Emergence of Respiratory Streptococcus agalactiae Isolates in Cystic Fibrosis Patients 英文参考文献.docVIP
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Emergence of Respiratory Streptococcus agalactiae Isolates in Cystic Fibrosis Patients 英文参考文献
EmergenceofRespiratoryStreptococcusagalactiae
IsolatesinCysticFibrosisPatients
VeraEickel1,BarbaraKahl2,BeatriceReinisch1,AngelikaDu¨bbers3,PeterKu¨ster4,ClaudiaBrandt5,
BarbaraSpellerberg1*
1Institute of Med. Microbiology and Hygiene University of Ulm, Ulm, Germany, 2Institute of Med. Microbiology, University Clinic Mu¨nster, Mu¨nster, Germany,
3Department of Pediatrics, University Clinic Muenster, Muenster, Germany, 4Department of Pediatrics, Clemenshospital Muenster, Muenster, Germany, 5Institute of
MedicalMicrobiologyUniversityHospitalFrankfurt,Frankfurt,Germany
Abstract
Streptococcus agalactiae is a well-known pathogen for neonates and immunocompromized adults. Beyond the neonatal
period, S. agalactiae is rarely found in the respiratory tract. During 2002–2008 we noticed S. agalactiae in respiratory
secretionsof30/185(16%)ofcysticfibrosis(CF)patients.Themedianageofthesepatientswas3–6yearsolderthanthe
medianageCFpatientsnotharboringS.agalactiae.Toanalyze,iftheS.agalactiaeisolatesfromCFpatientswereclonal,
furthercharacterizationofthestrainswasachievedbycapsularserotyping,surfaceproteindeterminationandmultilocus
sequencetyping(MLST).Wefoundavarietyofsequencetypes(ST)amongtheisolates,whichdidnotsubstantiallydiffer
fromtheMLSTpatternsofcolonizingstrainsfromGermany.HoweverserotypeIII,whichisoftenseenincolonizingstrains
andinvasiveinfectionswasrareamongCFpatients.TheemergenceofS.agalactiaeintherespiratorytractofCFpatients
mayrepresenttheadaptationtoanovelhostenvironment,supportedbythealteredsurfactantcompositioninolderCF
patients.
Citation:EickelV,KahlB,ReinischB,Du¨bbersA,Ku¨sterP,etal.(2009)EmergenceofRespiratoryStreptococcusagalactiaeIsolatesinCysticFibrosisPatients.PLoS
ONE4(2):e4650.doi:10.1371/journal.pone.0004650
Editor:AdamJ.Ratner,ColumbiaUniversity,UnitedStatesofAmerica
ReceivedJuly16,2008;AcceptedJanuary16,2009;PublishedFebruary27,2009
Copyright: ? 2009 Eickel et al. This is an open-access article distributed under the terms of the Creative Commons Attrib
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