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Journal of Clinical Microbiology, July 2005, p. 3526-3529, Vol. 43, No. 7
0095-1137/05/$08.00+0 doi:10.1128/JCM.43.7.3526-3529.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Description of Kingella potus sp. nov., an Organism Isolated from a Wound Caused by an Animal Bite
Paul A. Lawson,1*
Henry Malnick,2
Matthew D. Collins,1
Jayesh J. Shah,2
Marie A. Chattaway,4
Richard Bendall,3 and
John W. Hartley3
School of Food Biosciences, University of Reading, Reading RG6 6AP,1
Laboratory of HealthCare Associated Infection, Centre for Infections, Health Protection Agency, Central Public Health Laboratory, London, NW9 5HT,2
Department of Clinical Microbiology, Royal Cornwall Hospital, Penventinnie Lane, Treliske, Truro, Cornwall TR1 3LQ,3
National Collection of Type Cultures, Health Protection Agency, London, United Kingdom4
Received 30 November 2004/
Returned for modification 23 January 2005/
Accepted 10 March 2005

ABSTRACT
We report the isolation and characterization of a hitherto unknown
gram-negative, rod-shaped
Neisseria-like organism from an infected
wound resulting from a bite from a kinkajou. Based on both phenotypic
and phylogenetic evidence, it is proposed that the unknown organism
be classified as a new species,
Kingella potus sp. nov.

