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Published in: European Journal of Clinical Microbiology & Infectious Diseases 1/2010

01-01-2010 | Article

Genetic relatedness and virulence gene profiles of Escherichia coli strains isolated from septicaemic and uroseptic patients

Authors: N. L. Ramos, M. L. Saayman, T. A. Chapman, J. R. Tucker, H. V. Smith, J. Faoagali, J. C. Chin, A. Brauner, M. Katouli

Published in: European Journal of Clinical Microbiology & Infectious Diseases | Issue 1/2010

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Abstract

We investigated the relationship between clonality and virulence factors (VFs) of a collection of Escherichia coli strains isolated from septicaemic and uroseptic patients with respect to their origin of translocation. Forty septicaemic and 30 uroseptic strains of E. coli were tested for their phylogenetic groupings, genetic relatedness using randomly amplified polymorphic DNA (RAPD), biochemical fingerprinting method (biochemical phenotypes [BPTs]), adherence to HT-29 cells and the presence of 56 E. coli VF genes. Strains belonging to phylogenetic groups B2 and D constituted 93% of all strains. Fifty-four (77%) strains belonged to two major BPT/RAPD clusters (A and B), with cluster A carrying significantly (P = 0.0099) more uroseptic strains. The degree of adhesion to HT-29 cells of uroseptic strains was significantly (P = 0.0012) greater than that of septicaemic strains. Of the 56 VF genes tested, pap genes was the only group that were found significantly (P < 0.0001) more often among uroseptic isolates. Phylogenetic group B2 contained a significantly higher number of strains carrying pap genes than those in group D. We conclude that uroseptic E. coli are clonally different from septicaemic strains, carry more pap genes and predominantly adhere more to the HT-29 cell model of the gut.
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Literature
1.
go back to reference Beutin L (1999) Escherichia coli as a pathogen in dogs and cats. Vet Res 30:285–298PubMed Beutin L (1999) Escherichia coli as a pathogen in dogs and cats. Vet Res 30:285–298PubMed
2.
go back to reference Donnenberg MS (2002) Escherichia coli: virulence mechanisms of a versatile pathogen. Academic Press, Amsterdam Donnenberg MS (2002) Escherichia coli: virulence mechanisms of a versatile pathogen. Academic Press, Amsterdam
3.
go back to reference Hilali F, Ruimy R, Saulnier P, Barnabé C, LeBouguénec C, Tibayrenc M, Andremont A (2000) Prevalence of virulence genes and clonality in Escherichia coli strains that cause bacteremia in cancer patients. Infect Immun 68:3983–3989CrossRefPubMed Hilali F, Ruimy R, Saulnier P, Barnabé C, LeBouguénec C, Tibayrenc M, Andremont A (2000) Prevalence of virulence genes and clonality in Escherichia coli strains that cause bacteremia in cancer patients. Infect Immun 68:3983–3989CrossRefPubMed
4.
go back to reference Berg RD (1995) Bacterial translocation from the gastrointestinal tract. Trends Microbiol 3:149–154CrossRefPubMed Berg RD (1995) Bacterial translocation from the gastrointestinal tract. Trends Microbiol 3:149–154CrossRefPubMed
5.
go back to reference Gautreaux MD, Deitch EA, Berg RD (1994) T lymphocytes in host defense against bacterial translocation from the gastrointestinal tract. Infect Immun 62:2874–2884PubMed Gautreaux MD, Deitch EA, Berg RD (1994) T lymphocytes in host defense against bacterial translocation from the gastrointestinal tract. Infect Immun 62:2874–2884PubMed
6.
go back to reference Berg RD (1999) Bacterial translocation from the gastrointestinal tract. Adv Exp Med Biol 473:11–30PubMed Berg RD (1999) Bacterial translocation from the gastrointestinal tract. Adv Exp Med Biol 473:11–30PubMed
7.
go back to reference Berg RD (1985) Bacterial translocation from the intestines. Jikken Dobutsu 34:1–16PubMed Berg RD (1985) Bacterial translocation from the intestines. Jikken Dobutsu 34:1–16PubMed
8.
