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1.
Int J Syst Evol Microbiol ; 70(9): 5001-5011, 2020 Sep.
Article in English | MEDLINE | ID: mdl-32783807

ABSTRACT

Kiritimatiellaeota is widespread and ecologically important in various anoxic environments. However, the portion of culturable bacteria within this phylum is quite low and, in fact, there is only one currently described species. In this study, a novel anaerobic, non-motile, coccoid, Gram-stain-negative bacterial strain, designated S-5007T, was isolated from surface marine sediment. The 16S rRNA gene sequence was found to have very low 16S rRNA gene sequence similarity to the nearest known type strain, Kiritimatiella glycovorans L21-Fru-ABT (84.9 %). The taxonomic position of the novel isolate was investigated using a polyphasic approach and comparative genomic analysis. Phylogenetic analyses based on 16S rRNA genes and genomes indicated that strain S-5007T branched within the radiation of the phylum Kiritimatiellaeota. Different from the type strain, strain S-5007T can grow under microaerobic conditions, and the genomes of strain S-5007T and the other strains in its branch have many more antioxidant-related genes. Meanwhile, other different metabolic features deduced from genome analysis supported the separate evolution of the proposed class (strain S-5007T branch) and K. glycovorans L21-Fru-ABT. Based on phylogenetic and phenotypic characterization studies, Tichowtungia aerotolerans gen. nov., sp. nov. is proposed with S-5007T (=MCCC 1H00402T=KCTC 15876T) as the type strain, as the first representative of novel taxa, Tichowtungiales ord. nov., Tichowtungiaceae fam. nov. in Tichowtungiia class. nov.


Subject(s)
Geologic Sediments/microbiology , Gram-Negative Anaerobic Cocci/classification , Phylogeny , Bacterial Typing Techniques , Base Composition , China , DNA, Bacterial/genetics , Fatty Acids/chemistry , Gram-Negative Anaerobic Cocci/isolation & purification , RNA, Ribosomal, 16S/genetics , Sequence Analysis, DNA
4.
J Gen Appl Microbiol ; 55(4): 267-75, 2009 Aug.
Article in English | MEDLINE | ID: mdl-19700920

ABSTRACT

Three strains, FYK2301M01(T), FYK2301M18 and FYK2301M52, all being Gram-negative, spherical, motile and facultatively anaerobic, were isolated from a marine alga (Porphyra sp.) collected on Mikura Island, Japan. Colonies of the strains were circular and pink-pigmented on Marine Agar 2216 (Difco) at 25 degrees C. Cells of the strains reproduced by binary fission. The G+C content of the DNA was 73 mol%. The major isoprenoid quinone was MK-6. Phylogenetic analysis based on 16S rRNA gene sequences indicated that the strains are the members of the WPS-1 group (Nogales et al., 2001) comprising no validly described taxa within the phylum Planctomycetes. The highest similarity value of the 16S rRNA gene sequences of the strains to those in the established bacterial taxa was only 78.7% to Planctomyces brasiliensis DSM 5305(T). From the taxonomic data obtained in this study, it is proposed that the new marine isolates be placed in a novel genus and species named Phycisphaera mikurensis gen. nov., sp. nov. within a new family, order and class Phycisphaeraceae fam. nov., Phycisphaerales ord. nov. and Phycisphaerae classis nov. in the phylum Planctomycetes. The type strain of Phycisphaera mikurensis is FYK2301M01(T) (= NBRC 102666(T) = KCTC 22515(T)).


Subject(s)
Gram-Negative Anaerobic Cocci/classification , Gram-Negative Anaerobic Cocci/isolation & purification , Porphyra/microbiology , Water Microbiology , Base Composition , DNA, Bacterial/analysis , DNA, Bacterial/genetics , Gram-Negative Anaerobic Cocci/genetics , Gram-Negative Anaerobic Cocci/ultrastructure , Japan , Microscopy, Electron, Transmission , Molecular Sequence Data , Phylogeny , RNA, Ribosomal, 16S/analysis , RNA, Ribosomal, 16S/genetics , Sequence Analysis, DNA , Species Specificity
5.
An. med. interna (Madr., 1983) ; 25(5): 226-228, mayo 2008. tab
Article in Es | IBECS | ID: ibc-66832

