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Journal of Clinical Microbiology, October 1998, p. 2887-2892, Vol. 36, No. 10
Department of
Microbiology,1
Department of Internal
Medicine,3 and
Department of
Clinical Pathology,
Received 8 December 1997/Returned for modification 20 April
1998/Accepted 21 July 1998
This study was performed to establish optimal nested PCR conditions
and a high-yield DNA extraction method for the direct identification of
Vibrio vulnificus in clinical specimens. We designed two
sets of primers targeting the V. vulnificus
hemolysin/cytolysin gene. The target of the first primer set (P1-P2;
sense, 5'-GAC-TAT-CGC-ATC-AAC-AAC-CG-3', and antisense,
5'-AGG-TAG-CGA-GTA-TTA-CTG-CC-3', respectively) is a 704-bp DNA
fragment. The second set (P3-P4; sense,
5'-GCT-ATT-TCA-CCG-CCG-CTC-AC-3', and antisense,
5'-CCG-CAG-AGC-CGT-AAA-CCG-AA-3', respectively) amplifies an internal
222-bp DNA fragment. We developed a direct DNA extraction method that
involved boiling the specimen pellet in a 1 mM EDTA-0.5%
Triton X-100 solution. The new DNA extraction method was more
sensitive and reproducible than other conventional methods. The DNA
extraction method guaranteed sensitivity as well, even when V. vulnificus cells were mixed with other bacteria such as
Escherichia coli or Staphylococcus aureus. The
nested PCR method could detect as little as 1 fg of chromosomal
DNA and single CFU of V. vulnificus. We applied the
nested PCR protocol to a total of 39 serum specimens and bulla
aspirates from septicemic patients. Seventeen (94.4%) of the 18 V. vulnificus culture-positive specimens were positive
by the nested PCR. Eight (42.1%) of the 19 culture-negative samples gave positive nested PCR results.
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Direct Identification of Vibrio
vulnificus in Clinical Specimens by Nested PCR
*
Corresponding author. Mailing address: Department of
Microbiology, Chonnam National University Medical School, 5-1 Hak-Dong, Dong-Ku, Kwangju 501-019, South Korea. Phone: 82-62-220-4136. Fax:
82-62-228-7294. E-mail:
jhrhee{at}chonnam.chonnam.ac.kr.
Journal of Clinical Microbiology, October 1998, p. 2887-2892, Vol. 36, No. 10
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
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