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Journal of Clinical Microbiology, October 2002, p. 3871-3873, Vol. 40, No. 10
0095-1137/02/$04.00+0     DOI: 10.1128/JCM.40.10.3871-3873.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Dialister pneumosintes Associated with Human Brain Abscesses

J. M. Rousée,1 D. Bermond,1 Y. Piémont,1 C. Tournoud,2 R. Heller,1 P. Kehrli,3 M. L. Harlay,2 H. Monteil,1 and B. Jaulhac1*

Institut de Bactériologie de la Faculté de Médecine, Université Louis Pasteur et Hôpitaux Universitaires de Strasbourg,1 Service de Réanimation Médicale,2 Service de Neurochirurgie, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France3

Received 21 November 2001/ Returned for modification 17 May 2002/ Accepted 26 June 2002

ABSTRACT

In this report, we review two cases of brain infection due to Dialister pneumosintes in previously healthy patients. The bacterium was isolated from the first patient by blood culture and directly from a brain abscess in the second patient. In both cases, the infection was suspected to be of nasopharyngeal or dental origin. The patients had favorable outcomes following surgical debridement and antibiotic treatment. After in vitro amplification and partial sequencing of the 16S rRNA gene, two strains were classified as D. pneumosintes. However, traditional biochemical tests were not sufficient to identify the bacteria. In addition to causing periodontal and opportunistic infections, D. pneumosintes, contained in mixed flora, may behave as a clinically important pathogen, especially in the brain. In addition to phenotypic characterization, 16S rRNA partial sequencing was used to identify D. pneumosintes definitively.

* Corresponding author. Mailing address: Institut de Bactériologie, 3 rue Koeberlé, 67000 Strasbourg, France. Phone: (33) 3.90.24.37.80. Fax: (33) 3.88.25.11.13. E-mail: benoit.jaulhac{at}medecine.u-strasbg.fr.

Journal of Clinical Microbiology, October 2002, p. 3871-3873, Vol. 40, No. 10
0095-1137/02/$04.00+0     DOI: 10.1128/JCM.40.10.3871-3873.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.



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