Abstract:Corynebacterium (C.) diphtheriae is one of the two etiological pathogens for human diphtheria with significant morbidity and mortality. Recently, members of its biovar Belfanti have been described as two novel species, C. belfantii and C. rouxii. The most important virulence factor and also the premise to cause diphtheria is the isolate’s capacity to encode and express the diphtheria toxin (DT). In contrast to C. ulcerans, which represents a potentially zoonotic pathogen, C. diphtheriae (incl. the novel deduce… Show more
“…Other diphtheria‐like organisms identified in animals include biovar C. diphtheriae subsp. belfanti , C. ulcerans , C. rouxii , C. uterequi , and C. pseudotuberculosis (Baraúna et al., 2017; Corboz et al., 1996; Oliveira et al., 2014; Rückert et al., 2015; Schlez et al., 2021; Sing et al., 2016; Zendri et al., 2021). However, classic diphtheria is rare in animals.…”
AimsCorynebacterium diphtheriae and Corynebacterium ulcerans, when producing toxin, are the cause of diphtheria, a potentially life‐threatening illness in humans. Horses (Equus ferus caballus) are known to be susceptible to infection that may manifest clinically on rare occasions. In late 2021 and early 2022, specimens from five horses suffering from pastern dermatitis were cultured at the Laboratory of Clinical Microbiology at the Faculty of Veterinary Medicine, University of Helsinki, Finland. C. diphtheriae and/or C. ulcerans were recovered from all of these. This study aimed to (1) analyse the bacterial isolates and (2) describe the outbreak and identify possible sources of the infection and infection routes in the stable.Methods and ResultsSusceptibility testing, PCR for the tox gene, and Elek test for toxin production in PCR‐positive isolates were performed. Whole genome sequencing was also conducted to achieve high‐resolution strain typing. An epidemiological survey was done by means of a semi‐structured interview of horses' caretaker, and contact tracing was done among people at the stable. Two tox gene‐positive, toxin‐producing C. diphtheriae belonged to sequence type (ST) 822. Other C. diphtheriae (n = 2, ST828) and C. ulcerans (n = 2, ST325 and ST838) isolates did not carry the tox gene. The epidemiological investigation explored numerous possible routes of transmission, but the definite source of infection was not identified. All established human contacts tested negative for diphtheriae. All horses recovered after antimicrobial treatment.ConclusionsOur study shows that C. diphtheriae and C. ulcerans may readily spread among horses at the same stable and complicate pastern dermatitis infections. These potentially zoonotic bacteria can cause outbreaks even in a country with a very low prevalence. Caretakers should be encouraged to wear gloves and practice good hand hygiene when treating infected skin lesions in horses.
“…Other diphtheria‐like organisms identified in animals include biovar C. diphtheriae subsp. belfanti , C. ulcerans , C. rouxii , C. uterequi , and C. pseudotuberculosis (Baraúna et al., 2017; Corboz et al., 1996; Oliveira et al., 2014; Rückert et al., 2015; Schlez et al., 2021; Sing et al., 2016; Zendri et al., 2021). However, classic diphtheria is rare in animals.…”
AimsCorynebacterium diphtheriae and Corynebacterium ulcerans, when producing toxin, are the cause of diphtheria, a potentially life‐threatening illness in humans. Horses (Equus ferus caballus) are known to be susceptible to infection that may manifest clinically on rare occasions. In late 2021 and early 2022, specimens from five horses suffering from pastern dermatitis were cultured at the Laboratory of Clinical Microbiology at the Faculty of Veterinary Medicine, University of Helsinki, Finland. C. diphtheriae and/or C. ulcerans were recovered from all of these. This study aimed to (1) analyse the bacterial isolates and (2) describe the outbreak and identify possible sources of the infection and infection routes in the stable.Methods and ResultsSusceptibility testing, PCR for the tox gene, and Elek test for toxin production in PCR‐positive isolates were performed. Whole genome sequencing was also conducted to achieve high‐resolution strain typing. An epidemiological survey was done by means of a semi‐structured interview of horses' caretaker, and contact tracing was done among people at the stable. Two tox gene‐positive, toxin‐producing C. diphtheriae belonged to sequence type (ST) 822. Other C. diphtheriae (n = 2, ST828) and C. ulcerans (n = 2, ST325 and ST838) isolates did not carry the tox gene. The epidemiological investigation explored numerous possible routes of transmission, but the definite source of infection was not identified. All established human contacts tested negative for diphtheriae. All horses recovered after antimicrobial treatment.ConclusionsOur study shows that C. diphtheriae and C. ulcerans may readily spread among horses at the same stable and complicate pastern dermatitis infections. These potentially zoonotic bacteria can cause outbreaks even in a country with a very low prevalence. Caretakers should be encouraged to wear gloves and practice good hand hygiene when treating infected skin lesions in horses.
