to promote disease severity and progression. 1. Introduction Necrotizing soft tissue infections (NSTIs) are rare and represent a more severe rapidly progressing form of soft tissue infections that account for significant morbidity and mortality [1]. -
Scarlet Fever Fact Sheet
Scarlet Fever Fact Sheet Scarlet fever is a rash illness caused by a bacterium called Group A Streptococcus (GAS) The disease most commonly occurs with GAS pharyngitis (“strep throat”) [See also Strep Throat fact sheet]. Scarlet fever can occur at any age, but it is most frequent among school-aged children. Symptoms usually start 1 to 5 days after exposure and include: . Sandpaper-like rash, most often on the neck, chest, elbows, and on inner surfaces of the thighs . High fever . Sore throat . Red tongue . Tender and swollen neck glands . Sometimes nausea and vomiting Scarlet fever is usually spread from person to person by direct contact The strep bacterium is found in the nose and/or throat of persons with strep throat, and can be spread to the next person through the air with sneezing or coughing. People with scarlet fever can spread the disease to others until 24 hours after treatment. Treatment of scarlet fever is important Persons with scarlet fever can be treated with antibiotics. Treatment is important to prevent serious complications such as rheumatic fever and kidney disease. Infected children should be excluded from child care or school until 24 hours after starting treatment. Scarlet fever and strep throat can be prevented . Cover the mouth when coughing or sneezing. Wash hands after wiping or blowing nose, coughing, and sneezing. Wash hands before preparing food. See your doctor if you or your child have symptoms of scarlet fever. Maryland Department of Health Infectious Disease Epidemiology and Outbreak Response Bureau Prevention and Health Promotion Administration Web: http://health.maryland.gov February 2013 . -
Chapter 11 – PROKARYOTES: Survey of the Bacteria & Archaea
Chapter 11 – PROKARYOTES: Survey of the Bacteria & Archaea 1. The Bacteria 2. The Archaea Important Metabolic Terms Oxygen tolerance/usage: aerobic – requires or can use oxygen (O2) anaerobic – does not require or cannot tolerate O2 Energy usage: autotroph – uses CO2 as a carbon source • photoautotroph – uses light as an energy source • chemoautotroph – gets energy from inorganic mol. heterotroph – requires an organic carbon source • chemoheterotroph – gets energy & carbon from organic molecules …more Important Terms Facultative vs Obligate: facultative – “able to, but not requiring” e.g. • facultative anaerobes – can survive w/ or w/o O2 obligate – “absolutely requires” e.g. • obligate anaerobes – cannot tolerate O2 • obligate intracellular parasite – can only survive within a host cell The 2 Prokaryotic Domains Overview of the Bacterial Domain We will look at examples from several bacterial phyla grouped largely based on rRNA (ribotyping): Gram+ bacteria • Firmicutes (low G+C), Actinobacteria (high G+C) Proteobacteria (Gram- heterotrophs mainly) Gram- nonproteobacteria (photoautotrophs) Chlamydiae (no peptidoglycan in cell walls) Spirochaetes (coiled due to axial filaments) Bacteroides (mostly anaerobic) 1. The Gram+ Bacteria Gram+ Bacteria The Gram+ bacteria are found in 2 different phyla: Firmicutes • low G+C content (usually less than 50%) • many common pathogens Actinobacteria • high G+C content (greater than 50%) • characterized by branching filaments Firmicutes Characteristics associated with this phylum: • low G+C Gram+ bacteria -
Pathogenic Streptococcus Gallolyticus Subspecies: Genome Plasticity, Adaptation and Virulence
