临床样本全基因组测序表征kurunegalensis:鉴定的新挑战。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
David Badenas-Alzugaray, Laura Valour, Alexander Tristancho-Baró, Rossi Núñez-Medina, Ana María Milagro-Beamonte, Carmen Torres-Manrique, Beatriz Gilaberte-Angós, Ana Isabel López-Calleja, Antonio Rezusta-López
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引用次数: 0

摘要

背景:假单胞菌属包括代谢多样的细菌,广泛分布在不同的环境中,包括临床环境。其中,kurunegalensis假单胞菌是最近发现的一种临床特征有限的环境物种。目的和方法:在这项研究中,我们报告了从肾移植后无尿路感染症状的患者尿中提取的库鲁egalensis分离物Pam1317368的基因组和表型特征。MALDI-TOF MS初步鉴定将分离物错误地分类为蒙泰利假单胞菌。全基因组测序和平均核苷酸鉴定(ANI)分析(≥95%)证实其为kurunegalensis。方法包括基因组DNA提取、Illumina测序、基因组组装、ANI计算、药敏试验、耐药基因鉴定和系统发育分析。结果:药敏试验显示多药耐药,包括金属β-内酰胺酶基因VIM-2介导的碳青霉烯类耐药。其他耐药性决定因素包括对氟喹诺酮类药物和氨基糖苷类药物具有耐药性的基因。系统发育分析表明该分离株属于库鲁egalensis分支,与环境菌株密切相关。结论:尽管这一发现的临床意义尚不清楚,但从人类样本中分离出的环境假单胞菌中存在临床相关的耐药基因,这突出了基因组监测和准确的物种水平鉴定在临床微生物学中的价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Characterization of <i>Pseudomonas kurunegalensis</i> by Whole-Genome Sequencing from a Clinical Sample: New Challenges in Identification.

Characterization of <i>Pseudomonas kurunegalensis</i> by Whole-Genome Sequencing from a Clinical Sample: New Challenges in Identification.

Characterization of Pseudomonas kurunegalensis by Whole-Genome Sequencing from a Clinical Sample: New Challenges in Identification.

Backgoround: The genus Pseudomonas encompasses metabolically versatile bacteria widely distributed in diverse environments, including clinical settings. Among these, Pseudomonas kurunegalensis is a recently described environmental species with limited clinical characterization. Objective and Methods: In this study, we report the genomic and phenotypic characterization of a P. kurunegalensis isolate, Pam1317368, recovered from a catheterized urine sample of a post-renal transplant patient without symptoms of urinary tract infection. Initial identification by MALDI-TOF MS misclassified the isolate as Pseudomonas monteilii. Whole-genome sequencing and average nucleotide identity (ANI) analysis (≥95%) confirmed its identity as P. kurunegalensis. The methodology included genomic DNA extraction, Illumina sequencing, genome assembly, ANI calculation, antimicrobial susceptibility testing, resistance gene identification and phylogenetic analysis. Results: Antimicrobial susceptibility testing revealed multidrug resistance, including carbapenem resistance mediated by the metallo-β-lactamase gene VIM-2. Additional resistance determinants included genes conferring resistance to fluoroquinolones and aminoglycosides. Phylogenetic analysis placed the isolate within the P. kurunegalensis clade, closely related to environmental strains. Conclusions: Although the clinical significance of this finding remains unclear, the presence of clinically relevant resistance genes in an environmental Pseudomonas species isolated from a human sample highlights the value of genomic surveillance and accurate species-level identification in clinical microbiology.

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