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Journal of Clinical Microbiology, September 2008, p. 3087-3090, Vol. 46, No. 9
0095-1137/08/$08.00+0     doi:10.1128/JCM.00920-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Phylogenetic Analysis of Viridans Group Streptococci Causing Endocarditis {triangledown}

Keith E. Simmon,1 Lori Hall,2 Christopher W. Woods,2,3 Francesc Marco,4 Jose M. Miro,4 Christopher Cabell,5 Bruno Hoen,6 Mercedes Marin,7 Riccardo Utili,8 Efthymia Giannitsioti,9 Thanh Doco-Lecompte,10 Suzanne Bradley,11 Stanley Mirrett,3 Arjana Tambic,12 Suzanne Ryan,13 David Gordon,14 Phillip Jones,15 Tony Korman,16 Dannah Wray,17 L. Barth Reller,3 Marie-Francoise Tripodi,8 Patrick Plesiat,6 Arthur J. Morris,18 Selwyn Lang,19 David R. Murdoch,20 Cathy A. Petti,1,21* and the International Collaboration on Endocarditis Microbiology (ICE-Micro) Investigators

ARUP Laboratories, Salt Lake City, Utah,1 Duke University Medical Center,2 Veterans Administration Medical Center, Durham, North Carolina,3 Hospital Clinic Institut d'Investigacions Biomediques August Pi i Sunyer-University of Barcelona, Barcelona, Spain,4 Quintiles Transnational -,5 University Medical Center of Besançon, Besançon France,6 Hospital General Universitario Gregorio Maranon, Madrid, Spain,7 Second University of Naples, Naples, Italy,8 Attikon University General Hospital, Athens, Greece,9 CHU Nancy-Brabois, Nancy, France,10 Veterans Administration Medical Center, Ann Arbor, Michigan,11 University Hospital for Infectious Diseases, Zagreb, Croatia,12 South Eastern Sydney and Illawarra Area Health Service, Wollongong, Australia,13 Flinders Medical Centre, Adelaide, Australia,14 The University of New South Wales, Sydney, Australia,15 Southern Health, Clayton, Australia,16 Medical University of South Carolina, Charleston, South Carolina,17 Auckland City Hospital, Auckland, New Zealand,18 Middlemore Hospital, Auckland, New Zealand,19 University of Otago, Christchurch, New Zealand,20 Departments of Pathology and Medicine, University of Utah School of Medicine, Salt Lake City, Utah,21

Received 13 May 2008/ Returned for modification 23 June 2008/ Accepted 14 July 2008

Identification of viridans group streptococci (VGS) to the species level is difficult because VGS exchange genetic material. We performed multilocus DNA target sequencing to assess phylogenetic concordance of VGS for a well-defined clinical syndrome. The hierarchy of sequence data was often discordant, underscoring the importance of establishing biological relevance for finer phylogenetic distinctions.

* Corresponding author. Mailing address: University of Utah School of Medicine, Department of Pathology, ARUP Laboratories, 500 Chipeta Way, Salt Lake City, UT 84108. Phone: (801) 583-2787. Fax: (801) 584-5207. E-mail: cathy.petti{at}aruplab.com

{triangledown} Published ahead of print on 23 July 2008.

Journal of Clinical Microbiology, September 2008, p. 3087-3090, Vol. 46, No. 9
0095-1137/08/$08.00+0     doi:10.1128/JCM.00920-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.



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