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by PubMed Central Sequencing and Comparative Genome Analysis of Two Pathogenic Streptococcus gallolyticus Subspecies: Genome Plasticity, Adaptation and Virulence I-Hsuan Lin1,2., Tze-Tze Liu3., Yu-Ting Teng3, Hui-Lun Wu3, Yen-Ming Liu3, Keh-Ming Wu3, Chuan- Hsiung Chang1,4, Ming-Ta Hsu3,5* 1 Institute of BioMedical Informatics, National Yang-Ming University, Taipei, Taiwan, 2 Taiwan International Graduate Program, Academia Sinica, Taipei, Taiwan, 3 VGH Yang-Ming Genome Research Center, National Yang-Ming University, Taipei, Taiwan, 4 Center for Systems and Synthetic Biology, National Yang-Ming University, Taipei, Taiwan, 5 Institute of Biochemistry and Molecular Biology, National Yang-Ming University, Taipei, Taiwan Abstract Streptococcus gallolyticus infections in humans are often associated with bacteremia, infective endocarditis and colon cancers. The disease manifestations are different depending on the subspecies of S. gallolyticus causing the infection. Here, we present the complete genomes of S. gallolyticus ATCC 43143 (biotype I) and S. pasteurianus ATCC 43144 (biotype II.2). The genomic differences between the two biotypes were characterized with comparative genomic analyses. The chromosome of ATCC 43143 and ATCC 43144 are 2,36 and 2,10 Mb in length and encode 2246 and 1869 CDS respectively. The organization and genomic contents of both genomes were most similar to the recently published S. gallolyticus UCN34, where 2073 (92%) and 1607 (86%) of the ATCC 43143 and ATCC 43144 CDS were conserved in UCN34 respectively. There are around 600 CDS conserved in all Streptococcus genomes, indicating the Streptococcus genus has a small core-genome (constitute around 30% of total CDS) and substantial evolutionary plasticity. -
Streptococcus Pneumoniae Technical Sheet
technical sheet Streptococcus pneumoniae Classification On necropsy, a serosanguineous to purulent exudate Alpha-hemolytic, Gram-positive, encapsulated, aerobic is often found in the nasal cavities and the tympanic diplococcus bullae. The lungs can have areas of firm, dark red consolidation. Fibrinopurulent pleuritis, pericarditis, Family and peritonitis are other changes seen on necropsy of animals affected by S. pneumoniae. Histologic Streptococcaceae lesions are consistent with necropsy findings, Affected species and bronchopneumonia of varying severity and fibrinopurulent serositis are often seen. Primarily described as a pathogen of rats and guinea pigs. Mice are susceptible to infection. Agent of human Diagnosis disease and human carriers are a likely source of An S. pneumoniae infection should be suspected if animal infections. Zoonotic infection is possible. encapsulated Gram-positive diplococci are seen on a smear from a lesion. Confirmation of the diagnosis is Frequency via culture of lesions or affected tissues. S. pneumoniae Rare in modern laboratory animal colonies. Prevalence grows best on 5% blood agar and is alpha-hemolytic. in pet and wild populations unknown. The organism is then presumptively identified with an optochin test. PCR assays are also available for Transmission diagnosis. PCR-based screening for S. pneumoniae Transmission is primarily via aerosol or contact with may be conducted on respiratory samples or feces. nasal or lacrimal secretions of an infected animal. S. PCR may also be useful for confirmation of presumptive pneumoniae may be cultured from the nasopharynx and microbiologic identification or confirming the identity of tympanic bullae. bacteria observed in histologic lesions. Clinical Signs and Lesions Interference with Research Inapparent infections and carrier states are common, Animals carrying S. -
A Case of Severe Human Granulocytic Anaplasmosis in an Immunocompromised Pregnant Patient
Elmer ress Case Report J Med Cases. 2015;6(6):282-284 A Case of Severe Human Granulocytic Anaplasmosis in an Immunocompromised Pregnant Patient Marijo Aguileraa, c, Anne Marie Furusethb, Lauren Giacobbea, Katherine Jacobsa, Kirk Ramina Abstract festations include respiratory or neurologic involvement, acute renal failure, invasive opportunistic infections and a shock- Human granulocytic anaplasmosis (HGA) is a tick-borne disease that like illness [2-4]. Recent delineation of the various species can often result in persistent fevers and other non-specific symptoms associated with ehrlichia infections and an increased under- including myalgias, headache, and malaise. The incidence among en- standing of the epidemiology has augmented our knowledge of demic areas has