ABSTRACT

Describimos dos nuevos casos de endocarditis por Peptostreptococcus, uno de ellos sobre válvula protésica y causado por P. micros, y otro caso de endocarditis tricuspídea por P. assacharolyticus en un paciente ADVP. Revisamos los 9 casos previamente publicados en la literatura de endocarditis causada por anaerobios del género Peptostreptococcus


We describe two new cases of Peptostreptococcus endocarditis, one case of Peptostreptococcus micros prosthetic valve endocarditis and the other of Peptostreptococcus assaccharolyticus tricuspid native valve endocarditis in an intravenous drug user (IDU) patient and review nine cases previously reported


Subject(s)
Humans , Male , Female , Middle Aged , Adult , Endocarditis/diagnosis , Endocarditis/epidemiology , Peptostreptococcus/isolation & purification , Peptostreptococcus/pathogenicity , Penicillins/therapeutic use , Aneurysm, Infected/complications , Aneurysm, Infected/diagnosis , Endocarditis/pathology , Mitral Valve/abnormalities , Mitral Valve/pathology , Mitral Valve Insufficiency/complications , Esophagus/pathology , Esophagus , Gram-Negative Anaerobic Cocci/isolation & purification , Endocarditis/complications , Endocarditis, Bacterial/complications
6.
Clinics (Sao Paulo) ; 62(1): 47-54, 2007 Feb.
Article in English | MEDLINE | ID: mdl-17334549

ABSTRACT

PURPOSE: The aim of this study was to standardize the methods of sample collection of mucus from the digestive tract and to determine the microbiota in healthy volunteers from Brazil, collecting samples from the mouth, esophagus, stomach, duodenum, jejunum, ileum, colon, and rectum. METHODS: Microbiota of selected healthy volunteers from the oral cavity (n=10), the esophagus (n=10), the upper digestive tract (n=20), and the lower digestive tract (n=24) were evaluated through distinct collection methods. Collection methods took into account the different sites, using basic scraping and swabbing techniques, stimulated saliva from the oral cavity, irrigation-aspiration with sterile catheters especially designed for the esophagus, a probe especially designed for upper digestive tract, and a special catheter for the lower digestive tract. RESULTS: (i) Mixed microbiota were identified in the oral cavity, predominantly Gram-positive aerobic and anaerobic cocci; (ii) transitional flora mainly in the esophagus; (iii) Veillonella sp, Lactobacillus sp, and Clostridium sp in the stomach and duodenum; (iv) in the jejunum and upper ileum, we observed Bacteroides sp, Proteus sp, and Staphylococcus sp, in addition to Veillonella sp; (v) in the colon, the presence of "nonpathogenic" anaerobic bacteria Veillonella sp (average 10(5) UFC) indicates the existence of a low oxidation-reduction potential environment, which suggests the possibility of adoption of these bacteria as biological markers of total digestive tract health. CONCLUSIONS: The collection methods were efficient in obtaining adequate samples from each segment of the total digestive tract to reveal the normal microbiota. These procedures are safe and easily reproducible for microbiological studies.


Subject(s)
Bacteria, Aerobic/isolation & purification , Bacteria, Anaerobic/isolation & purification , Gastrointestinal Tract/microbiology , Specimen Handling/standards , Adult , Chi-Square Distribution , Colon/microbiology , Colony Count, Microbial/methods , Female , Gram-Negative Anaerobic Cocci/isolation & purification , Humans , Ileum/microbiology , Male , Middle Aged , Rectum/microbiology , Saliva/microbiology , Specimen Handling/methods , Statistics, Nonparametric
7.
Clinics ; 62(1): 47-54, Feb. 2007. ilus, tab
Article in English | LILACS | ID: lil-441825

ABSTRACT

PURPOSE: The aim of this study was to standardize the methods of sample collection of mucus from the digestive tract and to determine the microbiota in healthy volunteers from Brazil, collecting samples from the mouth, esophagus, stomach, duodenum, jejunum, ileum, colon, and rectum. METHODS: Microbiota of selected healthy volunteers from the oral cavity (n=10), the esophagus (n=10), the upper digestive tract (n=20), and the lower digestive tract (n=24) were evaluated through distinct collection methods. Collection methods took into account the different sites, using basic scraping and swabbing techniques, stimulated saliva from the oral cavity, irrigation-aspiration with sterile catheters especially designed for the esophagus, a probe especially designed for upper digestive tract, and a special catheter for the lower digestive tract. RESULTS: (i) Mixed microbiota were identified in the oral cavity, predominantly Gram-positive aerobic and anaerobic cocci; (ii) transitional flora mainly in the esophagus; (iii) Veillonella sp, Lactobacillus sp, and Clostridium sp in the stomach and duodenum; (iv) in the jejunum and upper ileum, we observed Bacteroides sp, Proteus sp, and Staphylococcus sp, in addition to Veillonella sp; (v) in the colon, the presence of "nonpathogenic" anaerobic bacteria Veillonella sp (average 10(5) UFC) indicates the existence of a low oxidation-reduction potential environment, which suggests the possibility of adoption of these bacteria as biological markers of total digestive tract health. CONCLUSIONS: The collection methods were efficient in obtaining adequate samples from each segment of the total digestive tract to reveal the normal microbiota. These procedures are safe and easily reproducible for microbiological studies.


