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Abstract Book of EAVLD2012 - eavld congress 2012

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S1 - P - 13<br />

IDENTIFICATION OF GLOBICATELLA SANGUINIS ISOLATED FROM PNEUMONIA IN A GOAT<br />

M. Cocchi , S. Deotto, T. Di Giusto, M. Bregoli<br />

Istituto Zoopr<strong>of</strong>ilattico Sperimentale delle Venezie, Sezione territoriale di Udine, Basaldella di Camp<strong>of</strong>ormido (UD), Italy<br />

Globicatella sanguinis, pneumonia, goat<br />

Introduction<br />

Globicatella (G.) sanguinis was described in 1992. This<br />

bacterium is a catalase-negative, facultative anaerobic, gram<br />

positive coccus. It has been associated with various diseases in<br />

humans, such as bacteraemia, meningitis and infections <strong>of</strong> the<br />

urinary tract. In veterinary medicine, G. sanguinis was described<br />

in meningoencephalitis in lambs (1, 3). The aim <strong>of</strong> this study was<br />

to describe an episode <strong>of</strong> pneumonia in a goat produced by G.<br />

sanguinis.<br />

Materials & methods<br />

Two 1-year-old Tibetan goats out <strong>of</strong> a total <strong>of</strong> four goats<br />

belonging to a farm located in Friuli Venezia Giulia region (North<br />

east <strong>of</strong> Italy) showed unspecific clinical signs such as anorexia,<br />

depression, and permanent decubitus. These goats died after<br />

four days by the onset <strong>of</strong> the symptoms, and one <strong>of</strong> them was<br />

submitted for a necropsy. Bacteriological examinations were<br />

performed from lungs, brain and liver as follows: swabs were<br />

streaked onto blood agar base (BAB) and eosin-methylene blue<br />

agar (EMB). Brain Heart Infusion broth (BHI) was inoculated, too.<br />

Plates and tubes were incubated at 371°C for 48 hrs, in<br />

aerobiosis. BAB was incubated in anaerobic condition, too. From<br />

intestine a Perfringens agar base (PAB) other than EMB plate<br />

was used, incubated in anaerobiosis. It was obtained by using<br />

ANAEROGEN System, with an anaerobic indicator (Oxoid).<br />

Depending on morphology <strong>of</strong> the colonies, Gram staining,<br />

catalase and oxidase tests were performed. Miniaturized<br />

commercial tests were also used for identification. Agar plates<br />

and tubes were supplied by the service for media <strong>of</strong> the Istituto<br />

Zoopr<strong>of</strong>ilattico Sperimentale delle Venezie. Antimicrobial test was<br />

performed with disk diffusion method, in accordance with Clinical<br />

and Laboratory Standards Institute (CLSI) guidelines (2). Tested<br />

antimicrobials were: penicillin (10 g, Becton Dickinson),<br />

ampicillin (10 g, Becton Dickinson), oxacillin (10 g, Becton<br />

Dickinson), tetracycline (30 g, Oxoid), sulfamethoxazoletrimethropim<br />

(23,75-1,25 g –Oxoid-) and cephalothin (30 g –<br />

Oxoid-). Reading was done using the established diameter for<br />

Streptococcus (S.) spp other than S. pneumoniae.<br />

Results<br />

Necropsy. Macroscopic lesions recovered from lungs referred to<br />

acute bronchopneumonia and tracheal and laryngeal oedema.<br />

Catarrhal enteritis and hepatomegaly were observed, too.<br />

Bacteriological tests. Cultures from lungs and liver revealed pure<br />

culture <strong>of</strong> -haemolytic, pin-pointed (2-3 mm <strong>of</strong> diameter), circular<br />

colonies. Subsequently, analyses revealed a gram positive,<br />

catalase-negative, coccus-shaped organism.<br />

Figure 1 shows the morphology <strong>of</strong> the bacterium after 24 hrs <strong>of</strong><br />

incubation, on BAB. Biochemical identification was performed<br />

with a commercial kit, API rapid ID 32 Strep (Biomerieux). Both<br />

the gram positive strains showed identical biochemical pr<strong>of</strong>iles<br />

(22274063110), with a percentage <strong>of</strong> identification <strong>of</strong> 99.9%,<br />

T=0.92. Only fermentation <strong>of</strong> ribose resulted as an atypical test<br />