TEXT
Animal bites represent a significant source of wound infections
in humans. Most commonly the animals involved are cats and dogs,
and a variety of gram-negative bacteria from these wound infections
have been described (
1,
3,
17,
19,
20). In this article we report
a novel, gram-negative-staining
Neisseria-like organism isolated
from a wound infection caused by the bite of a kinkajou, an
arboreal mammal found in the rain forests of Central and South
America. Based on the phenotypic characteristics of the novel
organism and the results of comparative 16S rRNA gene sequencing,
we describe a hitherto unknown
Kingella species,
Kingella potus sp. nov.
A previously healthy 53-year-old female zookeeper was referred to hospital with an infected wound on her right forearm. Three days earlier she had sustained a bite to the area from a kinkajou (Potus flavus). She was allergic to penicillin but otherwise had no history of note. The wound was cleaned following the bite, and she had been prescribed oral erythromycin. At presentation, she complained of pain over the anterior aspect of the right wrist and palm. She was apyrexial, her C-reactive protein level was 66.5 mg/liter, and her white blood cell count was 10.6 x 109 with 7.41 x 109 neutrophils. There were three puncture wounds noted on the volar surface of the right wrist surrounded by a 5- by 5-cm area of erythema and swelling. Pus was exuding from the bite, and she had tenderness over the wound and carpal tunnel. Infection of the flexor tendons and deep spaces of the wrist was suspected and urgent exploration undertaken. At operation, the sinuses extending from the bite wounds were excised and extended. There was a collection of pus deep into the fascia, which was sampled for culture. The wound was debrided and washed out. The tendon of flexor carpi radialis was frayed, and the belly of flexor pollicis longus was traumatized. Exploration of the carpal tunnel revealed thickened synovium but no pus. The flexor tendon sheaths were explored and washed out. She was treated with clarithromycin, ciprofloxacin, and metronidazole for 14 days, by which time the wound had healed. Culture of the pus, debrided tissue, and a swab from a tendon sheath yielded an alpha-hemolytic streptococcus, mixed anaerobic bacteria, and heavy growth of a gram-negative, rod-shaped organism.
The dominant gram-negative-staining isolate was recovered and grown on chocolatized Columbia blood agar base (Oxoid) supplemented with 5% horse blood. Plates were incubated at 37°C under an aerobic atmosphere with 5% added CO2. The strain, designated 3/SID/1128T, has been deposited in the National Collection of Type Cultures and the Culture Collection of the University of Göteborg under accession numbers NCTC 13336T and CCUG 49773T, respectively. Observations on cellular and colonial morphology were based on a 2-day incubation. Biochemical tests were carried out using API NH (BioMérieux, La Balme les Grottes, France), fermentation tests using phenol red broth base sugars (BBL Microbiological Systems, Cockeysville, Md.), and other tests by the methods of Cowan and Steel (5). The isolate was grown on chocolatized Trypticase soy agar with 5% sheep blood. Plates were incubated at 37°C under an aerobic atmosphere with 5% CO2 added. Long-chain cellular fatty acids were extracted and analyzed by gas chromatography (MIDI Sherlock, Newark, N.J.) as described previously (15). The mol% G+C content of DNA was determined by high-performance liquid chromatography according to the work of Mesbah et al. (10). Antibiotic sensitivity testing was carried out by using the E-test system (AB Biodisk, Sweden) with Diagnostic Sensitivity Test agar (Oxoid) supplemented with 5% saponin-lysed horse blood. For phylogenetic analysis, the 16S rRNA gene of the strain was amplified by PCR and directly sequenced using a Taq dye-Deoxy terminator cycle sequencing kit (Applied Biosystems) and an automatic DNA sequencer (model 373A; Applied Biosystems). The closest known relatives of the new isolate were determined by performing GenBank/EMBL database searches using the Fasta program (14). These sequences and those of other known related strains were retrieved from GenBank/EMBL and aligned with the newly determined sequence by using the SEQtools program (16). The resulting multiple sequence alignment had approximately 100 bases at the 5' end of the rRNA omitted from further analysis, because of alignment uncertainties due to the highly variable region V1, by using the GeneDoc program (12). A phylogenetic tree was reconstructed according to the neighbor-joining method with the SEQtools and TREEVIEW (13) programs, and the stability of the groupings was estimated by bootstrap analysis (1,000 replications) using the same programs.
After a 48-h incubation, the gram-negative rod formed colonies that were yellow pigmented, low convex, 1.5 to 2 mm in diameter, and friable. The unidentified bacterium was oxidase positive, catalase negative, and casein and DNase positive. It gave negative results in the following tests: nitrate and nitrite reduction; hydrolysis of esculin, Tween 80, and tyrosine; malonate and phenylalanine deamination; and indole production. Arginine dehydrolase, lysine and ornithine decarboxylases, and urease were absent. The organism failed to produce acid from glucose, fructose, mannose, mannitol, maltose, lactose, and sucrose. The API NH kit profile number was 0001, indicating that the only positive result for this test system was gamma glutamyl transferase. No acid production was observed, and alkaline phosphatase, ß-glucuronidase, ß-galactosidase,
-glucosidase, and indole were not detected. Antibiotic E-test results showed the isolate was sensitive to ampicillin, amoxicillin, co-amoxiclav, penicillin, cefotaxime, ciprofloxacin, ceftriaxone, imipenem, and meropenem and resistant to erythromycin, clarithromycin, clindamycin, gentamicin, tetracycline, chloramphenicol, and trimethoprim. The long-chain cellular fatty acids of the organism were predominantly of the straight-chain saturated and monounsaturated types, with C16:0 and C18:1
