1887

Abstract

Introduction:

To the best of our knowledge, this is the first reported case of isolation of from an infected site outside the oral cavity.

Case presentation:

We report a patient who presented with fever and abdominal pain following an endoscopic procedure. Imaging confirmed a retroperitoneal abscess secondary to duodenal perforation complicating the endoscopic procedure. Surgical drainage of the abscess was carried out. Microbiological analysis of the pus revealed, among other bacteria, an anaerobic Gram-positive rod-shaped bacterium that was definitively identified as by 16S rRNA gene sequencing. The patient improved after multiple episodes of retroperitoneal lavage and a prolonged course of antibiotics.

Conclusion:

This case demonstrates that can be isolated outside the oral cavity in polymicrobial infected sites. The pathogenic significance of this organism in contributing to pyogenic infection requires further study.

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2015-08-01
2020-01-25
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References

  1. Castresana J.. 2000; Selection of conserved blocks from multiple alignments for their use in phylogenetic analysis. Mol Biol Evol17:540–552 [CrossRef][PubMed]
    [Google Scholar]
  2. Chan J.F., Lau S.K., Woo P.C., Fan R.Y., Ip J.J., Chan C.F., Luk J.K., Yuen K.Y.. 2010; Lactobacillus rhamnosus hepatic abscess associated with Mirizzi syndrome: a case report and review of the literature. Diagn Microbiol Infect Dis66:94–97 [CrossRef][PubMed]
    [Google Scholar]
  3. Downes J., Munson M.A., Spratt D.A., Kononen E., Tarkka E., Jousimies-Somer H., Wade W.G.. 2001; Characterisation of Eubacterium-like strains isolated from oral infections. J Med Microbiol50:947–951[PubMed][CrossRef]
    [Google Scholar]
  4. Edgar R.C.. 2004; muscle: multiple sequence alignment with high accuracy and high throughput. Nucleic Acids Res32:1792–1797 [CrossRef][PubMed]
    [Google Scholar]
  5. Kumar P.S., Griffen A.L., Barton J.A., Paster B.J., Moeschberger M.L., Leys E.J.. 2003; New bacterial species associated with chronic periodontitis. J Dent Res82:338–344 [CrossRef][PubMed]
    [Google Scholar]
  6. Lau S.K., Woo P.C., Fung A.M., Chan K.M., Woo G.K., Yuen K.Y.. 2004a; Anaerobic, non-sporulating, Gram-positive bacilli bacteraemia characterized by 16S rRNA gene sequencing. J Med Microbiol53:1247–1253 [CrossRef][PubMed]
    [Google Scholar]
  7. Lau S.K., Woo P.C., Woo G.K., Fung A.M., Wong M.K., Chan K.M., Tam D.M., Yuen K.Y.. 2004b; Eggerthella hongkongensis sp. nov. and Eggerthella sinensis sp. nov., two novel Eggerthella species, account for half of the cases of Eggerthella bacteremia. Diagn Microbiol Infect Dis49:255–263 [CrossRef][PubMed]
    [Google Scholar]
  8. Lau S.K., Ng K.H., Woo P.C., Yip K.T., Fung A.M., Woo G.K., Chan K.M., Que T.L., Yuen K.Y.. 2006; Usefulness of the MicroSeq 500 16S rDNA bacterial identification system for identification of anaerobic Gram positive bacilli isolated from blood cultures. J Clin Pathol59:219–222 [CrossRef][PubMed]
    [Google Scholar]
  9. Lau S.K., Tang B.S., Curreem S.O., Chan T.M., Martelli P., Tse C.W., Wu A.K., Yuen K.Y., Woo P.C.. 2012; Matrix-assisted laser desorption ionization-time of flight mass spectrometry for rapid identification of Burkholderia pseudomallei: importance of expanding databases with pathogens endemic to different localities. J Clin Microbiol50:3142–3143 [CrossRef][PubMed]
    [Google Scholar]
  10. Maurer A.H., Krevsky B., Knight L.C., Brown K.. 1996; Opioid and opioid-like drug effects on whole-gut transit measured by scintigraphy. J Nucl Med37:818–822[PubMed]
    [Google Scholar]
  11. Mavrommatis K., Pukall R., Rohde C., Chen F., Sims D., Brettin T., Kuske C., Detter J.C., Han C., other authors. 2009; Complete genome sequence of Cryptobacterium curtum type strain (12-3). Stand Genomic Sci1:93–100 [CrossRef][PubMed]
    [Google Scholar]
  12. Murphy D.B., Sutton A., Prescott L.F., Murphy M.B.. 1997; A comparison of the effects of tramadol and morphine on gastric emptying in man. Anaesthesia52:1224–1229 [CrossRef][PubMed]
    [Google Scholar]
  13. Nakazawa F., Poco S.E., Ikeda T., Sato M., Kalfas S., Sundqvist G., Hoshino E.. 1999; Cryptobacterium curtum gen. nov., sp. nov., a new genus of Gram-positive anaerobic rod isolated from human oral cavities. Int J Syst Bacteriol49:1193–1200 [CrossRef][PubMed]
    [Google Scholar]
  14. Robertson D., Smith A.J.. 2009; The microbiology of the acute dental abscess. J Med Microbiol58:155–162 [CrossRef][PubMed]
    [Google Scholar]
  15. Schurizek B.A., Willacy L.H., Kraglund K., Andreasen F., Juhl B.. 1989; Antroduodenal motility, pH and gastric emptying during balanced anaesthesia: comparison of pethidine and fentanyl. Br J Anaesth62:674–682 [CrossRef][PubMed]
    [Google Scholar]
  16. Sullivan A., Törnblom H., Lindberg G., Hammarlund B., Palmgren A.C., Einarsson C., Nord C.E.. 2003; The micro-flora of the small bowel in health and disease. Anaerobe9:11–14 [CrossRef][PubMed]
    [Google Scholar]
  17. Talavera G., Castresana J.. 2007; Improvement of phylogenies after removing divergent and ambiguously aligned blocks from protein sequence alignments. Syst Biol56:564–577 [CrossRef][PubMed]
    [Google Scholar]
  18. Tamura K., Peterson D., Peterson N., Stecher G., Nei M., Kumar S.. 2011; mega5: molecular evolutionary genetics analysis using maximum likelihood, evolutionary distance, and maximum parsimony methods. Mol Biol Evol28:2731–2739 [CrossRef][PubMed]
    [Google Scholar]
  19. Tang B.S., Lau S.K., Teng J.L., Chan T.M., Chan W.S., Wong T.Y., Tong Y.T., Fan R.Y., Yuen K.Y., Woo P.C.. 2013; Matrix-assisted laser desorption ionisation-time of flight mass spectrometry for rapid identification of Laribacter hongkongensis . J Clin Pathol66:1081–1083 [CrossRef][PubMed]
    [Google Scholar]
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