OBJETIVO: Padronizar os métodos de coleta do muco do trato digestivo e determinar a microbiota, em voluntários saudáveis no Brasil, coletando amostras da boca, esôfago, estômago, duodeno, jejunos e íleo, cólons e reto. MÉTODOS: A microbiota de voluntários saudáveis foi avaliada através de diferentes métodos de coleta: cavidade oral (n=10 voluntários), do esôfago (n=10), do trato digestivo alto (n=20) e do trato digestivo baixo (n=24). Métodos de coleta foram adotados em cada sítio restrito, usando derramar saliva, técnica de esfregar a mucosa e saliva estimulada da cavidade oral, irrigação-aspiração, cateteres específicos designados para o esôfago, sonda especial para o trato digestivo alto e cateteres especiais para o trato digestivo baixo. RESULTADOS: Identificados: (i) na cavidade oral, microbiota mista, predominando cocos aeróbios e anaeróbios Gram positivos; (ii) no esôfago, flora transitória; (iii) no estômago e duodeno, Veillonella sp, Lactobacillus sp and Clostridium sp; (iv) no jejuno e íleo proximal, Bacteróides sp, Proteus sp and Staphilococcus sp, além da Veillonella sp ; (v) no colon, foi revelada a presença "não patogênica" da bactéria anaeróbica Veillonella sp numa concentração média de 10(5) unidades formadoras de colônia, indicando um meio de baixo potencial de oxido-redução e a possibilidade de se conceituar esta bactéria como um marcador biológico do trato digestivo total em sadios. CONCLUSÃO: Estes métodos de coleta foram considerados eficientes para obtenção adequada de amostra em cada segmento do trato digestivo total para caracterizar a microbiota normal. Estes procedimentos são seguros e facilmente reprodutível para estudo microbiológico.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Bacteria, Aerobic/isolation & purification , Bacteria, Anaerobic/isolation & purification , Gastrointestinal Tract/microbiology , Specimen Handling/standards , Chi-Square Distribution , Colon/microbiology , Colony Count, Microbial/methods , Gram-Negative Anaerobic Cocci/isolation & purification , Ileum/microbiology , Rectum/microbiology , Statistics, Nonparametric , Saliva/microbiology , Specimen Handling/methods
8.
Int J Syst Evol Microbiol ; 53(Pt 1): 211-215, 2003 Jan.
Article in English | MEDLINE | ID: mdl-12656175

ABSTRACT

A novel strictly anaerobic, cellobiose-degrading bacterium, strain CelloT, was isolated from a human faecal sample by combining enrichments in liquid and soft-agar basal media. A noteworthy characteristic was its inability to grow on normal agar plates and in roll tubes. The cells were coccus shaped and non-motile, with an extracellular slime layer. Growth of strain CelloT occurred between 20 and 40degrees C, with optimal growth at 37 degrees C. The pH range for growth was 5-7.5 with an optimum at 6.5. In pure culture, strain CelloT could only grow on a variety of sugars. Glucose was converted to acetate, ethanol and H2. The doubling time on glucose was 0.5 h. In a syntrophic co-culture with Methanospirillum hungatei strain JF-1T, strain CelloT converted glucose to acetate and H2. The G+C content was 59.2 mol%. 16S rDNA analysis revealed that the closest relatives of strain CelloT were two uncultured bacteria from anaerobic digesters, both with 94% 16S rDNA sequence similarity. The closest cultured representatives belong to genera of the bacterial division 'Verrucomicrobia'. The name Victivallis vadensis gen. nov., sp. nov. is proposed for strain CelloT (=DSM 14823T =ATCC BAA-548T).