been increasing, and clinician recognition of disease these tick-borne diseases. However, a detailed understanding symptoms has aided in the correct diagnosis and treatment of patients of HGA infections in both immunocompromised and pregnant who have been exposed. While there have been few cases reported of patients is limited. We report a case of a severe HGA infection HGA disease during pregnancy, all patients have undergone a rela- presenting as an acute exacerbation of Crohn’s disease in a tively mild disease course without complications. HGA may cause pregnant immunocompromised patient. more severe disease in the elderly and immunocompromised. Herein, we report an unusual presentation and severe disease complications of HGA in a pregnant female who was concomitantly immunocompro- Case Report mised due to azathioprine treatment of her Crohn’s disease. Follow- ing successful treatment with rifampin, she subsequently delivered a A 34-year-old primigravida at 17+2 weeks’ gestation presented healthy female infant without any disease sequelae. -
Use of the Diagnostic Bacteriology Laboratory: a Practical Review for the Clinician
148 Postgrad Med J 2001;77:148–156 REVIEWS Postgrad Med J: first published as 10.1136/pmj.77.905.148 on 1 March 2001. Downloaded from Use of the diagnostic bacteriology laboratory: a practical review for the clinician W J Steinbach, A K Shetty Lucile Salter Packard Children’s Hospital at EVective utilisation and understanding of the Stanford, Stanford Box 1: Gram stain technique University School of clinical bacteriology laboratory can greatly aid Medicine, 725 Welch in the diagnosis of infectious diseases. Al- (1) Air dry specimen and fix with Road, Palo Alto, though described more than a century ago, the methanol or heat. California, USA 94304, Gram stain remains the most frequently used (2) Add crystal violet stain. USA rapid diagnostic test, and in conjunction with W J Steinbach various biochemical tests is the cornerstone of (3) Rinse with water to wash unbound A K Shetty the clinical laboratory. First described by Dan- dye, add mordant (for example, iodine: 12 potassium iodide). Correspondence to: ish pathologist Christian Gram in 1884 and Dr Steinbach later slightly modified, the Gram stain easily (4) After waiting 30–60 seconds, rinse with [email protected] divides bacteria into two groups, Gram positive water. Submitted 27 March 2000 and Gram negative, on the basis of their cell (5) Add decolorising solvent (ethanol or Accepted 5 June 2000 wall and cell membrane permeability to acetone) to remove unbound dye. Growth on artificial medium Obligate intracellular (6) Counterstain with safranin. Chlamydia Legionella Gram positive bacteria stain blue Coxiella Ehrlichia Rickettsia (retained crystal violet). -
Clinical Interest of Streptococcus Bovis Isolates in Urine
Brief report Javier de Teresa-Alguacil1 Miguel Gutiérrez-Soto2 Clinical interest of Streptococcus bovis isolates in Javier Rodríguez-Granger3 Antonio Osuna-Ortega1 urine José María Navarro-Marí3 José Gutiérrez-Fernández3,4 1UGC de Nefrología, Complejo Hospitalario Universitario de Granada-ibsgranada. 2Centro de Salud “Polígono Guadalquivir”. Córdoba. 3Laboratorio de Microbiología, Complejo Hospitalario Universitario de Granada-ibsgranada. 4Departamento de Microbiología – Universidad de Granada-ibsgranada. ABSTRACT Significado clínico de los aislados de Streptococcus bovis en orina Introduction. Streptococcus bovis includes variants re- lated to colorectal cancer and non-urinary infections. Its role RESUMEN as urinary pathogen is unknown. Our objective was to assess the presence of urinary infection by S. bovis, analysing the pa- Introducción. Streptococcus bovis comprende multitud tients and subsequent clinical course. de variantes de especie relacionados con infecciones no uri- Material and Methods. Observational study, with lon- narias y cáncer colorrectal. Su papel como patógeno urinario gitudinal data collection, performed at our centre between es desconocido. Nuestro objetivo fue valorar la presencia de all the cultures requested between February and