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Journal of Clinical Microbiology, August 2005, p. 4152-4155, Vol. 43, No. 8
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.8.4152-4155.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.

Photorhabdus asymbiotica, a Pathogen Emerging on Two Continents That Proves that There Is No Substitute for a Well-Trained Clinical Microbiologist

Alice S. Weissfeld,1* Rhonda J. Halliday,1 Dawn E. Simmons,1 Ernest A. Trevino,1 Paula H. Vance,1 Caroline M. O'Hara,2 Evangeline G. Sowers,3 Rebecca Kern,4 R. Dudley Koy,4 Kathy Hodde,4 M. Bing,4 Carson Lo,4 John Gerrard,5 Renu Vohra,6 and Jacqueline Harper6

Microbiology Specialists Incorporated, Houston, Texas 77054,1 Division of Healthcare Quality Promotion,2 Division of Bacterial and Mycotic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333,3 Memorial Herman Katy Hospital, Katy, Texas 77494,4 Gold Coast Hospital, Southport, Queensland, Australia,5 Princess Alexandra Hospital, Queensland Health Pathology and Scientific Services, Woolloongabba, Queensland, Australia6

Received 23 December 2004/ Returned for modification 24 February 2005/ Accepted 28 March 2005

A 54-year-old ranch hand presented to the emergency room with an alleged spider bite and multiple abscesses. Both wound and blood cultures grew Photorhabdus asymbiotica, an enteric gram-negative rod that was initially misidentified by the hospital's rapid identification system. Clinical laboratories should be aware of the limitations of their rapid identification systems and always use them as an adjunct to analysis of morphological and phenotypic traits.

* Corresponding author. Mailing address: Microbiology Specialists Incorporated, 8911 Interchange Drive, Houston, TX 77054. Phone: (713) 663-6888. Fax: (713) 663-7722. E-mail: micro{at}microbiologyspecialists.com.

Journal of Clinical Microbiology, August 2005, p. 4152-4155, Vol. 43, No. 8
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.8.4152-4155.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.



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