Volume 16, Number 8—August 2010
Research
Outbreak of Corynebacterium pseudodiphtheriticum Infection in Cystic Fibrosis Patients, France
Patient | Age/sex | Isolate | Symptoms | Treatment | Sample | Other isolated pathogens | Identification |
Ery | SXT | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ApiCoryne |
rpoB PCR |
MALDI-TOF MS |
||||||||||||||||
Result | % | Code | Result | % | Accession no. | Result | Score value† | |||||||||||
A | 4 mo/F | A1 | Cough | Unknown | BAL | SA, fungi | CP | 96.8 | 3001004 | CP | 99 | AY492232 | CP | 1,815 | R | S | ||
A2 | None | Unknown | BAL | None | CP | 96.8 | 3001004 | CP | 99 | AY492232 | CP | 2,492 | R | S | ||||
A3 | Unknown | Unknown | BAL | None | CP | 99 | 7001004 | CP | 99 | AY492232 | CP | 1,950 | R | I | ||||
B | 35 mo/F | B | Rhinitis | None | NPA | HI | CP | 96.8 | 3001004 | CP | 97 | AY492232 | CP | 2,051 | R | S | ||
C | 5 y/M | C | None | None | SP | SA | CP | 84.6 | 3003004 | CP | 100 | AY492232 | CP | 2,477 | S | S | ||
D | 10 y/F | D | None | None | SP | CAL | CP | 94.9 | 3101004 | CP | 100 | AY492232 | CP | 2,272 | I | S | ||
E | 13 mo | E | Unknown | Unknown | BAL | None | Br | UIP | 5101764 | CP | 100 | AY492232 | CP | 2,353 | S | S | ||
F | 2 y/M | F | Cough | AMX and SXT | BAL | SA, fungi | CP | 94.9 | 3101004 | CP | 99 | AY492232 | CP | 2,416 | S | I | ||
G | 15 mo/F | G1 | Cough | AUG | NPA | SA | CP | 97.9 | 5101007 | CP | 97 | AY492232 | CP | 2,246 | R | S | ||
G2 | None | None | NPA | None | CPQ | 88 | 3000004 | CP | 100 | AY492232 | CP | 2,069 | R | S | ||||
H | 35 mo/F | H | Rhinitis, cough | AMX | NPA | SA | CP | 92.3 | 1021004 | CP | 99 | AY492232 | CP | 1,914 | R | S | ||
I | 2 mo/F | I1 | Cough | None | NPA | EC | CP | 1.1 | 2001004 | CP | 98 | AY492232 | CP | 2,444 | R | S | ||
I2 | Cough | None | NPA | EC | CP | 95 | 3101004 | CP | 98 | AY492232 | CP | 2,406 | S | S | ||||
J | 9 y/F | J | Cough | SXT then AMX | SP | None | CP | 94.9 | 3101004 | CP | 98 | AY492232 | CP | 2,461 | S | S | ||
K | 21 mo/M | K1 | Rhinitis, cough | AUG | NPA | BC | CP | 97.9 | 5101004 | CP | 98 | AY492232 | CP | 2,386 | R | S | ||
K2 | Rhinitis | AUG | NPA | HI | CP | 94.9 | 3101004 | CP | 98 | AY492232 | CP | 2,044 | R | S | ||||
L | 3 y/M | L | Cough | SXT | NPA | BC | CP | 94.9 | 3101004 | CP | 98 | AY492232 | CP | 2,098 | R | S | ||
M | 16 y/F | M | Rhinitis | None | SP | None | CP | 96.8 | 3001004 | CP | 98 | AY492232 | CP | 1,787 | S | R |
*MALDI-TOF MS, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry; Ery, erythromycin; SXT, cotrimoxazole; BAL, bronchoalveolar fluid; SA, Staphylococcus aureus; CP, Corynebacterium pseudodiphtheriticum; R, resistant; S, sensitive; I, intermediary; NPA, nasopharyngeal aspirate; SP, sputum sample; HI, Haemophilus influenzae; CAL, Candida albicans; Br, Brevibacterium sp; UIP, uninterpretable pattern; AMX, amoxicillin; AUG, amoxicillin and clavulanic acid; CPQ, Corynebacterium propinquum; EC, Escherichia coli; BC, Branhamella catarrhalis.
†Score value represents the mean of 3 different analyses.