Genotypic and phenotypic detection of efflux pump in Rhodococcus equi

The req_39680 gene, associated to a putative efflux system, was detected in 60% (54/90) of R. equi isolates by PCR. The phenotypic expression of efflux mechanism was verified in 20% of the isolates using ethidium bromide. For the first time, the expression of efflux mechanism was demonstrated in R. equi.

Identification of pathogens and virulence profile of Rhodococcus equi and Escherichia coli strains obtained from sand of parks

The identification of pathogens of viral (Rotavirus, Coronavirus), parasitic (Toxocara spp.) and bacterial (Escherichia coli, Salmonella spp., Rhodococcus equi) origin shed in feces, and the virulence profile of R. equi and E. coli isolates were investigated in 200 samples of sand obtained from 40 parks, located in central region of state of Sao Paulo, Brazil, using different diagnostic methods. From 200 samples analyzed, 23 (11.5%) strains of R. equi were isolated. None of the R. equi isolates showed a virulent (vapA gene) or intermediately virulent (vapB gene) profiles. Sixty-three (31.5%) strains of E. coli were identified. The following genes encoding virulence factors were identified in E. coli: eae, bfp, saa, iucD, papGI, sfa and hly. Phylogenetic classification showed that 63 E. coli isolates belonged to groups B1 (52.4%), A (25.4%) and B2 (22.2%). No E. coli serotype O157:H7 was identified. Eggs of Toxocara sp. were found in three parks and genetic material of bovine Coronavirus was identified in one sample of one park. No Salmonella spp. and Rotavirus isolates were identified in the samples of sand. The presence of R. equi, Toxocara sp, bovine Coronavirus and virulent E. coli isolates in the environment of parks indicates that the sanitary conditions of the sand should be improved in order to reduce the risks of fecal transmission of pathogens of zoonotic potential to humans in these places.

Phenotypic and genotypic characterization of Rhodococcus equi isolated from sputum

INTRODUCTION: Rhodococcus equi is an opportunistic pathogen, causing rhodococcosis, a condition that can be confused with tuberculosis. Often, without identifying M. tuberculosis, physicians initiate empiric treatment for tuberculosis. R. equi and M. tuberculosis have different susceptibility to drugs. Identification of R. equi is based on a variety of phenotypic, chromatographic, and genotypic characteristics. OBJECTIVE: This study aimed to characterize bacterial isolates from sputum samples suggestive of R. equi. METHODS: The phenotypic identification included biochemical assays; thin-layer chromatography (TLC) and polymerase chain reaction (PCR) were used for genotypic identification. RESULTS: Among 78 Gram-positive and partially acid-fast bacilli isolated from the sputum of tuberculosis-suspected patients, 51 were phenotypically and genotypically characterized as R. equi based on literature data. Mycolic acid analysis showed that all suspected R. equi had compounds with a retention factor (Rf) between 0.4-0.5. Genotypic characterization indicated the presence of the choE gene 959 bp fragments in 51 isolates CAMP test positive. Twenty-two CAMP test negative isolates were negative for the choE gene. Five isolates presumptively identified as R. equi, CAMP test positive, were choE gene negative, and probably belonged to other bacterial species. CONCLUSIONS: The phenotypic and molecular techniques used constitute a good methodological tool to identify R. equi.

Molecular characterization of Rhodococcus equi isolates of horse breeding farms from an endemic region in South of Brazil by multiplex PCR

Rhodococcus equi is a gram-positive coco-bacillus and an intracellular opportunistic pathogen which causes pneumonia in foals. It is widely detected in environment and has been isolated from several sources, as soil, feces and gut from health and sick foals. The goal of this study was to characterize the epidemiological status (endemic, sporadic or no infection) of horse breeding farms from Bage County in South of Brazil, using a multiplex PCR. One hundred and eighteen R. equi isolates were identified by biochemical tests and submitted to a specie-specific and vapA multiplex PCR. These isolates were obtained from: three farms where the R. equi infection has been noticed, two farms where the disease has been not reported and one farm where the disease is frequent. All clinical isolates from horse breeding farms where the disease is endemic and/or sporadic were vapA-positive. None environmental isolates were vapA-positive. In three horse breeding farms with sporadic R. equi infection, 11.54 percent of the isolates from adult horse feces were vapA-positive. The multiplex PCR technique has proven to be effective for the molecular and epidemiological characterization of the R. equi isolates in horse breeding farms. An important finding in this study was the isolation of vapA-positive R. equi from adult horse feces, which is an evidence for other routes of dissemination of this pathogen in the farms.

