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Int J Infect Dis ; 69: 26-28, 2018 Apr.
Article in English | MEDLINE | ID: mdl-29409979

ABSTRACT

BACKGROUND: To date, at least 50 species of Legionella have been described. These organisms are ubiquitous in nature and have been isolated from diverse ecological environments, including man-made structures such as cooling towers and spas. Legionellae have also been isolated from human and veterinary clinical specimens, and their roles in disease are well-established. This report describes the isolation of a novel Legionella species from a respiratory specimen from a patient with influenza and suspected pulmonary embolus. CASE: A 68-year-old male presented to an Indianapolis-area hospital with pulmonary disease; upon workup, he was found to have influenza A. Bronchoalveolar lavage fluid was also submitted for conventional bacterial culture and Legionella culture. The patient was prescribed a broad-spectrum antibiotic and recovered. RESULTS: A Legionella-like bacterium was isolated on buffered charcoal yeast extract agar, and mass spectrometry and comparative 16S rRNA gene sequencing inconclusively identified the isolate as a Legionella sp. Further analysis of the 16S rRNA gene confirmed the strain to be a new species, related to Legionella hackeliae. Physiochemical and morphological testing were used to confirm the discovery of a novel species, Legionella indianapolisensis sp. nov., type strain SMNF-IS.


Subject(s)
Legionella/classification , Legionella/isolation & purification , Legionellosis/microbiology , Lung Abscess/microbiology , Aged , Anti-Bacterial Agents/therapeutic use , Bronchoalveolar Lavage , Bronchoalveolar Lavage Fluid/microbiology , DNA, Bacterial/genetics , Humans , Indiana , Levofloxacin/therapeutic use , Male , Mass Spectrometry , Phylogeny , RNA, Ribosomal, 16S/genetics , Treatment Outcome
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