Subject(s)
Gram-Negative Anaerobic Cocci/classification , Gram-Negative Anaerobic Cocci/metabolism , Base Composition , Carbohydrate Metabolism , Cellobiose/metabolism , DNA, Bacterial/chemistry , DNA, Bacterial/genetics , DNA, Ribosomal/genetics , Feces/microbiology , Fermentation , Gram-Negative Anaerobic Cocci/genetics , Gram-Negative Anaerobic Cocci/isolation & purification , Humans , Molecular Sequence Data , Phylogeny , RNA, Bacterial/genetics , RNA, Ribosomal, 16S/genetics
9.
Can J Microbiol ; 45(3): 235-41, 1999 Mar.
Article in English | MEDLINE | ID: mdl-10408096

ABSTRACT

A methanogenic consortium was used to degrade phenol and ortho- (o-) cresol from a specific effluent of a petrochemical refinery. This effluent did not meet the local environmental regulations for phenolic compounds (178 mg/L), oils and greases (61 mg/L), ammoniacal nitrogen (75 mg/L) or sulfides (3.2 mg/L). The consortium, which degrades phenol via its carboxylation to benzoic acid, was progressively adapted to the effluent. Despite the very high effluent toxicity (EC50 of 2% with Microtox), the adapted consortium degraded 97% of 156 mg/L phenol in the supplemented effluent after 13 days in batch cultures (serum bottle). The addition of proteose peptone to the effluent is essential for phenol degradation. o-cresol was also transformed but not meta- or para-cresols. A continuous flow fixed-film anaerobic bioreactor was developed with the consortium. Treating the effluent with the bioreactor reduced phenol and phenolic compounds concentrations by 97 and 83%, respectively, for a hydraulic residence time of 6 h. This treatment also reduced by about half the effluent toxicity. Oils and greases and ammoniacal nitrogen were not affected. Similar microbiological forms were observed in serum bottles and in the bioreactors with or without the petrochemical effluent. These results indicate that this methanogenic consortium can treat efficiently the phenolic compounds in this specific petrochemical effluent.


Subject(s)
Bacteria, Anaerobic/metabolism , Bioreactors/microbiology , Euryarchaeota/metabolism , Phenols/metabolism , Biodegradation, Environmental , Gram-Negative Anaerobic Cocci/isolation & purification , Gram-Positive Rods/isolation & purification , Peptones , Time Factors
10.
J Clin Microbiol ; 36(6): 1756-60, 1998 Jun.
Article in English | MEDLINE | ID: mdl-9620414

ABSTRACT

Lautropia mirabilis, a pleomorphic, motile, gram-negative coccus, has been isolated from the oral cavities of 32 of 60 (53.3%) children infected with human immunodeficiency virus (HIV) and 3 of 25 (12.0%) HIV-uninfected controls; the association of L. mirabilis isolation with HIV infection is significant (P < 0.001). All children in the study, both HIV-infected children and controls, were born to HIV-infected mothers. The presence of this bacterium was not associated with clinical disease in these children. The HIV-infected children with L. mirabilis did not differ from the HIV-infected children without L. mirabilis in immunological status, clinical status, or systemic medications. The role of HIV infection itself or concomitant factors in the establishment of L. mirabilis in the oral cavity remains to be elucidated.


Subject(s)
Gingiva/microbiology , Gram-Negative Anaerobic Cocci/isolation & purification , Gram-Negative Bacterial Infections/complications , HIV Infections/complications , Mouth Mucosa/microbiology , Child , Child, Preschool , Female , Gram-Negative Anaerobic Cocci/classification , Gram-Negative Anaerobic Cocci/growth & development , Gram-Negative Anaerobic Cocci/ultrastructure , Gram-Negative Bacterial Infections/microbiology , Humans , Infant , Infant, Newborn , Male , Microscopy, Electron
11.
J Clin Microbiol ; 35(4): 1024-6, 1997 Apr.
Article in English | MEDLINE | ID: mdl-9157124

ABSTRACT

An aggregate-forming coccus, isolated twice as the predominant microorganism in sputa from a cystic fibrosis patient on consecutive days, was shown to belong to the species Lautropia mirabilis on the bases of similarities of 16S rRNA gene sequences and phenotype. These isolates of L. mirabilis appear to be the first reported from a patient with cystic fibrosis and outside of Denmark.