go back to reference Gosbell IB, Newton PJ, Sullivan EA (1999) Survey of blood cultures from five community hospitals in south-western Sydney, Australia, 1993–1994. Aust N Z J Med 29:684–692PubMed Gosbell IB, Newton PJ, Sullivan EA (1999) Survey of blood cultures from five community hospitals in south-western Sydney, Australia, 1993–1994. Aust N Z J Med 29:684–692PubMed
9.
go back to reference MacFie J, O’Boyle C, Mitchell CJ, Buckley PM, Johnstone D, Sudworth P (1999) Gut origin of sepsis: a prospective study investigating associations between bacterial translocation, gastric microflora, and septic morbidity. Gut 45:223–228PubMedCrossRef MacFie J, O’Boyle C, Mitchell CJ, Buckley PM, Johnstone D, Sudworth P (1999) Gut origin of sepsis: a prospective study investigating associations between bacterial translocation, gastric microflora, and septic morbidity. Gut 45:223–228PubMedCrossRef
10.
go back to reference Lu L, Walker WA (2001) Pathologic and physiologic interactions of bacteria with the gastrointestinal epithelium. Am J Clin Nutr 73(Suppl):1124S–1130SPubMed Lu L, Walker WA (2001) Pathologic and physiologic interactions of bacteria with the gastrointestinal epithelium. Am J Clin Nutr 73(Suppl):1124S–1130SPubMed
11.
go back to reference Sannes MR, Kuskowski MA, Owens K, Gajewski A, Johnson JR (2004) Virulence factor profiles and phylogenetic background of Escherichia coli isolates from veterans with bacteremia and uninfected control subjects. J Infect Dis 190:2121–2128CrossRefPubMed Sannes MR, Kuskowski MA, Owens K, Gajewski A, Johnson JR (2004) Virulence factor profiles and phylogenetic background of Escherichia coli isolates from veterans with bacteremia and uninfected control subjects. J Infect Dis 190:2121–2128CrossRefPubMed
12.
go back to reference Brauner A, Katouli M, Tullus K, Jacobson SH (1990) Cell surface hydrophobicity, adherence to HeLa cell cultures and haemagglutination pattern of pyelonephritogenic Escherichia coli strains. Epidemiol Infect 105:255–263CrossRefPubMed Brauner A, Katouli M, Tullus K, Jacobson SH (1990) Cell surface hydrophobicity, adherence to HeLa cell cultures and haemagglutination pattern of pyelonephritogenic Escherichia coli strains. Epidemiol Infect 105:255–263CrossRefPubMed
13.
go back to reference Blanco M, Blanco JE, Alonso MP, Blanco J (1996) Virulence factors and O groups of Escherichia coli isolates from patients with acute pyelonephritis, cystitis and asymptomatic bacteriuria. Eur J Epidemiol 12:191–198CrossRefPubMed Blanco M, Blanco JE, Alonso MP, Blanco J (1996) Virulence factors and O groups of Escherichia coli isolates from patients with acute pyelonephritis, cystitis and asymptomatic bacteriuria. Eur J Epidemiol 12:191–198CrossRefPubMed
14.
go back to reference Maslow JN, Whittam TS, Gilks CF, Wilson RA, Mulligan ME, Adams KS, Arbeit RD (1995) Clonal relationships among bloodstream isolates of Escherichia coli. Infect Immun 63:2409–2417PubMed Maslow JN, Whittam TS, Gilks CF, Wilson RA, Mulligan ME, Adams KS, Arbeit RD (1995) Clonal relationships among bloodstream isolates of Escherichia coli. Infect Immun 63:2409–2417PubMed
15.
go back to reference Taylor PW (1983) Bactericidal and bacteriolytic activity of serum against Gram-negative bacteria. Microbiol Rev 47:46–83PubMed Taylor PW (1983) Bactericidal and bacteriolytic activity of serum against Gram-negative bacteria. Microbiol Rev 47:46–83PubMed
16.