April 2015. infección urinaria por S. bovis, analizando los pacientes y su Clinical course of the patients and response to treatment were evolución clínica posterior. analysed. Material y métodos. Estudio observacional, con obten- Results. Two thousand five hundred and twenty urine ción de datos longitudinal, realizado en nuestro centro entre cultures were analysed, of which 831 (33%) had a significant todos los urocultivos solicitados durante entre los meses de microbial count. S. bovis was isolated in 8 patients (0.96%). In febrero y abril de 2015. Se analizó la evolución clínica y la 75% of these cases the urine culture was requested because of respuesta al tratamiento. -
Streptococcosis Humans and Animals
Zoonotic Importance Members of the genus Streptococcus cause mild to severe bacterial illnesses in Streptococcosis humans and animals. These organisms typically colonize one or more species as commensals, and can cause opportunistic infections in those hosts. However, they are not completely host-specific, and some animal-associated streptococci can be found occasionally in humans. Many zoonotic cases are sporadic, but organisms such as S. Last Updated: September 2020 equi subsp. zooepidemicus or a fish-associated strain of S. agalactiae have caused outbreaks, and S. suis, which is normally carried in pigs, has emerged as a significant agent of streptoccoccal meningitis, septicemia, toxic shock-like syndrome and other human illnesses, especially in parts of Asia. Streptococci with human reservoirs, such as S. pyogenes or S. pneumoniae, can likewise be transmitted occasionally to animals. These reverse zoonoses may cause human illness if an infected animal, such as a cow with an udder colonized by S. pyogenes, transmits the organism back to people. Occasionally, their presence in an animal may interfere with control efforts directed at humans. For instance, recurrent streptococcal pharyngitis in one family was cured only when the family dog, which was also colonized asymptomatically with S. pyogenes, was treated concurrently with all family members. Etiology There are several dozen recognized species in the genus Streptococcus, Gram positive cocci in the family Streptococcaceae. Almost all species of mammals and birds, as well as many poikilotherms, carry one or more species as commensals on skin or mucosa. These organisms can act as facultative pathogens, often in the carrier. Nomenclature and identification of streptococci Hemolytic reactions on blood agar and Lancefield groups are useful in distinguishing members of the genus Streptococcus. -
Ehrlichia, and Anaplasma Species in Australian Human-Biting Ticks
RESEARCH ARTICLE Bacterial Profiling Reveals Novel “Ca. Neoehrlichia”, Ehrlichia, and Anaplasma Species in Australian Human-Biting Ticks Alexander W. Gofton1*, Stephen Doggett2, Andrew Ratchford3, Charlotte L. Oskam1, Andrea Paparini1, Una Ryan1, Peter Irwin1* 1 Vector and Water-borne Pathogen Research Group, School of Veterinary and Life Sciences, Murdoch University, Perth, Western Australia, Australia, 2 Department of Medical Entomology, Pathology West and Institute for Clinical Pathology and Medical Research, Westmead Hospital, Westmead, New South Wales, Australia, 3 Emergency Department, Mona Vale Hospital, New South Wales, Australia * [email protected] (AWG); [email protected] (PI) Abstract OPEN ACCESS In Australia, a conclusive aetiology of Lyme disease-like illness in human patients remains Citation: Gofton AW, Doggett S, Ratchford A, Oskam elusive, despite growing numbers of people presenting with symptoms attributed to tick CL, Paparini A, Ryan U, et al. (2015) Bacterial bites. In the present study, we surveyed the microbial communities harboured by human-bit- Profiling Reveals Novel “Ca. Neoehrlichia”, Ehrlichia, ing ticks from across Australia to identify bacteria that may contribute to this syndrome. and Anaplasma Species in Australian Human-Biting Ticks. PLoS ONE 10(12): e0145449. doi:10.1371/ Universal PCR primers were used to amplify the V1-2 hyper-variable region of bacterial journal.pone.0145449 16S rRNA genes in DNA samples from individual Ixodes holocyclus (n = 279), Amblyomma Editor: Bradley S. Schneider, Metabiota, UNITED triguttatum (n = 167), Haemaphysalis bancrofti (n = 7), and H. longicornis (n = 7) ticks. STATES The 16S amplicons were sequenced on the Illumina MiSeq platform and analysed in Received: October 12, 2015 USEARCH, QIIME, and BLAST to assign genus and species-level taxonomies. -
