Bacteremia due to Moraxella osloensis: a case report and literature review

ABSTRACT Herein we report the case of a 10-year-old boy with an autosomal mosaic mutation who developed bacteremia. The causative agent was identified as Moraxella osloensis by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry and 16S rRNA gene sequencing. In the pediatric population, there have been 13 case reports of infection attributed to M. osloensis and this is the fifth reported case of pediatric bacteremia due to M. osloensis. After Moraxella species infection was confirmed, the patient recovered with appropriate antimicrobial therapy. It is important to consider that M. osloensis can cause serious infections, such as bacteremia, in otherwise healthy children.

Differences in the antimicrobial susceptibility profiles of Moraxella bovis, M. bovoculi and M. ovis

The aim of this study was to determine the differences in the antimicrobial susceptibility profiles of Moraxella bovis, M. bovoculi and M. ovis. Thirty-two strains of Moraxella spp. isolated from cattle and sheep with infectious keratoconjunctivitis were tested via broth microdilution method to determine their susceptibility to ampicillin, cefoperazone, ceftiofur, cloxacillin, enrofloxacin, florfenicol, gentamicin, neomycin, oxytetracycline and penicillin. The results demonstrated that Moraxella spp. strains could be considered sensitive for most of the antimicrobials tested in this study, but differences between the antimicrobial susceptibility profiles of these three Moraxella species were found. M. bovis might differ from other species due to the higher MIC and MBC values it presented.

Moraxella bovoculi em casos de ceratoconjuntivite infecciosa bovina no Rio Grande do Sul / Moraxella bovoculi in cases of infectious bovine keratoconjunctivitis in Rio Grande do Sul, Brazil

A ceratoconjuntivite infecciosa (CI), embora raramente fatal, resulta em perdas econômicas significativas para os rebanhos bovinos e ovinos. Os principais agentes causadores dessa enfermidade são Moraxella bovis e Moraxella ovis. Em 2007 foi descrita uma nova espécie também responsável pela CI e denominada Moraxella bovoculi, que até o presente momento, não havia sido relatada no Brasil. Assim, objetivou-se com este trabalho caracterizar e distinguir 54 isolados de Moraxella spp. de amostras clínicas oriundas de 34 bovinos e 17 ovinos, encaminhadas ao Laboratório de Bacteriologia da Universidade Federal de Santa Maria no período de 1990 a 2011, visando a identificação de M. bovoculi. A distinção dos isolados foi fundamentada nas características genotípicas, pela amplificação parcial da região intergênica 16S-23S e clivagem dos produtos da amplificação com enzima RsaI. Como resultados, 25 (46%) isolados foram caracterizados como M. bovis, 17 (32%) como M. ovis e 12 (22%) como M. bovoculi. Logo, conclui-se que M. bovoculi encontra-se presente no rebanho bovino do Rio Grande do Sul e, portanto, no Brasil.

Infectious keratoconjunctivitis (IK), although rarely fatal, results in significant economic losses for cattle and sheep farmers. The main causative agents of this disorder are Moraxella bovis and Moraxella ovis. In 2007, a new species also responsible for IK was described. This newly described pathogen, called Moraxella bovoculi, was never reported in Brazil. Therefore, the aim of this study was confirmed the M. bovoculi among the samples analyzed. For this, 54 isolates of Moraxella spp. from clinical samples derived from 34 cattle and 18 sheep, sent to the laboratory of bacteriology from 1991 to 2011 was characterized. Differentiation among the species was based on genotypic characteristics, using partial amplification of 16S-23S intergenic region and cleavage products of amplification with enzyme RsaI. Results showed that 25 isolates (46%) were characterized as M. bovis, 17 (32%) as M. ovis, and 12 (22%) as M. bovoculi. This means that M. bovoculi is present among cattle herds in Rio Grande do Sul and, therefore, in Brazil.

Oligella urethralis isolada em hemocultura de paciente internada no complexo HSP/UNIFESP / Oligella urethralis isolated in hemoculture from patient interned in HSP-UNIFESP complex

Primeiro isolado de Oligella urethralis em duas amostras de sangue periférico detectado por metodologia de monitoração contínua de metabolismo (sistema Bactec®) e identificado pelo sistema automatizado Phoenix® (BD System) em paciente com linfoma retroperitoneal com metástase em sistema nervoso central (SNC) no Hospital São Paulo da Universidade Federal de São Paulo (HSP/UNIFESP).

