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Journal of Clinical Microbiology, 08 1997, 1978-1983, Vol 35, No. 8
G Funke, A Efstratiou, D Kuklinska, RA Hutson, A De Zoysa, KH Engler and MD Collins
A 5-month-old boy of a Romanian family traveling via Ukraine to Poland
developed a respiratory disease that resembled and that was initially
diagnosed as pharyngeal diphtheria. The child recovered after treatment
with antidiphtheria antitoxin. A coryneform bacterium had been isolated
from a nasopharyngeal specimen from the child and was initially identified
as an atypical Corynebacterium diphtheriae strain. Seven adults who had
contact with either the child or an adult contact person also developed
symptoms of pharyngeal diphtheria, were also treated with antitoxin, and
recovered uneventfully. Coryneform bacteria similar to that originating
from the index patient were also isolated from the throat swabs of three
adults. Detailed biochemical and chemotaxonomic investigations revealed
that the coryneform bacteria belonged to the genus Corynebacterium and
could be differentiated from all other defined species of this genus.
Ribotyping and pulsed-field gel electrophoresis demonstrated that all four
patients' isolates were of clonal origin. The diphtheria toxin gene and its
product were not detected either by PCR assays or by the Elek test, making
a possible disease association of the Corynebacterium more unlikely.
Comparative 16S rRNA gene sequence analysis revealed that the coryneform
bacterium represented a new subline within the genus Corynebacterium, for
which the name Corynebacterium imitans sp. nov. is proposed. The type
strain is NCTC 13015 (DSM 44264; CCUG 36877).
Copyright © 1997 by the American Society for Microbiology. All rights reserved.
Corynebacterium imitans sp. nov. isolated from patients with suspected diphtheria
Department of Medical Microbiology, University of Zurich, Switzerland.funke@immv.unizh.ch
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