Differential Diagnosis Between Streptococcus Agalactiae and Listeria Monocytogenes in the Clinical Laboratory
ANNALS OF CLINICAL AND LABORATORY SCIENCE, Vol. 7, No. 3 Copyright © 1977, Institute for Clinical Science Differential Diagnosis between Streptococcus Agalactiae and Listeria Monocytogenes in the Clinical Laboratory CHRISTINE KONTNICK, M.T., ALEXANDER von GRAEVENITZ, M.D., and VINCENT PISCITELLI, M.T. Clinical Microbiology Laboratories, Yale-New Haven Hospital, and Department of Laboratory Medicine, Yale University School of Medicine, New Haven, CT 06504 ABSTRACT Streptococci of the group B (S. agalactiae) and Listeria monocytogenes resemble each other in many morphological and biochemical characteris tics. Ten beta-hemolytic strains of each species were subjected to 26 tests commonly and easily performed in the clinical laboratory. Macroscopic and microscopic morphology on solid media showed differences only in the size of the colonies and in the length of the individual organisms. Among many other tests, hippurate hydrolysis and the CAMP reaction were pos itive in both species. In the presence of these two reactions, a negative catalase test and chaining in broth would make a presumptive diagnosis of S. agalactiae, while motility at 25 C, the presence of the Henry effect, and resistance to furadantin would be indicative of L. monocytogenes. Introduction in Gram-stained smears; (3) a negative bacitracin test and (4) a positive test for The high incidence of Streptococcus either (a) hippurate hydrolysis, (b) the agalactiae (group B) in human speci CAMP reaction or (c) the formation of an mens, which has been recognized only in orange-red pigment. However, if one of the past decade, calls for a rapid pre these conditions for the diagnosis is not sumptive diagnosis of the species. -
Specific Inhibition of Streptococcus Bovis by Endolysin Lyjh307 Supplementation Shifts the Rumen Microbiota and Metabolic Pathwa
Kim et al. Journal of Animal Science and Biotechnology (2021) 12:93 https://doi.org/10.1186/s40104-021-00614-x RESEARCH Open Access Specific inhibition of Streptococcus bovis by endolysin LyJH307 supplementation shifts the rumen microbiota and metabolic pathways related to carbohydrate metabolism Hanbeen Kim1, Tansol Park2, Inhyuk Kwon3 and Jakyeom Seo1* Abstract Background: Endolysins, the bacteriophage-originated peptidoglycan hydrolases, are a promising replacement for antibiotics due to immediate lytic activity and no antibiotic resistance. The objectives of this study were to investigate the lytic activity of endolysin LyJH307 against S. bovis and to explore changes in rumen fermentation and microbiota in an in vitro system. Two treatments were used: 1) control, corn grain without LyJH307; and 2) LyJH307, corn grain with LyJH307 (4 U/mL). An in vitro fermentation experiment was performed using mixture of rumen fluid collected from two cannulated Holstein steers (450 ± 30 kg) and artificial saliva buffer mixed as 1:3 ratio for 12 h incubation time. In vitro dry matter digestibility, pH, volatile fatty acids, and lactate concentration were estimated at 12 h, and the gas production was measured at 6, 9, and 12 h. The rumen bacterial community was analyzed using 16S rRNA amplicon sequencing. Results: LyJH307 supplementation at 6 h incubation markedly decreased the absolute abundance of S. bovis (approximately 70% compared to control, P = 0.0289) and increased ruminal pH (P = 0.0335) at the 12 h incubation. The acetate proportion (P = 0.0362) was significantly increased after LyJH307 addition, whereas propionate (P = 0.0379) was decreased. LyJH307 supplementation increased D-lactate (P = 0.0340) without any change in L-lactate concentration (P > 0.10).