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Infection

pp 1–4 | Cite as

A case of a surgical-site infection with Staphylococcus condimenti

  • Mercedeh TajdarEmail author
  • Marijke Reynders
  • Jens Van Praet
  • Maria Ángeles Argudín
  • Stefaan J. Vandecasteele
  • Eric Nulens
Case Report

Abstract

Introduction

Coagulase-negative staphylococci (CNS) are considered to have a medium or low pathogenic capacity when compared to S. aureus. Among the more harmless, CNS are those that are used in the food industry, represented by S. carnosus, whose genome has extensively been studied. Its genome was found to contain several genomic sequences that have a virulent function in the pathogenic S. aureus. Even though these genes are probably not virulent in S. carnosus, their presence might indicate a more virulent potential. We report the third clinical case associated with a surgical-site infection with S. condimenti, which belongs to these food industry related CNS. It corresponds to a blood stream infection, secondary to a surgical-site infection.

Results

Antibiotic susceptibility testing indicated a resistance to erythromycin and rifampicin, which was partly confirmed by the presence of a macrolide resistance gene by PCR screening for S. aureus virulence factors. Although no other putative virulence factors were detected, this organism managed to cause a severe post-operative wound infection.

Conclusion

This case shows that CNS that are currently used in the food industry may play a role in human infection. With technologies such as MALDI–TOF, pathogens that are regarded non-pathogenic could be identified more often. Therefore, the risk of different Staphylococcus strains used in the food industry must be better assessed.

Keywords

Surgical-site infection Coagulase-negative staphylococci Non-pathogenic Virulence S. condimenti 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Becker K, Heilmann C, Peters G. Coagulase-negative staphylococci. Clin Microbiol Rev. 2014;27:870–926.CrossRefPubMedCentralGoogle Scholar
  2. 2.
    Rosenstein R, Götz F. What distinguishes highly pathogenic staphylococci from medium- and non-pathogenic? Curr Top Microbiol Immunol. 2013;358:33–89.Google Scholar
  3. 3.
    Rosenstein R, Götz F. Genomic differences between the food-grade Staphylococcus carnosus and pathogenic staphylococcal species. Int J Med Microbiol. 2010;300:104–8.CrossRefGoogle Scholar
  4. 4.
    Argemi X, Riegel P, Lavigne T, Lefebvre N, Grandpré N, et al. Implementation of matrix-assisted laser desorption ionization-time of flight mass spectrometry in routine clinical laboratories improves identification of coagulase-negative staphylococci and reveals the pathogenic role of Staphylococcus lugdunensis. J Clin Microbiol. 2015;53:2030–6.CrossRefPubMedCentralGoogle Scholar
  5. 5.
    Misawa Y, Yoshida A, Okugawa S, Moriya K. First reported case of Staphylococcus condimenti infection associated with catheter-related bacteraemia. New Microbes New Infect. 2015;3:18–20.CrossRefGoogle Scholar
  6. 6.
    Probst AJ, Hertel C, Richter L, Wassill L, Ludwig W, et al. Staphylococcus condimenti sp nov, from soy sauce mash, and Staphylococcus carnosus (Schleifer and Fischer 1982) subsp utilis subsp nov. Int J Syst Bacteriol. 1998;48:651–8.CrossRefGoogle Scholar
  7. 7.
    Zell C, Resch M, Rosenstein R, Albrecht T, Hertel C, et al. Characterization of toxin production of coagulase-negative staphylococci isolated from food and starter cultures. Int J Food Microbiol;127:246–51.Google Scholar
  8. 8.
    Gabrielsen C, Kols NI, Øye C, Bergh K, Afset JE. Characterization of the virulence potential of Staphylococcus condimenti isolated from a patient with severe soft tissue infection. New Microbes New Infect. 2017;18:8–14.CrossRefPubMedCentralGoogle Scholar
  9. 9.
    Argudín MA, Dodémont M, Vandendriessche S, Rottiers S, Tribes C, Roisin S, de Mendonça R, Nonhoff C, Deplano A, Denis O. Low occurrence of the new species Staphylococcus argenteus in a Staphylococcus aureus collection of human isolates from Belgium. Eur J Clin Microbiol Infect Dis. 2016;35:1017–22.CrossRefGoogle Scholar
  10. 10.
    Lane DJ. 16S/23S rRNA sequencing. In: Stackebrandt E, Goodfellow M, editors. Nucleic acid techniques in bacterial systematics. New York: Wiley; 1991. pp. 115–76.Google Scholar
  11. 11.
    EUCAST. Breakpoint tables for interpretation of MICs and zone diameters. Version 7.1, 2017. http://www.eucast.org. Accessed 16 Mar 2017.
  12. 12.
    Deplano A, Vandendriessche S, Nonhoff C, Dodémont M, Roisin S, Denis O. National surveillance of Staphylococcus epidermidis recovered from bloodstream infections in Belgian hospitals. J Antimicrob Chemother. 2016;71:1815–9.  https://doi.org/10.1093/jac/dkw086.CrossRefGoogle Scholar
  13. 13.
    Vandendriessche S, Kadlec K, Schwarz S, Denis O. Methicillin-susceptible Staphylococcus aureus ST398-t571 harbouring the macrolide-lincosamide-streptogramin B resistance gene erm(T) in Belgian hospitals. J Antimicrob Chemother. 2011;66:2455–9.  https://doi.org/10.1093/jac/dkr348.CrossRefGoogle Scholar
  14. 14.
    Trampuz A, Zimmerli W. Prosthetic joint infections: update in diagnosis and treatment. Swiss Med Wkly. 30;135:243–51.Google Scholar
  15. 15.
    Ban KA, Minei JP, Laronga C, Harbrecht BG, Jensen EH, Fry DE, Itani KM, Dellinger EP, Ko CY, Duane TM. American College of Surgeons and Surgical Infection Society: surgical site infection guidelines, 2016 update. J Am Coll Surg. 2017;224:59–74.CrossRefGoogle Scholar
  16. 16.
    Cooper RA. Surgical site infections: epidemiology and microbiological aspects in trauma and orthopaedic surgery. Int Wound J. 2013;10:3–8.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Laboratory MedicineAZ Sint-Jan Brugge AVBrugesBelgium
  2. 2.Department of Nephrology and Infectious DiseasesAZ Sint-Jan Brugge AVBrugesBelgium
  3. 3.National Reference Centre, Staphylococcus aureus, Department of Microbiology, Hôpital ErasmeUniversité Libre de BruxellesBrusselsBelgium

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