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.

Loading

Article metrics loading...

/content/journal/jmmcr/10.1099/jmmcr.0.000067
2015-08-01
2024-04-16
Loading full text...

Full text loading...

/deliver/fulltext/jmmcr/2/4/jmmcr000067.html?itemId=/content/journal/jmmcr/10.1099/jmmcr.0.000067&mimeType=html&fmt=ahah

References

  1. Castresana J. 2000; Selection of conserved blocks from multiple alignments for their use in phylogenetic analysis. Mol Biol Evol 17:540–552 [View Article][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 Dis 66:94–97 [View Article][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 Microbiol 50:947–951[PubMed] [CrossRef]
    [Google Scholar]
  4. Edgar R.C. 2004; muscle: multiple sequence alignment with high accuracy and high throughput. Nucleic Acids Res 32:1792–1797 [View Article][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 Res 82:338–344 [View Article][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 Microbiol 53:1247–1253 [View Article][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 Dis 49:255–263 [View Article][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 Pathol 59:219–222 [View Article][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 Microbiol 50:3142–3143 [View Article][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 Med 37:818–822[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 Sci 1:93–100 [View Article][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. Anaesthesia 52:1224–1229 [View Article][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 Bacteriol 49:1193–1200 [View Article][PubMed]
    [Google Scholar]
  14. Robertson D., Smith A.J. 2009; The microbiology of the acute dental abscess. J Med Microbiol 58:155–162 [View Article][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 Anaesth 62:674–682 [View Article][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. Anaerobe 9:11–14 [View Article][PubMed]
    [Google Scholar]
  17. Talavera G., Castresana J. 2007; Improvement of phylogenies after removing divergent and ambiguously aligned blocks from protein sequence alignments. Syst Biol 56:564–577 [View Article][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 Evol 28:2731–2739 [View Article][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 Pathol 66:1081–1083 [View Article][PubMed]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmmcr/10.1099/jmmcr.0.000067
Loading
/content/journal/jmmcr/10.1099/jmmcr.0.000067
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error