First time isolation of Oligella urethralis in two samples of peripheral blood detected by continuous metabolism monitoring methodology (Bactec 61650 system) and identified by the automatized Phoenix 61650 system (BD System) in patient with retro-peritoneal lymphoma with metastasis in the central nervous system at São Paulo hospital of Federal University of São Paulo (HSP/UNIFESP).

Tonsillar microbial flora: a comparison of infected and non-infected tonsils.

OBJECTIVE: The main objective of this study was to find out the most common organism affecting the tonsils in recurrent tonsillitis. METHODOLOGY: This was a prospective study consisting of total number of 50 patients, conducted in the ENT department of Dhulikhel Hospital, KUTH, Dhulikhel, Nepal. The study period was one year and three months (March 2004 to April 2005). RESULTS: Total numbers of 50 patients were selected, of which 32 were of acute tonsillitis and 18 were taken as control. Among these males were 32 and females were 18. The age group was from 3 years to 64 years. Throat swabs of patients were taken by aseptic method and were sent to the laboratory immediately. Among the infected tonsils the most common organism was Streptococcus viridans followed by Streptococcus pneumoniae and Moraxella catarrhalis. The third most common was Beta haemolytic streptococci whereas Micrococcus was not isolated in any of the infected samples. Likewise in non-infected tonsils, the most common organism isolated was again Streptococcus viridans followed by Micrococcus and Diptheroids. In these specimen no Beta haemolytic streptococci was isolated from the control group. CONCLUSION: Thus, the study is able to put forward the fact that most common organism affecting the tonsils in infected as well as non- infected state is Streptococcus viridans. Where as Beta haemolytic streptococci was not found in non-infected tonsils, likewise Micrococcus was not found in infected tonsils.

Instantánea bacteriológica de la otitis media con efusión aguda / Bacteriological instant of the otitis media with acute effusion

Otitis Media es uno de los diagnósticos más frecuentes en los niños que consultan al pediatra. La Otitis Media con Efusión Aguda (OMEA) es un cuadro frecuente en los niños y su tratamiento adecuado es muy importante. Se estudió durante las temporadas de invierno de los años 1989 y 1990 la bacteriología de la OMEA en 27 niños de 3 meses a 12 años de edad en consulta ambulatoria. Se efectúa timpanocentesis bajo anestesia general en pabellón y se toma muestra de la efusión del oído medio. Se obtuvo cultivo positivo en el 77,8%de los pacientes. Los gérmenes aislados se distribuyeron con la siguiente frecuencia: Streptococo pneumoniae 25,9%, Haemophilus influenzae 18,5%, Moraxella catarrhalis 11,1%, Corynebacteium sp. 7,4%, Psudomonas maltophilia 3,7%y cultivos negativos 22,0%. No se aislaron bacterias anaerobias. Se demuestra la existencia de gérmenes que, en frecuencia, concuerdan con los informados en publicaciones extranjeras, y la aparición de la Moraxella catarrhalis como un germen importante en la etiología de la Otitis Media Aguda

Microorganismos patogenos de hallazgo poco comun en infectologia / Pathogenic microorganisms not frecuently found in infectology

Se estudiaron los microorganismos de identificacion dificil referidos al laboratorio de bacteriologia del Instituto Nacional de Salud por 5 Instituciones. En 70 casos fue posible obtener una identificacion completa y responsabilizar al microorganismo aislado como agente etiologico de un cuadro clinico. Se trataba de 28 cuadros de septicemia, 26 de meningitis, 4 respiratorios, 7 genitourinarios y 6 varios que incluyeron heridas, abcesos, y conjuntivitis. Los identificados fueron: Serratia en el 38%, Acinetobacter en el 21.4%, Moraxella en el 10%, Alcaligenes en el 8.7%, Aeromonas en el 7.2%, Listeria en el 5.7%, Estreptobacilos en el 4.3% Corynebacterium en el 4.3%, Achromabacter, Cardiobacterium y los grupos M3 y M4 aparece cada uno con el 1.4% constituyendose en verdaderas curiosidades biologicas