• 제목/요약/키워드: Neisseria

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Flexor Tenosynovitis Caused by Neisseria gonorrhea Infection: Case Series, Literature Review, and Treatment Recommendations

  • Nirbhay Jain;Sean Saadat;Mytien Goldberg
    • Archives of Plastic Surgery
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    • 제50권2호
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    • pp.216-219
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    • 2023
  • Neisseria gonorrhoeae is the most common sexually transmitted disease in the world and is known to cause disseminated disease, most commonly tenosynovitis. Classically, gonorrhea-associated tenosynovitis presents with concomitant dermatitis and arthralgias, though this is not always the case. N. gonorrhoeae-related tenosynovitis has become more commonly seen by hand surgeons. To aid in management, we present three cases of gonorrhea-induced tenosynovitis spanning a range of presentations with variable treatments to demonstrate the variety of patients with this disease. Only one of our patients had a positive gonococcal screening test and no patient had purulent urethritis, the most common gonorrhea-related symptom. A separate patient had the classic triad of tenosynovitis, dermatitis, and arthralgias. Two patients underwent operative irrigation and debridement, and one was managed with anti-gonococcal antibiotics alone. Though gonorrhea is a rare cause of flexor tenosynovitis, it must always be on the differential for hand surgeons when they encounter this diagnosis. Taking an appropriate sexual history and performing routine screening tests can assist in the diagnosis, the prescription of appropriate antibiotics, and potentially avoiding an unnecessary operation.

국내 박물과 환경에 분포하는 미생물의 분리 (Distribution of Microorganisms in Domestic Museum Environments)

  • 이상준;이재동;차미선;이나은;윤수정;조현혹;권영숙
    • 한국환경과학회지
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    • 제14권8호
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    • pp.793-800
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    • 2005
  • We isolated and identified microorganisms from the aerial environment of domestic museums. The fungi, Penicillium spp., Alternaria spp., and Cladosporium spp. were isolated in many museums. It seems that these fungi are related to biological degradation of textile remains. A total of 14 kinds of bacterial strains were isolated: Acinetobacter spp., Pseudomonas spp., Neisseria spp., Alcaligenes spp., Shigella spp., Klebsiella spp., Corynebacterium spp., Aerococcus spp., Bacillus spp., Micrococcus spp., Citrobacter spp., Erwinia spp., Salmonella spp., and Providencia spp. Acinetobacter spp., Pseudomonas spp., Neisseria spp., and Alcaligenes spp. were the predominate bacteria found in samples with a variety of bacteria. This suggests that there is a relationship between bacteria and the damage of textile remains. In the museum, we isolated Alternaria spp, Geotrichum spp., Penicillium spp. Acinetobacter spp., Pseudomonas spp., Alcaligenes spp. from the entrance, exhibit hall and storage, but they were found in smaller number and species in the exhibit cases and paulownia cases. We concluded that paulownia cases were not influenced by the microorganisms because of quality of care provided by the museum staff. Corynebacterium spp., and Bacillus spp. were not detected at the entrance and exhibit hall but were detected in paulownia cases. It is presumed that those bacteria did not flow in from outside, but resulted from contaminants in paulownia cases. In the distribution of microorganisms associated with textile remains, more fungi were detected than bacteria. Acinetobacter spp., Pseudomonas spp., and Neisseria spp., were isolated from silk items. Penicillium spp. and Cladosporium spp. were isolated in the silk and hump items. Aspergillus spp. and Penicillium spp. were isolated from the cotton items. On the other hands, there were no fungi strains in the wool items. Most of the isolated strains from textile remains were aerial microorganisms from the museum environment. These results suggest that textile remains were apt to contaminated by contact with the air.

각·결막염 유발균에 대한 Iysozyme의 항균활성 (The Antimicrobial Activity of Lysozyme against the Microorganisms Causing Conjunctivitis and/or Keratitis)

