Hessian State Laboratory, Department of Veterinary Medicine, Hessisches Landeslabor, Schubertstr. 60, 35392, Giessen, Germany.
Institute of Hygiene and Infectious Diseases of Animals, Justus Liebig University Giessen, Frankfurter Str. 87-89, 35392, Giessen, Germany.
Antonie Van Leeuwenhoek. 2021 Sep;114(9):1361-1371. doi: 10.1007/s10482-021-01605-8. Epub 2021 Jun 25.
Corynebacterium (C.) diphtheriae is one of the two etiological pathogens for human diphtheria with significant morbidity and mortality. Recently, members of its biovar Belfanti have been described as two novel species, C. belfantii and C. rouxii. The most important virulence factor and also the premise to cause diphtheria is the isolate's capacity to encode and express the diphtheria toxin (DT). In contrast to C. ulcerans, which represents a potentially zoonotic pathogen, C. diphtheriae (incl. the novel deduced species) has almost exclusively been found to comprise a human pathogen. We here report three rare cases of C. rouxii isolation from dogs suffering from disseminated poly-bacterial exsudative to purulent dermatitis and a traumatic labial defect, respectively. The isolates were identified as C. diphtheriae based on commercial biochemistry and matrix-assisted laser desorption/ionisation-time of flight mass spectrometry (MALDI-TOF MS) analysis. However, recently described specific spectral peaks were highly similar to spectra of C. rouxii, which was confirmed by whole genome sequencing. Further investigations of the dog isolates for the presence of DT by tox gene qPCR revealed negative results. The findings from this study point out that skin infections in companion animals can be colonized by uncommon and so believed human specific pathogens, thereby resembling the clinical signs of cutaneous diphtheria.
白喉棒状杆菌(C.)是人类白喉的两种病原之一,具有很高的发病率和死亡率。最近,其白喉棒状杆菌生物型的成员被描述为两种新的物种,即 C. belfantii 和 C. rouxii。最重要的毒力因子,也是引起白喉的前提,是该分离株编码和表达白喉毒素(DT)的能力。与代表潜在人畜共患病原的 C. ulcerans 不同,C. 白喉(包括新推断的物种)几乎完全被认为是人类病原体。我们在此报告三例罕见的 C. rouxii 分离株,这些分离株来自患有弥散性多细菌渗出性至化脓性皮炎和创伤性唇裂的狗。根据商业生物化学和基质辅助激光解吸/电离-飞行时间质谱(MALDI-TOF MS)分析,这些分离株被鉴定为 C. 白喉。然而,最近描述的特定光谱峰与 C. rouxii 的光谱非常相似,这通过全基因组测序得到了证实。通过 tox 基因 qPCR 进一步检测狗分离株中 DT 的存在,结果为阴性。本研究的结果表明,伴侣动物的皮肤感染可能被罕见的、被认为是人类特有的病原体定植,从而类似于皮肤白喉的临床症状。