BACKGROUND Elizabethkingia miricola is a non-fermenting gram-negative bacterium,which was first isolated from the condensate of the Russian peace space station in 2003.Most studies on this bacterium have been carried ...BACKGROUND Elizabethkingia miricola is a non-fermenting gram-negative bacterium,which was first isolated from the condensate of the Russian peace space station in 2003.Most studies on this bacterium have been carried out in the laboratory,and clinical case studies are rare.To date,a total of 6 clinical cases have been reported worldwide.CASE SUMMARY We present the first case of postoperative pulmonary infection in a patient with intracerebral hemorrhage due to Elizabethkingia miricola.The imaging character-istics of pulmonary infection were identified and the formulation and selection of the clinical treatment plan for this patient are discussed.CONCLUSION Elizabethkingia miricola infection is rare.When pulmonary infection occurs,computed tomography imaging may show diffuse distribution of a ground glass density shadow in both lungs,the air containing bronchial sign in local areas,thickening of bronchial vascular bundle,and pleural effusion.展开更多
Objective:To investigate the clinical and epidemiological features and outcome of Chryseobacterium and Elizabethkingia spp.infections in children,together with antimicrobial susceptibilities.Methods:This retrospective...Objective:To investigate the clinical and epidemiological features and outcome of Chryseobacterium and Elizabethkingia spp.infections in children,together with antimicrobial susceptibilities.Methods:This retrospective study was conducted at a tertiary pediatric hospital in Turkey.All patients infected with Chryseobacterium/Elizabethkingia spp.among those presenting to Ankara City Hospital between March 2014 and March 2022 were included.Results:A total of 49 cases were included and 29 cases were identified as Elizabethkingia.The median age was 14(0.2-185.0)months.The majority(89.8%)of these patients had an underlying disease,including malignancy(42.9%).Bacteremia(46.9%)and central line-associated bloodstream infection(28.6%)were the most common infections.The thirty-day all-cause mortality rate was 12.2%.The most commonly used antibiotics were ciprofloxacin and trimethoprim-sulfamethoxazole(TMP-SMX).Forty-five(91.8%)isolates were susceptible to ciprofloxacin,44(91.6%)to TMP-SMX,and 21(87.5%)to levofloxacin.Conclusions:Chryseobacterium and Elizabethkingia spp.are emergent,nosocomial pathogens and the majority of cases were older than the neonatal period.They were mainly seen in patients with long hospital stays,indwelling devices,and those who have received antibiotics within the last month,especially carbapenems.In addition,they were associated with bloodstream infection and malignancy.The most commonly useful antibiotics according to the resistance patterns were ciprofloxacin and TMP-SMX.展开更多
Elizabethkingia miricola(E.miricola) is a gram-negative non-fermentative bacterium which is rarely encountered.It is usually misidentified or considered as a contaminant in routine microbiology laboratories due to the...Elizabethkingia miricola(E.miricola) is a gram-negative non-fermentative bacterium which is rarely encountered.It is usually misidentified or considered as a contaminant in routine microbiology laboratories due to the limitations in conventional biochemical techniques.However,with the advent of the matrix-assisted laser desorption ionization time-of-flight mass spectrometry(MALDI-TOFMS),the identification of non-fermenters has become easy and this has led to enhanced understanding of the clinical significance of these uncommonly isolated microorganisms.The genus Elizabethkingia has only two species E.meningoseptica and E.miricola.Both of these organisms are known to be multi-drug resistant and therefore,their accurate identification and antimicrobial susceptibility testing are necessary prior to the initiation of appropriate therapy.In the world literature till date,only 3 cases of sepsis caused by E.miricola have been reported.We present the first case of E.miricola association with urinary tract infection.展开更多
为探究外膜蛋白A(outer membrane protein A,OmpA)对米尔伊丽莎白菌致病作用的影响,以蛙源米尔伊丽莎白菌FL160902为研究对象,通过同源重组法构建OmpA缺失株△ompA,比较缺失株和野生株的生长特性、生物膜形成能力、抗血清杀伤能力、对...为探究外膜蛋白A(outer membrane protein A,OmpA)对米尔伊丽莎白菌致病作用的影响,以蛙源米尔伊丽莎白菌FL160902为研究对象,通过同源重组法构建OmpA缺失株△ompA,比较缺失株和野生株的生长特性、生物膜形成能力、抗血清杀伤能力、对细胞的黏附能力以及对蛙的致病性差异。结果显示:△ompA的生长能力和抗血清杀伤能力与野生株无显著差异;但与野生株相比,△ompA的生物膜形成能力增加了66%,△ompA对bEnd.3细胞的黏附能力降低了61%;黑斑蛙感染试验显示,△ompA在黑斑蛙血液、脾和脑组织中的载菌量分别为(3.15×10^(8)±0.09×10^(8))、(2.11×10^(8)±0.07×10^(8))和(6.61×10^(8)±0.16×10^(8))copies/g,均显著低于野生株,且△ompA对黑斑蛙的致死率为37%,显著低于野生株的致死率(75%)。上述结果表明,ompA基因缺失不改变米尔伊丽莎白菌的抗血清杀伤能力,但增加了菌株的生物膜形成能力,减弱了菌株的黏附能力,从而降低了该菌对蛙的致病性。展开更多
文摘BACKGROUND Elizabethkingia miricola is a non-fermenting gram-negative bacterium,which was first isolated from the condensate of the Russian peace space station in 2003.Most studies on this bacterium have been carried out in the laboratory,and clinical case studies are rare.To date,a total of 6 clinical cases have been reported worldwide.CASE SUMMARY We present the first case of postoperative pulmonary infection in a patient with intracerebral hemorrhage due to Elizabethkingia miricola.The imaging character-istics of pulmonary infection were identified and the formulation and selection of the clinical treatment plan for this patient are discussed.CONCLUSION Elizabethkingia miricola infection is rare.When pulmonary infection occurs,computed tomography imaging may show diffuse distribution of a ground glass density shadow in both lungs,the air containing bronchial sign in local areas,thickening of bronchial vascular bundle,and pleural effusion.
