Evaluation of Pathogenic Potentialities and Transmissibility of Aerobic and Anaerobic Bacteria in Sexually Transmitted Diseases.

Aims: Sexually transmitted diseases (STDs) caused by various aerobic and anaerobic bacteria have been reported from many developed and developing countries of the world. However, there is limited data available on the association of these pathogens with STDs on the Indian sub-continent. Therefore, the aim of this is to the presence of anaerobic and aerobic bacteria in sexually transmitted infections. Study Design: Patients attending the Department of Dermatology, Venereology & Leprology, Calcutta Medical College & Hospital, suspected to be suffering from STDs, were thoroughly examined and those having typical lesions of chancroid were excluded Original Research Article British Journal of Medicine & Medical Research, 4(27): 4533-4541, 2014 4534 from further work. The prevalence of different aerobic and anaerobic bacteria was determined from among the remaining patients after ruling out cases of chancres. Place and Duration of Study: This work was carried out in the Department of Oral Medicine, R. Ahmed Dental College; Department of Dermatalogy, Venereology & Leprology, Calcutta Medical College and Hospital; Division of Microbiology, Department of Pharmaceutical Technology, Jadavpur University and Department of Microbiology, Herbicure Healthcare Bio-Herbal Research Foundation, Kolkata, for a period of seven months from April 1 to October 31, 2012. Methodology: At least two smears were prepared from the infected ulcers of each of the patients who were not diagnosed as of chancroid. One smear was for dark ground microscopy and the other for Gram’s staining. Confirmation of chancre was by serological testing, while aerobes/anaerobes were identified following standard procedures. Results: The organisms isolated were Staphylococcus aureus, Shigella flexneri, Shigella sonnei, Gardenerella vaginalis, Actinomyces spp, Veillonella purvula, Peptococcus heliotrinreducens, Peptostreptococcus magnus and Peptostreptococcus hydrogenalis. These were subjected to tests for their antibiotic sensitivity pattern which was followed by successful specific therapy. Conclusion: Various Gram positive and Gram negative aerobes and anaerobes were found to be associated with STDs and these were transmissible among homosexual and heterosexual partners.

A Case of Infective Endocarditis Occurred during Treatment for Infectious Spondylitis Accompanied by Peptostreptococcus Anaerobius Bacteremia / 고신대학교의과대학학술지

It is necessary to distinguish between pyogenic and tuberculous spondylitis of infectious spondylitis, if it is pyogenic spondylitis, antimicrobial therapy should be directed against an identified microorganism and clinical assessment should be done at 4 weeks. But if microorganism is a anaerobic bacteria, especially Peptostreptococcus anaerobius, combination antibiotic therapy should be considered bacause it may be a component of mixed infections as a passenger and have abilities to induce abscesses, other bacterial growth as a synergy effect. In addition, echocardiography may be necessary because pyogenic spondylitis is associated with infective endocarditis about 12%. We report a 64-year-old man who was treated for infectious spondylitis accompanied by Peptostreptococcus anaerobius bacteremia, but had to undergo heart surgery because an attack of infective endocarditis with systemic embolism during hospitalization.

A Case of Infective Endocarditis of the Aortic Valve due to <i>Peptostreptococcus </i>spp / 日本心臓血管外科学会雑誌

A 66-year-old man was given a diagnosis of urinary-tract infection and hospitalized for 2 weeks in another hospital in late August 2009. In late October of that year he was transferred to our hospital by ambulance because he was unable to ingest anything orally. Echocardiography showed that a vegetation of about 10 mm in maximum dimension was attached to the aortic valve, causing severe aortic stenosis and regurgitation. The patient's general condition was poor, and sepsis and disseminated intravascular coagulation syndrome developed. The next day, an urgent operation was performed, and an abscess was observed occupying one-third of the aortic valve annulus. The abscess was completely excised and the abscess cavity was covered with an equine pericardium patch. We then performed aortic valve replacement using a bioprosthetic valve followed by tricuspid valve annuloplasty. <i>Peptostreptococcus </i>spp. was detected in a culture of the abscess. Infective endocarditis due to <i>Peptostreptococcus </i>spp. is rare. There has been no recurrence of infection for 7 months postoperatively.

A Case of Brain Abscess due to Parvimonas micra / 대한임상미생물학회지

Parvimonas micra is a non-spore-forming anaerobic gram-positive coccus, widely distributed as normal flora in the skin, vagina and mucosa, and able to cause opportunistic infections, particularly endocarditis and brain abscess following dental manipulations. A 49-year-old woman was hospitalized due to fever and headache. She had been diagnosed with periodontitis at the beginning of fever. A brain abscess was noted in the right temporal lobe on the brain CT, and she was treated with ceftriaxone, isepamicin and metronidazole. In the next day, abscess was aspirated and drained by a surgical procedure. An organism was isolated from an anaerobic culture of the abscess aspirate, and was identified as P. micra by a commercial kit and 16S rRNA sequencing.