  • 김대년;박은규
    • 한국안광학회지
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    • 제2권1호
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    • pp.85-90
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    • 1997
  • 안구의 각막과 결막은 외계에 노출되어 있어서 손상을 받기 쉽고, 손상부위에 병균이 감염되면 염증이 유발되어 심한 시력장애를 초래하기도 하는데, 누액 속에 포함되어 있는 lysozyme은 이러한 병균에 대해 항균작용을 가지므로 평소에는 안구가 노출되어 있어도 각 결막염이 발생하지 않는다. 본 연구는 lysozyme의 항균효과를 조사하고자 각 결막염의 원인균 중 5가지를 선별하여 배양하였고, 그 배양액에 lysozyme을 농도별로 첨가하면서 생육저해 정도를 측정하였다. 그 결과, 배지 중의 lysozyme 농도가 증가할수록 공시균의 생육은 저해되었다. 1mM 농도의 lysozyme에 의해 Pseudomonas는 43%, Neisseria는 41%, KlebsielIa는 35%, Staphylococus는 22% 생육이 저해되었고, 그람음성균은 그람양성균인 Staphylococus보다 lysozyme에 대한 감수성이 약 1.5~2.0배 큰 것으로 나타났다. 그러나 lysozyme은 진균인 Fusarium의 생육에는 매우 미약한 저해양상을 나타내었다.

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Epidemiological Trends of Sexually Transmitted Infections Among Women in Cheonan, South Korea, 2006-2012

  • Kim, Jae Kyung
    • Journal of Microbiology and Biotechnology
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    • 제23권10호
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    • pp.1484-1490
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    • 2013
  • A lack of investigation in specific regions has impeded the understanding of epidemiological trends in the prevalence of sexually transmitted infections (STIs) in South Korea. To help fill this research gap, this study used multiplex polymerase chain reaction (mPCR) to determine the prevalence of STIs detected in clinical specimens collected from women in Cheonan, South Korea between August 2006 and November 2012, and analyzed the prevalence of STIs according to age, bacterial pathogen, and time period. Of the 1,618 specimens collected from 1,523 patients, 536 (35.2%) tested positive for at least 1 pathogen, with 407 (25.2%) testing positive for 1 pathogen, 103 (6.4%) for 2 pathogens, 20 (1.2%) for 3 pathogens, and 6 (0.4%) for 4 pathogens (n = 697 pathogens total). The median ages of all patients and of STI-positive patients were 37.8 and 33.3 years, respectively, and both decreased annually over the study period. Mycoplasma hominis (MH) was detected in 62.1% of the positive specimens, Ureaplasma urealyticum (UU) in 28.4%, Chlamydia trachomatis (CT) in 23.1%, Trichomonas vaginalis (TV) in 7.8%, Mycoplasma genitalium (MG) in 6.5%, and Neisseria gonorrhoeae (NG) in 2.1%. Whereas the prevalence of MH, MG, and TV infection did not vary greatly over the study period, that of UU decreased by one-fifth and that of both CT and NG increased 4-fold. The results indicate great variability in the rates of infection with each pathogen and a decreasing trend in overall STI prevalence, age of patients seeking STI testing, and age of STI-positive patients.

Identification of Non-Aggregatibacter actinomycetemcomitans Bacteria Grown on the Tryptic soy-Serum-Bacitracin-Vancomycin Medium

  • Jo, Eojin;Park, Soon-Nang;Kook, Joong-Ki
    • International Journal of Oral Biology
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    • 제41권4호
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    • pp.199-208
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    • 2016
  • The aim of this study was to identify the non-Aggregatibacter actinomycetemcomitans bacteria grown on the tryptic soy-serum-bacitracin-vancomycin (TSBV) medium, an A. actinomycetemcomitans selective medium. A total of 82 unidentified bacterial isolates from the oral cavities of a Korean population were kindly provide by the Korean Collection for Oral Microbiology. All the clinical isolates were grown on TSBV medium and bacterial DNA purified from each isolate was subjected to PCR with universal primers specific for bacterial 16S rRNA genes (16S rDNAs) sequence. The each bacterial 16S rDNA was amplified by PCR and the nucleotide sequences of it was determined by the dideoxynucleotide chain termination method. They were identified by 16S rDNA sequence comparison method at the specie-level. The data showed that Neisseria spp. (42 strains), Fusobacterium spp. (10 strains), Capnocytophaga spp. (8 strains), Propionibacterium acnes (5 strains), Aggregatibacter aprophilus (4 strains), Campylobacter spp. (5 strains), Veillonella dispar (3 strains), Streptococcus sp. (1 strain), Haemophilus parainfluenzae (1 strain), Leptotrichia wadei (1 strain), Morococcus sp./Neisseria sp. (1 strain), and Staphylococcus sp. (1 strain) were identified. These results could be used to develop a new A. actinomycetemcomitans-selective medium which is more effective than the TSBV medium in future studies.