go back to reference Katouli M, Brauner A, Haghighi LK, Kaijser B, Muratov V, Möllby R (2005) Virulence characteristics of Escherichia coli strains causing acute cystitis in young adults in Iran. J Infect 50:312–321CrossRefPubMed Katouli M, Brauner A, Haghighi LK, Kaijser B, Muratov V, Möllby R (2005) Virulence characteristics of Escherichia coli strains causing acute cystitis in young adults in Iran. J Infect 50:312–321CrossRefPubMed
17.
go back to reference Cherifi A, Contrepois M, Picard B, Goullet P, de Rycke J, Fairbrother J, Barnouin J (1990) Factors and markers of virulence in Escherichia coli from human septicemia. FEMS Microbiol Lett 58:279–283PubMed Cherifi A, Contrepois M, Picard B, Goullet P, de Rycke J, Fairbrother J, Barnouin J (1990) Factors and markers of virulence in Escherichia coli from human septicemia. FEMS Microbiol Lett 58:279–283PubMed
18.
go back to reference Macutkiewicz C, Carlson G, Clark E, Dobrindt U, Roberts I, Warhurst G (2008) Characterisation of Escherichia coli strains involved in transcytosis across gut epithelial cells exposed to metabolic and inflammatory stress. Microbes Infect 10:424–431CrossRefPubMed Macutkiewicz C, Carlson G, Clark E, Dobrindt U, Roberts I, Warhurst G (2008) Characterisation of Escherichia coli strains involved in transcytosis across gut epithelial cells exposed to metabolic and inflammatory stress. Microbes Infect 10:424–431CrossRefPubMed
19.
go back to reference Ljungdahl M, Lundholm M, Katouli M, Rasmussen I, Engstrand L, Haglund U (2000) Bacterial translocation in experimental shock is dependent on the strains in the intestinal flora. Scand J Gastroenterol 35:389–397CrossRefPubMed Ljungdahl M, Lundholm M, Katouli M, Rasmussen I, Engstrand L, Haglund U (2000) Bacterial translocation in experimental shock is dependent on the strains in the intestinal flora. Scand J Gastroenterol 35:389–397CrossRefPubMed
20.
go back to reference Nettelbladt CG, Katouli M, Bark T, Svenberg T, Möllby R, Ljungqvist O (2000) Evidence of bacterial translocation in fatal hemorrhagic pancreatitis. J Trauma 48:314–315CrossRefPubMed Nettelbladt CG, Katouli M, Bark T, Svenberg T, Möllby R, Ljungqvist O (2000) Evidence of bacterial translocation in fatal hemorrhagic pancreatitis. J Trauma 48:314–315CrossRefPubMed
21.
go back to reference Katouli M, Nettelbladt CG, Muratov V, Ljungqvist O, Bark T, Svenberg T, Möllby R (1997) Selective translocation of coliform bacteria adhering to caecal epithelium of rats during catabolic stress. J Med Microbiol 46:571–578CrossRefPubMed Katouli M, Nettelbladt CG, Muratov V, Ljungqvist O, Bark T, Svenberg T, Möllby R (1997) Selective translocation of coliform bacteria adhering to caecal epithelium of rats during catabolic stress. J Med Microbiol 46:571–578CrossRefPubMed
22.
go back to reference Nettelbladt CG, Katouli M, Bark T, Svenberg T, Möllby R, Ljungqvist O (2003) Orally inoculated Escherichia coli strains colonize the gut and increase bacterial translocation after stress in rats. Shock 20:251–256CrossRefPubMed Nettelbladt CG, Katouli M, Bark T, Svenberg T, Möllby R, Ljungqvist O (2003) Orally inoculated Escherichia coli strains colonize the gut and increase bacterial translocation after stress in rats. Shock 20:251–256CrossRefPubMed
23.
go back to reference Bark T, Katouli M, Ljungqvist O, Möllby R, Svenberg T (1993) Bacterial translocation after non-lethal hemorrhage in the rat. Circ Shock 41:60–65PubMed Bark T, Katouli M, Ljungqvist O, Möllby R, Svenberg T (1993) Bacterial translocation after non-lethal hemorrhage in the rat. Circ Shock 41:60–65PubMed
24.