Subject(s)
Cystic Fibrosis/microbiology , Gram-Negative Anaerobic Cocci/isolation & purification , Sputum/microbiology , Adult , Female , Humans , Molecular Sequence Data
12.
Br J Biomed Sci ; 53(4): 294-301, 1996 Dec.
Article in English | MEDLINE | ID: mdl-9069108

ABSTRACT

The current knowledge is reviewed concerning the anaerobic cocci, in particular those of clinical relevance. The anaerobic cocci are defined and their current taxonomic positions discussed. It is clear that new genera and species await to be characterised fully. The overwhelming majority found in clinical material belong to the genus Peptostreptococcus, with the remainder belonging to the veillonellae and, possibly, ruminococci. Human infections with other anaerobic cocci are extremely rare. Their morphology, metabolism and culture, and role in clinical infections are assessed. The methods for isolation and identification, which for some species are difficult, are presented, together with brief summaries of the clinically important species. The review concludes with the current status of antibiotic susceptibilities and the methods used to test susceptibility in vitro. There is no current consensus as to which susceptibility test method is the method of choice.


Subject(s)
Gram-Negative Anaerobic Cocci/classification , Gram-Positive Cocci/classification , Gram-Negative Anaerobic Cocci/isolation & purification , Gram-Negative Anaerobic Cocci/pathogenicity , Gram-Positive Cocci/isolation & purification , Gram-Positive Cocci/pathogenicity , Humans , Microbial Sensitivity Tests , Peptostreptococcus/classification
13.
Rev. microbiol ; 2: 213-7, out.-dez. 1996. ilus
Article in English | LILACS | ID: lil-213031

ABSTRACT

Fusarium moniliforme, fitopatógeno cosmopolita de milho, é responsável pela produçäo de micotoxina recentemente descoberta, denominada fumonisima. Com a finalidade de avaliar a inibiçäo de F. moniliforme, 34 antagonistas isolados de 60 amostras de solo e de 20 amostras de milho foram testados contra F. moniliforme 113F, produtor de fumonisina. O extrato bruto foi preparado com a cultura de microrganismos selecionados em caldo infuso de cérebro e coraçäo (BHI) e concentrados, adicionando-se etanol na proporçäo 1:1. A presença de organismos inibidores de F.moniliforme ocorreu em 29 amostras de solo, obtendo-se 36 microrganismos antagonistas. Referente ao milho, 15 amostras apresentaram microrganismos inibidores, permitindo o isolamento de 15 antagonistas. A caracterizaçäo destes 51 isolados demonstrou que 5 consistiram de leveduras, 3 cocos Gram-positivos , 3 cocos Gram-negativos e 40 bacilos Gram positivos, destacando-se a predominância do último grupo. Todos os 51 isolados


Subject(s)
Gram-Positive Cocci/isolation & purification , Zea mays/microbiology , Fusarium/isolation & purification , Mycotoxins/antagonists & inhibitors , Gram-Negative Anaerobic Cocci/isolation & purification
14.
J Periodontol ; 66(2): 113-24, 1995 Feb.
Article in English | MEDLINE | ID: mdl-7537328

ABSTRACT

This study concerns the apical border (AB) plaque in relation to severe forms of periodontitis (SP), including juvenile, post-juvenile, and rapidly progressing periodontitis. Twenty-four (24) teeth from 16 patients with SP were examined by transmission electron microscopy (TEM). The AB was not discrete, with islands of bacteria in the so-called plaque-free zone (PFZ). Coronal to the AB the established plaque consisted of a layer of Gram-positive cocci and ghost cells and a superficial layer mainly of Gram-negative morphotypes, including cocci, rods, filaments, fusiforms, and spirochetes. The most apical apparently intact organisms in the PFZ were in bacterial islands or in isolation and were predominantly Gram-negative cocci and rods, with ghost cells in abundance. Ruthenium red, alcian blue-lanthanum nitrate, and safranin O were used to label matrix polyanionic macromolecules, and periodic acid (thiosemicarbazide) silver proteinate for intracellular polysaccharide (IPS). The matrix components were mainly fibrillar. Many intact bacteria exhibited extracellular polysaccharides or glycocalyces associated with their cell wall, and cytoplasmic IPS granules. The latter varied in distribution and were evident even in the most apically advanced intact microorganisms. The results indicate that IPS and some matrix features of the apical border plaque in severe periodontitis in certain aspects resemble those of sub-contact area plaque on children's teeth, in health or associated with early chronic gingivitis, and with those in chronic adult periodontitis. They also suggest the establishment of acidic regions in the microniche at the bottom of the periodontal pocket in the various forms of periodontitis differing in rate of progression. It was concluded that there was a limited range of intact bacterial morphotypes in the apical border plaque in severe periodontitis, similar to those in chronic adult periodontitis.