Rapid One Step Detection of Pathogenic Bacteria in Urine with Sexually Transmitted Disease (STD) and Prostatitis Patient by Multiplex PCR Assay (mPCR)

  • Lee, Sang-Rok;Chung, Ji-Min;Kim, Young-Gon
    • Journal of Microbiology
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    • 제45권5호
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    • pp.453-459
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    • 2007
  • We developed a multiplex PCR (mPCR) assay to simultaneously detect Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Ureaplasma urealyticum, Corynebacterium spp. and seudomona aeruginosa. This method employs a single tube and multiple specific primers which yield 200, 281, 346, 423, 542, and 1,427 bp PCR products, respectively. All the PCR products were easily detected by agarose gel electrophoresis and were sequenced to confirm the specificity of the reactions. To test this method, DNA extracted from urine samples was collected from 96 sexually transmitted disease or prostatitis patients at a local hospital clinical center, and were subjected to the mPCR assay. The resulting amplicons were cloned and sequenced to exactly match the sequences of known pathogenic isolates. N. gonorrhoeae and Corynebacterium spp. were the most frequently observed pathogens found in the STDs and prostatitis patients, respectively. Unexpectedly, P. aeruginosa was also detected in some of the STD and prostatitis samples. More than one pathogen species was found in 10% and 80.7% of STD and prostatitis samples, respectively, indicating that STD and prostatitis patients may have other undiagnosed and associates. The sensitivity of the assay was determined by sing purified DNA from six pathogenic laboratory strains and revealed that this technique could detect pathogenic DNA at concentrations ranging from 0.018 to $1.899\;pg/{\mu}l$. Moreover, the specificities of this assay were found to be highly efficient. Thus, this mPCR assay may be useful for the rapid diagnosis of causative infectious STDs and prostatitis. useful for the infectious STDs and prostatitis.

Bactericidal Antibody Responses to Meningococcal Recombinant Outer Membrane Proteins

  • Ming Zhu;Yunqing Sun
    • Journal of Microbiology and Biotechnology
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    • 제34권7호
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    • pp.1419-1424
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    • 2024
  • Secretin PilQ is an antigenically conserved outer membrane protein that is present in most meningococci and PorA is a major protein that elicits bactericidal immune response in humans following natural disease and immunization. In the present study, BALB/c mice were immunized subcutaneously with rPilQ406-770 or rPorA together with Freund's adjuvant (FA). Serum antibody responses to serogroup A and B Neisseria meningitides whole cells or purified proteins and functional activity of antibodies were determined by ELISA and serum bactericidal assay (SBA), respectively. Serum IgG responses were significantly increased in the immunized group with rPilQ406-770 or rPorA together with FA compared to control groups. IgG antibody response of mice immunized with rPilQ406-770 was significantly more than mice immunized with rPorA (OD at 450 nm was 1.6 versus 0.83). The booster injections were effective in increasing the responses of antirPilQ406-770 or anti-rPorA IgG significantly. Antisera produced against rPilQ406-770 or rPorA demonstrated strong surface reactivity to serogroup B N. meningitides in comparison with control groups. Antisera raised against rPorA or rPilQ406-770 and FA demonstrated SBA titers from 1/1024 to 1/2048 against serogroup B. The strongest bactericidal activity was detected in sera from mice immunized with rPilQ406-770 mixed with FA. These results suggest that rPilQ406-770 is a potential vaccine candidate for serogroup B N. meningitidis.

유아원에 다니는 소아의 구인강 내 수막구균 보균율과 혈청군 (Carriage Rates and Serogroups of Neisseria meningitides in Children Attending Day Care Centers)