7c as the major components. The quantitative fatty acid profile of the isolate consisted of 3-OH C10:0 (3.0%), C11:0 (2.0%), C12:0 (5.2%), 3-OH C12:0 (3.6%), C13:1 (0.1%), C13:0 (0.1%), C14:0 (2.7%), C15:0 (2.1%), 3-OH C15:0 (0.2%), C16:0 (34.8%), 3-OH C16:0 (1.5%), C17:0 (0.9%), C17:1
6c (0.2%), C18:0 (1.0%), C18:1
7c (18.5%), and C18:1
9c (2.4%). In addition, the profile also contained several summed features consisting of C12:0 ALDE/unknown 10.928 and C16:1 iso I/C14:0 3OH (3.0%), C16:1
7c /C15:0 iso 2OH (14.4%), and C18:2
6,9c/C18:0 ANTE (3.3%). The cellular lipid composition of the isolate was consistent with its classification within the family Neisseriaceae (4). The MIDI database indicated that the fatty acid profile of the isolate was closest to those of Neisseria elongata subsp. glycolytica and N. weaveri. To further investigate the phylogenetic position of the unidentified organism, its 16S rRNA genes were amplified by PCR and sequenced. The almost-complete gene sequence (>1,400 nucleotides) was determined. Sequence database searches showed that the unknown organism displayed the highest 16S rRNA sequence similarity to members of the family Neisseriaceae (data not shown). Tree analysis confirmed this association, with the unidentified organism forming a distinct rRNA subline within the family. A tree depicting the placement of the unknown organism within the family Neisseriaceae is shown in Fig. 1.
The overall morphological and biochemical features and fatty
acid composition of the unidentified organism from a wound infection
are consistent with its assignment to the family
Neisseriaceae.
This family comprises a major branch of the beta group of the
Proteobacteria and phylogenetically encompasses the genera
Neisseria,
Kingella,
Eikenella,
Simonsiella, and
Alysiella. It is evident
from the results of comparative 16S rRNA sequencing that the
unidentified rod-shaped organism represents a hitherto unknown
species within the family
Neisseriaceae. The phylogeny of the
Neisseriaceae is presently unsatisfactory, and it is now known
that some genera within the family are not monophyletic (
8).
In particular, it is recognized that species currently assigned
to the genus
Neisseria are phylogenetically heterogeneous, although
some
Neisseria species form a robust cluster with
N. gonorrhoeae,
the type species of the genus. The unidentified wound bacterium
is, however, far removed from
N. gonorrhoeae and its close relatives
and therefore cannot be considered a legitimate member of this
genus. In addition, unlike the great majority of
Neisseria species,
the unknown organism is rod-shaped and catalase negative. The
nearest phylogenetic relatives of the unknown bacterium correspond
to
Kingella species (94.8 to 95.9% sequence similarity) and
N. canis (95.4% sequence similarity). Upon tree analysis, the
unknown organism was most closely associated with
Kingella oralis,
although bootstrap resampling analysis showed that this association
was not particularly significant. Like
Neisseria, the genus
Kingella is also not monophyletic (
6). However, despite the
evident heterogeneity within the genus
Kingella, this is currently
the most appropriate home for the unidentified organism. Phenotypically
the unidentified organism has many properties in common with
Kingella species, but it can be readily distinguished biochemically
from all described members of this genus. In addition, the 16S
rRNA sequence divergence of >4% strongly supports the recognition
of the unidentified organism as a novel species. It is now established
that organisms displaying more than 3% sequence divergence belong
to different species (
18). Therefore, based on both phenotypic
and phylogenetic evidence, we consider that the unidentified
rod-shaped organism should be classified as a novel species
within the genus
Kingella; the name
Kingella potus is proposed.
Though this isolate was the most abundant organism in the infected
area, it is not clear whether the isolate was truly pathogenic
or opportunistic or whether its growth was favored over that
of other bacteria by the laboratory conditions used to process
the specimens. Tests that are useful in distinguishing
Kingella potus from other
Kingella species and members of the genus
Neisseria are shown in Table
1.
Description of Kingella potus sp. nov.
(po.tus. L. gen. masc. n.
potus, of the drink or drinking, pertaining
to
Potus flavus, the generic name of the South American kinkajou,
the animal from which the organism originated.) Cells are gram
negative, non-spore-forming, nonmotile rods. Aerobic, oxidase
positive, and catalase negative. Colonies are circular, low
convex, yellow-pigmented, smooth, entire, approximately 1.5
to 2 mm in diameter, and friable on Columbia blood agar after
48 h of incubation at 37°C. Colonies are nonhemolytic. Nondiffusible
yellow pigments are produced. Long-chain fatty acids are of
the straight-chain saturated and monounsaturated types, with
C
16:0 and C
18:1
7c predominating. Nitrate and nitrite are not
reduced. Esculin and urea are not hydrolyzed. Indole is not
produced. Acid is not produced from fructose, glucose, mannose,
mannitol, maltose, lactose, or sucrose. No alkaline phosphatase,

-glycosidase, ß-galactosidase, or ß-glucuronidase
activity is detected. Isolated from the human wound caused by
a bite by a kinkajou. The G+C content of DNA is 58.4 mol%. The
type strain is 3/SID/1128
T (NCTC 13336
T, CCUG 49773
T).
Nucleotide sequence accession number.
The 16S rRNA gene sequence of strain 3/SID/1128T has been deposited in GenBank under accession number AJ629192.

FOOTNOTES
* Corresponding author. Present address: Department of Botany and Microbiology, University of Oklahoma, Norman, OK 73019-6131. Phone: (405) 325-4321. Fax: (405) 325-7619. E-mail:
paul.lawson{at}ou.edu.


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Journal of Clinical Microbiology, July 2005, p. 3526-3529, Vol. 43, No. 7
0095-1137/05/$08.00+0 doi:10.1128/JCM.43.7.3526-3529.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
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