“…Similarly, C. rouxii may also be zoonotic: no interhuman transmission has been reported yet, and in addition to human cases, it has been so far identified in dogs, cats and a fox (Badell et al, 2020;Hall et al, 2010;Schlez et al, 2021;Sing et al, 2016). To our knowledge, strains of C. belfantii were only isolated from human respiratory samples.…”
Objectives: Corynebacteria of the diphtheriae complex (Cdc) can cause diphtheria in humans and have been reported from companion animals. We aimed to describe animal infection cases caused by Cdc isolates. Methods: 18 308 animals (dogs, cats, horses and small mammals) with rhinitis, dermatitis, non-healing wounds and otitis were sampled in metropolitan France (August 2019 to August 2021). Data on symptoms, age, breed, and the administrative region of origin were collected. Cultured bacteria were analyzed for tox gene presence, for production of the diphtheria toxin, for antimicrobial susceptibility, and genotyped by multilocus sequence typing. Results: C. ulcerans was identified in 51 cases, 24 of which were toxigenic. Rhinitis was the most frequent presentation (18/51). Eleven cases (6 cats, 4 dogs, 1 rat) were mono-infections. Large breed dogs, especially German Shepherds (9 of 28 dogs; p < 0.00001) were overrepresented. C. ulcerans isolates were susceptible to all tested antibiotics. tox-positive C. diphtheriae was identified in 2 horses. Last, 11 infections cases (9 dogs, 2 cats; mostly chronic otitis, and 2 sores) had tox-negative C. rouxii, a recently defined species. C. rouxii and C. diphtheriae isolates were susceptible to most antibiotics tested, and almost all of these infections were polymicrobial. Conclusions: Monoinfections with C. ulcerans point towards a primary pathogenic potential to animals. C. ulcerans represents an important zoonotic risk, and C. rouxii may represent a novel zoonotic agent. This case series provides novel clinical and microbiological data on Cdc infections, and underlines the need for management of animals and their human contacts.
“…Recently, a number of former C. diphtheriae strains of biovar Belfanti were taxonomically newly described as separate species, Corynebacterium belfantii [ 30 ] and Corynebacterium rouxii [ 31 , 32 ]. While partially included in the former in silico studies of C. diphtheriae mentioned above, no separate proteome studies were carried out for these new species to date, while limited information is available for mass spectrometry-based identification, as described below.…”
Section: Relevance and Properties Of Toxigenic Corynebacteriamentioning
Within the genus Corynebacterium, six species are potential carriers of the tox gene, which encodes the highly potent diphtheria exotoxin: Corynebacterium diphtheriae, Corynebacterium belfantii, Corynebacterium rouxii, Corynebacterium ulcerans, Corynebacterium pseudotuberculosis and Corynebacterium silvaticum. Based on their potential to infect different host species and cause either human infections, zoonotic diseases or infections of economically important animals, these bacteria are of high scientific and economic interest and different research groups have carried out proteome analyses. These showed that especially the combination of MS-based proteomics with bioinformatic tools helped significantly to elucidate the functional aspects of corynebacterial genomes and to handle the genome and proteome complexity. The combination of proteomic and bioinformatic approaches was also used to discover new vaccine and drug targets. In addition, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry has been established as a fast and precise tool for the identification of these bacteria.
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