(negative in our reaction). Cultures from the intestine showed E.<br />

coli and Clostridium perfringens.<br />

Antimicrobial test. G. sanguinis revealed resistance to oxacillin,<br />

and to tetracycline, while it was sensitive to other tested drugs.<br />

Discussion & conclusions<br />

Pneumonia is one <strong>of</strong> the most common respiratory problems in<br />

small ruminants throughout the world. In goat herds, pneumonia<br />

increases production costs associated with expensive treatments.<br />

Infectious and non-infectious agents can cause inflammation <strong>of</strong><br />

the lungs. In goats the most frequent causes <strong>of</strong> respiratory<br />

infection and death are Pasteurella multocida and Mannheimia<br />

haemolytica. They are commonly found in the upper respiratory<br />

tract <strong>of</strong> healthy goats, too. Transportation stress, viral infections,<br />

parasites, poor management conditions, increase goats'<br />

susceptibility to these agents <strong>of</strong> pneumonia. In our case, the<br />

identification <strong>of</strong> G. sanguinis in pure culture from diseased lungs<br />

could be indicative <strong>of</strong> the pathological role <strong>of</strong> this bacterium.<br />

The performed analysis on other organs revealed the presence <strong>of</strong><br />

G. sanguinis in liver, too. Differences are in reference to the<br />

growth in different atmospheres: culture from lungs showed G.<br />

sanguinis both in aerobic and in anaerobic conditions. Cultures<br />

from liver revealed the presence <strong>of</strong> the bacterium only in aerobic<br />

incubation. The fact that all the goats in the farm showed identical<br />

clinical signs is strongly indicative that this bacterium was also<br />

responsible for the pathology in the other goats.<br />

In veterinary medicine, G. sanguinis was isolated in a case <strong>of</strong><br />

suppurative meningoencephalitis in lambs (1). In our case<br />

macroscopic analysis revealed an acute bronchopneumonia. Any<br />

lesion was recovered from the brain.<br />

Regarding identification, in this paper we named the bacterium in<br />

accordance with the pr<strong>of</strong>ile given by a miniaturized system. The<br />

phenotypic findings are consistent with those described for this<br />

bacterium species, except for pyrrolidonil arylamidase test. It is<br />

pertinent to note that G. sanguinis belongs to a broad range <strong>of</strong><br />

Gram-positive, catalase-negative new taxa recently founded in<br />

human and animal clinical samples. Some authors revealed that<br />

misidentification can occur between Aerococcus viridans and G.<br />

sanguinis, because <strong>of</strong> very similar biochemical pr<strong>of</strong>iles (1,5).<br />

Moreover, looking into literature only a few number <strong>of</strong> isolates<br />

were tested, with some differences in the results (1,3). For these<br />

reasons, subsequent investigations using different methods, such<br />

as molecular genetic tools should accompany the identification <strong>of</strong><br />

this bacterium.<br />

The improvement <strong>of</strong> the identification systems <strong>of</strong> these unusual<br />

gram-positive, catalase-negative bacteria may contribute to<br />

making progress in current epidemiological knowledge on host<br />

distribution and range <strong>of</strong> clinical conditions.<br />

Data about antimicrobial susceptibility test showed resistance<br />

varied significantly among the tested strains (5). In our report<br />

resistance to tetracycline does not agree with the data <strong>of</strong><br />

Seegmuller et al (4).<br />

To the author’s knowledge this is the first report about G.<br />

sanguinis in an episode <strong>of</strong> pneumonia in a goat.<br />

References<br />

1. Vela, A.I., Fernandez E., Las Heras A., Lawson, P.A., Dominguez L.,<br />

Collins M.D., and Fernandez-Garayzabal J. (2000). Meningoencephalitis<br />

associated with Globicatella sanguinis infection in lambs. J Clin Microbiol<br />

vol 38, 4254-4255.<br />

2. Clinical and laboratory standards institute (CLSI). M31-A3. Performance<br />

standards for antimicrobial disk and dilution susceptibility tests for bacteria<br />

isolated from animals. Vol 28. n 8.<br />

3. Collins, M.D., Aguirre, M., Faclam, R.R., Shallcross J., and Williams<br />

A.M. (1992) Globicatella sanguis gen.nov., sp. Nov., a gram-positive<br />

catalase-negative bacterium fropm human sources. J Appl. Bacteriol.<br />

73:433-437.<br />

4. Seegmuller I., Van der Linden M., Heeg C., and Reinert R.R. (2007).<br />

Globicatella sanguinis is ana etiological agent <strong>of</strong> ventriculoperitoneal<br />

shunt-associated meningitis. J Clinical Microbiol. Febb. 666-667.<br />

5. Shewmaker, P.L., Steigerwalt, A.G., Shealey, L., Weyant, R., and<br />

Facklam, R. (2001). DNA relatedness, phenotypic characteristics, and<br />

antimicrobial susceptibilities <strong>of</strong> Globicatella sanguinis strains. J Clinic<br />

Microbiol. Nov 4052-4057.<br />

Figure 1: G. sanguinis after 24h incubation on blood agar base, in<br />

aerobic atmosphere

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