go back to reference Clermont O, Bonacorsi S, Bingen E (2000) Rapid and simple determination of the Escherichia coli phylogenetic group. Appl Environ Microbiol 66:4555–4558CrossRefPubMed Clermont O, Bonacorsi S, Bingen E (2000) Rapid and simple determination of the Escherichia coli phylogenetic group. Appl Environ Microbiol 66:4555–4558CrossRefPubMed
25.
go back to reference Chen J, Griffiths MW (1998) PCR differentiation of Escherichia coli from other Gram-negative bacteria using primers derived from the nucleotide sequences flanking the gene encoding the universal stress protein. Lett Appl Microbiol 27:369–371CrossRefPubMed Chen J, Griffiths MW (1998) PCR differentiation of Escherichia coli from other Gram-negative bacteria using primers derived from the nucleotide sequences flanking the gene encoding the universal stress protein. Lett Appl Microbiol 27:369–371CrossRefPubMed
26.
go back to reference Kühn I, Burman LG, Haeggman S, Tullus K, Murray BE (1995) Biochemical fingerprinting compared with ribotyping and pulsed-field gel electrophoresis of DNA for epidemiological typing of Enterococci. J Clin Microbiol 33:2812–2817PubMed Kühn I, Burman LG, Haeggman S, Tullus K, Murray BE (1995) Biochemical fingerprinting compared with ribotyping and pulsed-field gel electrophoresis of DNA for epidemiological typing of Enterococci. J Clin Microbiol 33:2812–2817PubMed
27.
go back to reference Möllby R, Kühn I, Katouli M (1993) Computerised biochemical fingerprinting—a new tool for typing of bacteria. Rev Med Microbiol 14:231–241 Möllby R, Kühn I, Katouli M (1993) Computerised biochemical fingerprinting—a new tool for typing of bacteria. Rev Med Microbiol 14:231–241
28.
go back to reference Sneath PHA, Sokal RR (1973) Numerical taxonomy. W. H. Freeman Co., San Francisco Sneath PHA, Sokal RR (1973) Numerical taxonomy. W. H. Freeman Co., San Francisco
29.
go back to reference Corney BG, Colley J, Djordjevic SP, Whittington R, Graham GC (1993) Rapid identification of some Leptospira isolates from cattle by random amplified polymorphic DNA fingerprinting. J Clin Microbiol 31:2927–2932PubMed Corney BG, Colley J, Djordjevic SP, Whittington R, Graham GC (1993) Rapid identification of some Leptospira isolates from cattle by random amplified polymorphic DNA fingerprinting. J Clin Microbiol 31:2927–2932PubMed
30.
go back to reference Couto CRA, Oliveira SS, Queiroz MLP, Freitas-Almeida AC (2007) Interactions of clinical and environmental Aeromonas isolates with Caco-2 and HT29 intestinal epithelial cells. Lett Appl Microbiol 45:405–410CrossRefPubMed Couto CRA, Oliveira SS, Queiroz MLP, Freitas-Almeida AC (2007) Interactions of clinical and environmental Aeromonas isolates with Caco-2 and HT29 intestinal epithelial cells. Lett Appl Microbiol 45:405–410CrossRefPubMed
31.
go back to reference Kim M, Murakami A, Ohigashi H (2007) Modifying effects of dietary factors on (-)-epigallocatechin-3-gallate-induced pro-matrix metalloproteinase-7 production in HT-29 human colorectal cancer cells. Biosci Biotechnol Biochem 71:2442–2450CrossRefPubMed Kim M, Murakami A, Ohigashi H (2007) Modifying effects of dietary factors on (-)-epigallocatechin-3-gallate-induced pro-matrix metalloproteinase-7 production in HT-29 human colorectal cancer cells. Biosci Biotechnol Biochem 71:2442–2450CrossRefPubMed
32.