Respuesta productiva, fermentación cecal y morbilidad diarreica en conejos alimentados con complementos bacterianos de Clostridium sordellii o Peptostreptococcus tetradius / Productive response, cecal fermentation and diarrheic morbidity in rabbits fed with bacterial supplements of Clostridium sordellii or Peptostreptococcus tetradius

A bacterial strain of Clostridium sordellii and another one of Peptostreptococcus tetradius (isolated in a previous study, from the cecum of fattening rabbits) were evaluated as supplements, administered by means of food aspersion on a commercial feed for weaned fattening white New Zealand rabbits. The study was carried out in a rabbit fattening farm with 60% morbidity and 50% mortality due to unspecific diarrheas. Three experimental groups were formed: the first group was fed normal commercial feed, the second commercial feed inoculated with C. sordellii and the third, inoculated with P. tetradius. Daily weight gain, feed consumption and feed efficacy were evaluated during five weeks, and three tests of apparent digestibility were made. In addition, the mortality and the morbidity caused by unspecific diarrheas during the same period were quantified. After the rabbits were euthanized, total and cellulolytic bacteria concentration, pH and ammonium concentration were measured from samples taken from the cecal appendix, thirteenth cecal loop and colon. The results did not show significant difference (P > 0.05) between the treatments for any of the production variables measured. Statistical differences (P < 0.05) were found in pH and ammonium concentration in the cecal appendix between the group with C. sordellii and the other two groups, while in the thirteenth cecal loop differences were found (P < 0.05) in ammonium concentration between the group with P. tetradius and the other two groups. In regard to total bacteria, differences (P < 0.05) were found at the cecal appendix level between the control group and the one that received P. tetradius, and at the colon level between the group that received P. tetradius and the one that received C. sordelli. C. sordellii supplementation was associated with lower diarrheal morbidity (35%), as compared with that observed in the control group (80%), and that of the group receiving the P. tetradius supplement (80%) (P < 0.05).

Se evaluó una cepa bacteriana de Clostridium sordellii y otra de Peptostreptococcus tetradius (aisladas en un trabajo previo, a partir del ciego de conejos en engorda) como complementos, suministrados mediante aspersión en alimento comercial para conejos Nueva Zelanda, blancos, recién destetados y en etapa de engorda. El trabajo se llevó a cabo en un centro de engorda cunícola en el cual se presentaba morbilidad de 60% y mortalidad de 50% a causa de diarreas inespecíficas. Se crearon tres grupos experimentales: al primero se le proporcionó alimento comercial sin inocular, al segundo se le proporcionó alimento comercial adicionado con C. sordellii y al tercero, adicionado con P. tetradius. Se evaluó ganancia diaria de peso, consumo de alimento y eficiencia alimenticia durante cinco semanas, además se realizaron tres ensayos de digestibilidad aparente. Asimismo, se cuantificó la mortalidad y la morbilidad causada por diarreas inespecíficas durante el periodo señalado. Después del sacrificio de los conejos, se midió la concentración de bacterias totales y celulolíticas, pH y amonio en muestras del apéndice cecal, treceava asa cecal y colon. Los resultados no mostraron diferencia significativa (P > 0.05) entre los tratamientos para ninguna de las variables productivas medidas. Se encontraron diferencias estadísticas (P < 0.05) en el pH y la concentración de amonio a nivel del apéndice cecal entre el grupo al que se le suministró C. sordelliiy los dos grupos restantes, mientras que a nivel de la treceava asa cecal se encontraron diferencias (P < 0.05) en la concentración de amonio entre el grupo que recibió P. tetradius y los otros dos grupos. En lo referente a bacterias totales se encontraron diferencias (P < 0.05) a nivel de apéndice cecal entre el grupo testigo y el que recibió P. tetradius, y a nivel de colón distal entre el grupo que recibió C. sordellii y P. tetradius. La administración de C. sordelli estuvo asociada a una morbilidad diarreica más baja (35%) que la observada en el caso del grupo testigo (80%) y del grupo que recibió complemento de P. tetradius (80%) (P < 0.05).

Trends of Anaerobic Bacteria Isolated from Clinical Specimens / 대한임상병리학회지

BACKGROUND: Anaerobic bacteria constitute a major part of the normal flora of the human skin, mucous membrane and intestinal tract, and can cause various infections. The incidence of anaerobic infections may differ greatly, depending on each country or hospital. METHODS: We evaluated the recent trends of anaerobic bacteria isolated from clinical specimens at Severance Hospital from 1986 to 1995. Specimens were cultured using thioglycollate medium and phenylethanol blood agar (PEBA) for 2-3 days under anaerobic condition. Identification of organism was based on conventional or commercial kit systems. RESULTS: During this period, a total of 2,664 isolates of anaerobic bacteria were obtained from 2,251 clinical specimens. The average number of anaerobes per specimen was 1.2. The frequent sources of isolation were specimens from the abdomen, followed by soft tissue, and head and neck. B. fragilis (46.3%) was the most frequently isolated gram-negative bacilli, and P. magnus (37.6%) and C. perfringens (18.8%) were the most frequently isolated gram-positive anaerobes. Abdominal, soft tissue, and head and neck infections were frequent clinical conditions. Among the anaerobe-positive specimens, only 16.8% yielded anaerobe alone while the remaining 83.2% revealed mixed infection with aerobic bacteria. CONCLUSIONS: It was concluded that B. fragilis is the most common species among gram-negative bacilli, and that P. magnus is the most common among gram-positive cocci. As well, the anaerobes are frequently isolated from specimens of the abdomen, head and neck, and soft tissue; and anaerobic infections are commonly mixed with aerobic bacteria.