Molecular biological identification on skin infection of Mycobacterium chelonae
ZHANG Zhong-kui1, KANG Dao-xian2, LIU Tai-hua1, ZHOU Zhou1, WANG Chun-mei1, WANG Jun1, TANG Li-jun1, CHENG Ye-hong1, RAN Yu-ping2
1.Department of Dermatology, Chengdu Military General Hospital, Chengdu 610083, China; 2.Department of Dermatovenerology, West China Hospital, Sichuan University, Chengdu 610041, China
Abstract:Molecular biological study was applied in identifying clinical isolated strain of Mycobacterium chelonae. The wound surface secretion was taken from the focus of suppurative infection in the right leg of a senile female patient with diabetes and was cultured in sabouraud’s agar medium at the temperature of 28℃ for 4 days; the culture was performed for twice, smooth, wet and white nonphotochromogens colonies were gained, which were positive in Gram stain and acid-fast stain while negative in fungus microscope examination and culture. Histopathologic study of the skin lesion showed a chronic suppurative infection of subcutaneous tissue, inflammatory cell infiltration and local small abscess formation, while positive in acid-fast stain and negative in PAS stain. Molecular biological identification of 16S-rRNA, hsp65 and rpoB was performed and Blast intercomparasion was made in GenBank. The sequencing result of 16S-rRNA was 100% in homology with Mycobacterium chelonae AB548610.1 while the sequencing results of rpoB and hsp65 were 99% in homology with Mycobacterium chelonae AB548610.1. The strain is conformed to be Mycobacterium chelonae.
[1] ZK, Wang CM, Liu TH, et al. Cutaneous Mycobacterium chelonae infection: a case report[J]. Chin J Dermatol, 2013, 46(11): 829-831. doi:10.3760/cma.j.issn.0412-4030.2013.11.019 (in Chinese)[1] 张忠奎,王春梅,刘太华,等.龟分枝杆菌皮肤感染一例[J].中华皮肤科杂志, 2013, 46(11) : 829-831. doi:10. 3760/cma. j. issn. 0412-4030. 2013. 11. 019 [2] E, Ferrazoli L, Ueky SY, et al. Reliable identification of mycobacterial species by PCR-restriction enzyme analysis (PRA)- hsp 65 in a reference laboratory and elaboration of a sequence-based extended algorithm of PRA- hsp 65 patterns[J]. BMC Microbiol, 2008, 8(48): 1-12. doi:10. 1186/1471-2180-8-48 [3] H, Park H, Cho S, et al. Species identification of mycobacteria by PCR-restriction fragment length polymorphism of the rpoB gene[J]. J Clin Microbiol, 2000, 38(8): 2966-2971. [4] A, Goh K, Rastogi N. Rapid identification of mycobacteria to species level by PCR-restriction fragment length polymorphism analysis the hsp 65 gene and proposition of an algorithm to differentiate 34 mycobacterial species[J]. J Clin Microbiol, 1997, 35(11): 2969-2973. [5] BE, Bergey NE. Bergey’s manual of determinative bacteriology[M]. 9 th ed. London: Lippincott Williams & Wilkins, 1994: 89-105. [6] M, Landini MP, Sambri V. Conventional and molecular techniques for the early diagnosis of bacteraemia[J]. Int J Antimicrob Agents, 2010, 36(suppl2): s6-s16. doi:10.1016/j.ijantimicag.2010.11.010 [7] CP, Persing DH. Ribosomal DNA sequencing as a tool for identification of bacterial pathogens[J]. Curr Opin Microbiol, 1999, 2(3): 299-305. doi:10. 1016/S1369-5274(99)80052-6 [8] XY, Pham AS, Tarrand JJ, et al. Rapid and accurate identification of mycobacterium by sequencing hypervariable regions of the 16S ribosomal RNA gene[J]. Am J Clin Pathol, 2002, 118(5): 796-801. doi:10. 1309/HN44-XQYM-JMAQ-2EDL [9] T, Berger P, Raoult D, et al. rpoB gene sequence-based characterization of Mycobacterium bolletii sp. nov., Mycobacterium phocaicum sp. nov[J]. Int J Syst Evol Microbiol, 2006, 56(Pt1): 133-143. doi:10.1099/ijs.0.63969-0 [10] YB, Zhang YY, Huang MX, et al. Rapid identification and differentiation of the species of the Mycobacterium chelonae /abscessus complex by hsp65 and rpoB PCR-RFLP[J]. Chin J Zoonoses, 2012, 28(7): 645-652. doi:10.3969/cjz.j.issn.1002-2694.2012.07.001 (in Chinese)[10] 李艳冰,张媛媛,黄明翔,等. Hsp65 and rpoB PCR-RFLP用于龟/脓肿分枝杆菌复合群种的快速鉴定[J].中国人兽共患病学报, 2012, 28(7) : 645-652. doi:10. 3969/cjz. j. issn. 1002-2694. 2012. 07. 001