Rhodococcus equi é um coco-bacilo gram positivo que causa pneumonia em potros. Trata-se de um patógeno oportunista amplamente detectado no ambiente e isolado de várias fontes, como solo, fezes e intestino de potros doentes e sadios. O presente estudo visa caracterizar a situação epidemiológica de criatórios eqüinos da região de Bagé, RS, Brasil, pela técnica de PCR multiplex. Cento e dezoito isolados de R. equi foram identificados por testes bioquímicos e, posteriormente, submetidos a um PCR multiplex para caracterização da espécie e da presença do gene vapA. Estes isolados eram provenientes de três haras com histórico da doença, dois haras onde não havia casos da doença e uma propriedade onde a infecção por R. equi é relatada frequentemente. Todos os isolados clínicos provenientes de haras onde a doença é endêmica e/ou esporádica foram vapA positivos. Nenhum isolado ambiental foi vapA positivo. Nos três haras onde a doença é esporádica, 11,54 por cento dos isolados de fezes de eqüinos adultos foram positivos para o gene vapA. A técnica de PCR multiplex mostrou-se efetiva para caracterização epidemiológica e molecular dos criatórios equinos, estando de acordo com o histórico da propriedade. Um fato relevante demonstrado pela aplicação desta técnica foi a detecção de R. equi vapA positivo nas fezes de eqüinos adultos. Esta observação pode pressupor que haja outras vias de disseminação da bactéria dentro de uma propriedade.

Bacteremia por Rhodococcus equi em paciente com síndrome da imunodeficiência adquirida: relato de caso / Bacteremia due to Rhodococcus equi in a patient with acquired immunodeficiency syndrome: case report

Rhodococcus equi é um importante agente de infecções zoonóticas, podendo causar sérias infecções em humanos, principalmente em pacientes imunocomprometidos. Neste estudo, nós relatamos o caso de uma bacteremia fatal devido a Rhodococcus equi em paciente com síndrome da imunodeficiência adquirida (HIV positivo).

Rhodococcus equi is an important agent for zoonotic infections, and may cause serious infections in humans, especially immunocompromised patients. In this study, a case of fatal bacteremia due to Rhodococcus equi in a patient with acquired immunodeficiency syndrome (HIV positive) is reported.

Diferenciación de especies de Rhodococcus mediante una prueba de PCR-RFLP basada en los genes codificantes para la subunidad 16S ribosomal / Differentiation of Rhodococcus's species by means of a test of PCR-RFLP based on the genes codificantes for the subunit 16S ribosomal

Dada la dificultad en diferenciar las especies de Rhodococcus por pruebas bioquímicas, se desarrolló unaprueba de Reacción en Cadena de la Polimerasa (PCR), seguida de un ensayo de Polimorfismo de Longitud de Fragmentos de Restricción (PCR-RFLP) para la diferenciación de las mismas. R. equi, R. rhodnii y otrasbacterias fueron cultivadas en agar sangre y BHI a 37 y 26 °C. El ADN bacteriano fue extraído y amplificadocon los iniciadores descritos por Hypsa y Dale. Los productos de amplificación fueron sometidos a digestióncon diversas enzimas de restricción y los patrones de restricción obtenidos fueron confirmados mediante análisis in silico. Se obtuvo el fragmento de amplificación esperado de 1300 pb en todas las bacterias analizadas. Se pudo diferenciar R. equi de R. rhodnii con las endonucleasas PstI y HindIII y con respecto a otrasbacterias con PstI, HindIII, SstI, BamHI y EcoRI. Los patrones de restricción obtenidos fueron confirmadosmediante análisis in silico. La prueba PCR-RFLP constituye una alternativa para la diferenciación entreespecies de Rhodococcus tales como R. equi y R. rhodnii.