Otsuka Yoshihito, Kawamura Yoshiaki, Koyama Takashi, Iihara Hirotoshi, Ohkusu Kiyofumi, Ezaki Takayuki
Department of Laboratory Medicine, Social Insurance Central General Hospital, Tokyo, Japan.
J Clin Microbiol. 2005 Aug;43(8):3713-7. doi: 10.1128/JCM.43.8.3713-3717.2005.
Five strains of an unknown, multidrug-resistant coryneform, gram-positive rod were isolated from blood, bronchial aspirate, and abscess specimens. Four of the five strains isolated were highly resistant to antimicrobial agents, including beta-lactams, aminoglycosides, macrolides, quinolones, and tetracyclines, except for glycopeptides. In immunocompromised patients, bacteremia associated with this organism was rapidly fatal. This coryneform bacterium was nonmotile, lipophilic, and nonsaccharolytic. Lack of pyrazinamidase activity differentiated this organism from other lipophilic corynebacteria. Chemotaxonomic studies indicated that this multidrug-resistant coryneform bacterium belongs to the genus Corynebacterium. Comparative 16S rRNA gene sequencing and DNA-DNA hybridization analyses revealed that the five isolates were genetically identical and that they represent a new subline within the genus Corynebacterium, for which we propose the designation Corynebacterium resistens sp. nov. The type strain of Corynebacterium resistens is GTC 2026T (SICGH 158T, JCM 12819T, CCUG 50093T).
从血液、支气管吸出物和脓肿标本中分离出五株未知的、耐多药的棒状革兰氏阳性杆菌。分离出的五株菌株中有四株对多种抗菌药物高度耐药,包括β-内酰胺类、氨基糖苷类、大环内酯类、喹诺酮类和四环素类,但对糖肽类药物敏感。在免疫功能低下的患者中,与这种微生物相关的菌血症进展迅速,可导致死亡。这种棒状细菌无运动性、嗜脂性且不分解糖类。缺乏吡嗪酰胺酶活性可将该微生物与其他嗜脂性棒状杆菌区分开来。化学分类学研究表明,这种耐多药的棒状细菌属于棒状杆菌属。比较16S rRNA基因测序和DNA-DNA杂交分析显示,这五株分离株在基因上是相同的,它们代表了棒状杆菌属内的一个新亚系,我们将其命名为抗药棒状杆菌(Corynebacterium resistens sp. nov.)。抗药棒状杆菌的模式菌株是GTC 2026T(SICGH 158T、JCM 12819T、CCUG 50093T)。