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Journal of Clinical Microbiology, 08 1997, 1988-1995, Vol 35, No. 8
G Blomqvist, L Wesslen, C Pahlson, E Hjelm, B Pettersson, T Nikkila, U Allard, O Svensson, M Uhlen, B Morein and G Friman
An alpha-2 proteobacterium, previously unknown as determined by its
phylogenetic characteristics and the DNA sequence of its 16S rRNA gene, was
isolated from a patient who presented an unusual clinical picture,
including high remitting fever and multiorgan involvement. The bacterium
was detected in multiple plasma samples, obtained during the acute phase of
the disease, after cocultivation in cell culture media. Electron microscopy
of the organism showed a three-layer laminar cell wall and electron-dense
granules within the cytoplasm, as well as a polar flagellum. By means of
PCR followed by sequencing of amplified 16S ribosomal DNA fragments, the
bacterium was found to differ from all species for which ribosomal sequence
information is available. It is here provisionally named the Rasbo
bacterium. At a subsequent relapse, the bacterium was identified in
pericardial fluid both by PCR/sequencing and by direct electron microscopy.
At a second relapse, it was again cultured from plasma. After in vitro
adaptation to solid media, the MICs of various antibiotics could be
determined. A transient immunoglobulin M (IgM) but no IgG response to the
bacterium was found by an indirect immunofluorescence test, as well as by
an immobilization test during the acute phase of the disease.
Copyright © 1997 by the American Society for Microbiology. All rights reserved.
Phylogenetic placement and characterization of a new alpha-2 proteobacterium isolated from a patient with sepsis
Department of Virology, National Veterinary Institute, Uppsala, Sweden.
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