文摘Objective:To investigate the clinical and epidemiological features and outcome of Chryseobacterium and Elizabethkingia spp.infections in children,together with antimicrobial susceptibilities.Methods:This retrospective study was conducted at a tertiary pediatric hospital in Turkey.All patients infected with Chryseobacterium/Elizabethkingia spp.among those presenting to Ankara City Hospital between March 2014 and March 2022 were included.Results:A total of 49 cases were included and 29 cases were identified as Elizabethkingia.The median age was 14(0.2-185.0)months.The majority(89.8%)of these patients had an underlying disease,including malignancy(42.9%).Bacteremia(46.9%)and central line-associated bloodstream infection(28.6%)were the most common infections.The thirty-day all-cause mortality rate was 12.2%.The most commonly used antibiotics were ciprofloxacin and trimethoprim-sulfamethoxazole(TMP-SMX).Forty-five(91.8%)isolates were susceptible to ciprofloxacin,44(91.6%)to TMP-SMX,and 21(87.5%)to levofloxacin.Conclusions:Chryseobacterium and Elizabethkingia spp.are emergent,nosocomial pathogens and the majority of cases were older than the neonatal period.They were mainly seen in patients with long hospital stays,indwelling devices,and those who have received antibiotics within the last month,especially carbapenems.In addition,they were associated with bloodstream infection and malignancy.The most commonly useful antibiotics according to the resistance patterns were ciprofloxacin and TMP-SMX.
文摘Elizabethkingia miricola(E.miricola) is a gram-negative non-fermentative bacterium which is rarely encountered.It is usually misidentified or considered as a contaminant in routine microbiology laboratories due to the limitations in conventional biochemical techniques.However,with the advent of the matrix-assisted laser desorption ionization time-of-flight mass spectrometry(MALDI-TOFMS),the identification of non-fermenters has become easy and this has led to enhanced understanding of the clinical significance of these uncommonly isolated microorganisms.The genus Elizabethkingia has only two species E.meningoseptica and E.miricola.Both of these organisms are known to be multi-drug resistant and therefore,their accurate identification and antimicrobial susceptibility testing are necessary prior to the initiation of appropriate therapy.In the world literature till date,only 3 cases of sepsis caused by E.miricola have been reported.We present the first case of E.miricola association with urinary tract infection.
文摘为探究外膜蛋白A(outer membrane protein A,OmpA)对米尔伊丽莎白菌致病作用的影响,以蛙源米尔伊丽莎白菌FL160902为研究对象,通过同源重组法构建OmpA缺失株△ompA,比较缺失株和野生株的生长特性、生物膜形成能力、抗血清杀伤能力、对细胞的黏附能力以及对蛙的致病性差异。结果显示:△ompA的生长能力和抗血清杀伤能力与野生株无显著差异;但与野生株相比,△ompA的生物膜形成能力增加了66%,△ompA对bEnd.3细胞的黏附能力降低了61%;黑斑蛙感染试验显示,△ompA在黑斑蛙血液、脾和脑组织中的载菌量分别为(3.15×10^(8)±0.09×10^(8))、(2.11×10^(8)±0.07×10^(8))和(6.61×10^(8)±0.16×10^(8))copies/g,均显著低于野生株,且△ompA对黑斑蛙的致死率为37%,显著低于野生株的致死率(75%)。上述结果表明,ompA基因缺失不改变米尔伊丽莎白菌的抗血清杀伤能力,但增加了菌株的生物膜形成能力,减弱了菌株的黏附能力,从而降低了该菌对蛙的致病性。