Subject(s)
Dental Plaque/ultrastructure , Periodontitis/microbiology , Adolescent , Adult , Aggressive Periodontitis/microbiology , Colony Count, Microbial , Dental Cementum/microbiology , Dental Cementum/ultrastructure , Dental Plaque/metabolism , Female , Glycoproteins/metabolism , Gram-Negative Anaerobic Cocci/isolation & purification , Gram-Negative Anaerobic Cocci/metabolism , Gram-Positive Cocci/isolation & purification , Gram-Positive Cocci/metabolism , Gram-Positive Rods/isolation & purification , Gram-Positive Rods/metabolism , Humans , Male , Microscopy, Electron , Middle Aged , Periodontal Pocket/microbiology , Polysaccharides/metabolism , Polysaccharides, Bacterial/biosynthesis , Spirochaetales/isolation & purification , Staining and Labeling
15.
Microbiology (Reading) ; 140 ( Pt 7): 1787-97, 1994 Jul.
Article in English | MEDLINE | ID: mdl-8075812

ABSTRACT

An organism that seems to be identical to Orskov's 'Sarcina mirabilis' [Orskov, J. (1930) Acta Pathol Microbiol Scand Suppl III, 519-541] has been rediscovered in specimens from the upper respiratory tract of humans. Six strains were studied, and the results, which conformed to Orskov's description of S. mirabilis, were as follows. Rough to smooth colonies grow on many plated media and show extremely polymorphic cell morphology with round cells with diameters from 1 to > 10 microns. The smallest cells were often motile with circular movements. Strains were Gram-negative, facultatively anaerobic, oxidase and urease positive, and weakly catalase positive. Nitrate and nitrite were reduced, and glucose, fructose, sucrose and mannitol were fermented. Polysaccharide was produced on sucrose agar. Electron microscopy showed coccoid cells with a bundle of three to nine flagella, a Gram-negative cell-wall morphology, and aggregates of irregular cells held together by a common surface layer. The mean mol% (G+C) of the organisms was 65.0. 16S-ribosomal RNA sequencing revealed that the organism belongs to the beta subgroup of Proteobacteria, separate from all other described genera, but most closely related to Burkholderia. The name Lautropia mirabilis is proposed for this organism.


Subject(s)
Gram-Negative Anaerobic Cocci/classification , Gram-Negative Anaerobic Cocci/isolation & purification , Mouth/microbiology , Bacterial Typing Techniques , Cell Division , Cell Movement , Gram-Negative Anaerobic Cocci/genetics , Gram-Negative Anaerobic Cocci/ultrastructure , Humans , Microbial Sensitivity Tests , Molecular Sequence Data , Phylogeny , Polymerase Chain Reaction , RNA, Ribosomal, 16S/genetics , Sequence Analysis, DNA
16.
Otolaryngol Clin North Am ; 26(4): 549-59, 1993 Aug.
Article in English | MEDLINE | ID: mdl-8414527

ABSTRACT

This article provides an overview of the antimicrobial agents most commonly employed against the bacteria that cause infections in the ear, nose, throat, head, and neck. Because new bacterial resistances appear so regularly, as do new antibiotics, the reader is encouraged to supplement the information provided within this article with current information from the available literature. Specific treatment strategies for both acute and chronic sinusitis also are reviewed.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Bacterial Infections/drug therapy , Paranasal Sinus Diseases/microbiology , Sinusitis/drug therapy , Anti-Bacterial Agents/classification , Anti-Bacterial Agents/pharmacology , Bacterial Infections/microbiology , Drug Resistance, Microbial , Female , Gram-Negative Anaerobic Cocci/classification , Gram-Negative Anaerobic Cocci/drug effects , Gram-Negative Anaerobic Cocci/isolation & purification , Humans , Male , Otorhinolaryngologic Diseases/drug therapy , Otorhinolaryngologic Diseases/microbiology , Paranasal Sinus Diseases/drug therapy , Sinusitis/microbiology , Streptococcus pneumoniae/drug effects , Streptococcus pneumoniae/isolation & purification , Streptococcus pyogenes/drug effects , Streptococcus pyogenes/isolation & purification
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