  • 김남희;이진아;이정원;이수영;최은화;김경효;김의종;강진한;이환종
    • Pediatric Infection and Vaccine
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    • 제16권1호
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    • pp.31-39
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    • 2009
  • 목 적: 수막구균(Neisseria meningitides)은 패혈증, 수막염 등 침습성 질환의 중요한 원인의 하나이다. 최근에는 수막구균 다당질-단백 결합 백신이 개발되어 영아의 정기 접종에 포함된 국가도 있다. 우리 나라에서는 건강한 성인의 보유율에 관한 보고는 있으나 소아에서는 수막구균 보균율에 대한 체계적인 보고가 아직 없었다. 본 연구에서는 건강한 유소아를 대상으로 수막구균의 구인두 집락율과 혈청군을 알아 보고자 하였다. 방 법: 2005년 1-2월과 5월에 서울, 경기지역의 13개 어린이집과 유아원에 다니는 소아 904명을 대상으로 하였다. Calcium alginated cotton으로 구인두 점막을 세게 문질러 구인두 도말 검체를 채취한 후 즉시 수막구균 선택배지(modified New York City medium)에 접종하고 $CO_2$ 보육기에서 48시간 배양하였다. 수막구균 동정은 Vitek NHI card를 이용하였으며 중합효소 연쇄 반응을 이용하여 crgA 유전자를 검출하여 확인하였다. 확인된 수막구균은 N. meningitides antisera를 이용한 agglutination test로써 혈청형 A, B, C, D, 29E, W135, X, Y, Z에 대한 검사를 하였으며, 중합효소 연쇄 반응을 이용하여 org2, siaD 유전자의 다양성에 따라 혈청형 A, B, C, W135, Y 여부를 다시 확인하였다. 결 과: 구인두 도말을 채취한 904명의 소아 중 남아는 468명(52%) 이었고 대상 유소아의 연령 분포는 2세 미만이 59명(6.5%), 2세에서 5세 미만은 486명(53.8%), 5-6세는 338명(37.4%)이었고 7세 이상은 21명(2.3%)이었다. 수막구균은 7명의 구인두 검체에서 검출되어 수막구균 보균율은 0.8%이었다. 남아 3명에서 검출되었고 연령별로는 3세 미만에서는 검출 되지 않았고 3세, 4세, 5세 소아에서 각각 1명씩, 그리고 6세 소아 4명에서 검출되었다. 혈청형은 Y군이 3균주, C군과 A군이 각각 2균주이었다. 2군데 유아원에서 각각 2명씩 분리되었고 3군데 유아원에서 1명씩 분리 되었다. 2명이 분리된 유아원 중 한군데는 모두 혈청형 Y가 분리 되었고 다른 유아원에서는 C군과 Y군이 각각 한 명씩 분리되었다. 결 론: 유아원에 다니는 건강한 소아의 구인강내 수막구균 보유율은 매우 낮았으며, 분리된 수막구균의 혈청군은 A, C, Y군이 고루 분포하였다.

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Growth inhibition of oral bacteria by plant juices II

  • 박영두;음진성
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2008년도 춘계종합학술대회 A
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    • pp.963-966
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    • 2008
  • Twenty four bacterial strains were isolated and identified from human oral cavities. These strains were identified as genus 8 Moraxella, 1 Neisseria, 1 Proteus, 6 Bacillus, 4 Staphylococcus, 3 Branhamella and 1 Enterobacter. Two genuses are Gram-positive and four genuses are Gram-negative. In order to search for antimicrobial substances from natural plants, twenty one plant materials being made of perilla leaf as well as spices including garlic and ginger were used. The effects of these plant juices on the growth of oral bacterial strains were investigated. Only garlic juice inhibited the growth of seventeen bacterial strains belonging to 6 kinds of genus.

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항생물질 Bicyclomycin의 작용기전

  • 박형근
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1997년도 추계학술대회
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    • pp.19-25
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    • 1997
  • Bicyclomycin(BCM)은 1972년에 일본 Hokkaido, Sapporo지방의 토양균중의 하나인 Streptomyces Sapporoneosis의 배양액으로부터 최초로 분리된 항생물질로서 특히 Gram(-) 박테리아인 Escherichia coli. Klebsiella, Shigella, Salmonella, Citrobacter, Enterobacter cloacae, Neisseria gonorrhoeae등에 대한 선택적인 항균효과를 가지고 있고 Streptomycin, Kanamycin, Chloramphenicol, Tetracyclin, Aminobenzylpenicillin 및 naldixic acid 등에 대해 교차내성을 가지고 있지 않다. BCM은 구조적인 면에서 [4.2.2]bicyclic구조를 가지고있는 특이한 항생물질로서 C(1)-triol부분, diketopiperazine부분 그리고 C(5)-C(5a)exomethylene의 3 부분으로 크게 나눌수 있다(Fig. 1). BGM은 E. coli에 대한 항균력으로서 250-500 $\mu\textrm{g}$/mL의 MIC value를 가지고 있고 급성독성으로서 LD$_{50}$가 4g/kg 이상으로 거의 독성이 없는 것이 특징이다. 현재 Fujisawa pharmaceutical Ltd.로부터 Bicozamycin이라는 상품명으로 설사치료제 용도로 시판되고 있다.

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