go back to reference Wold AE, Caugant DA, Lidin-Janson G, de Man P, Svanborg C (1992) Resident colonic Escherichia coli strains frequently display uropathogenic characteristics. J Infect Dis 165:46–52PubMed Wold AE, Caugant DA, Lidin-Janson G, de Man P, Svanborg C (1992) Resident colonic Escherichia coli strains frequently display uropathogenic characteristics. J Infect Dis 165:46–52PubMed
33.
go back to reference Chapman TA, Wu X-Y, Barchia I, Bettelheim KA, Driesen S, Trott D, Wilson M, Chin JJ-C (2006) Comparison of virulence gene profiles of Escherichia coli strains isolated from healthy and diarrheic swine. Appl Environ Microbiol 72:4782–4795CrossRefPubMed Chapman TA, Wu X-Y, Barchia I, Bettelheim KA, Driesen S, Trott D, Wilson M, Chin JJ-C (2006) Comparison of virulence gene profiles of Escherichia coli strains isolated from healthy and diarrheic swine. Appl Environ Microbiol 72:4782–4795CrossRefPubMed
34.
go back to reference Chen W-P, Kuo T-T (1993) A simple and rapid method for the preparation of Gram-negative bacterial genomic DNA. Nucleic Acids Res 21:2260CrossRefPubMed Chen W-P, Kuo T-T (1993) A simple and rapid method for the preparation of Gram-negative bacterial genomic DNA. Nucleic Acids Res 21:2260CrossRefPubMed
35.
go back to reference Pass MA, Odedra R, Batt RM (2000) Multiplex PCRs for identification of Escherichia coli virulence genes. J Clin Microbiol 38:2001–2004PubMed Pass MA, Odedra R, Batt RM (2000) Multiplex PCRs for identification of Escherichia coli virulence genes. J Clin Microbiol 38:2001–2004PubMed
36.
go back to reference Paton AW, Paton JC (1998) Detection and characterization of shiga toxigenic Escherichia coli by using multiplex PCR assays for stx1, stx2, eaeA, enterohemorrhagic E. coli hlyA, rfbO111, and rfbO157. J Clin Microbiol 36:598–602PubMed Paton AW, Paton JC (1998) Detection and characterization of shiga toxigenic Escherichia coli by using multiplex PCR assays for stx1, stx2, eaeA, enterohemorrhagic E. coli hlyA, rfbO111, and rfbO157. J Clin Microbiol 36:598–602PubMed
37.
go back to reference Tillett D, Neilan BA (2000) Xanthogenate nucleic acid isolation from cultured and environmental cyanobacteria. J Phycol 36:251–258CrossRef Tillett D, Neilan BA (2000) Xanthogenate nucleic acid isolation from cultured and environmental cyanobacteria. J Phycol 36:251–258CrossRef
38.
go back to reference Katouli M, Kühn I, Möllby R (1990) Evaluation of the stability of biochemical phenotypes of Escherichia coli upon subculturing and storage. J Gen Microbiol 136:1681–1688PubMed Katouli M, Kühn I, Möllby R (1990) Evaluation of the stability of biochemical phenotypes of Escherichia coli upon subculturing and storage. J Gen Microbiol 136:1681–1688PubMed
39.
go back to reference Johnson JR, Stell AL (2000) Extended virulence genotypes of Escherichia coli strains from patients with urosepsis in relation to phylogeny and host compromise. J Infect Dis 181:261–272CrossRefPubMed Johnson JR, Stell AL (2000) Extended virulence genotypes of Escherichia coli strains from patients with urosepsis in relation to phylogeny and host compromise. J Infect Dis 181:261–272CrossRefPubMed
40.
go back to reference Mills M, Meysick KC, O’Brien AD (2000) Cytotoxic necrotizing factor type 1 of uropathogenic Escherichia coli kills cultured human uroepithelial 5637 cells by an apoptotic mechanism. Infect Immun 68:5869–5880CrossRefPubMed Mills M, Meysick KC, O’Brien AD (2000) Cytotoxic necrotizing factor type 1 of uropathogenic Escherichia coli kills cultured human uroepithelial 5637 cells by an apoptotic mechanism. Infect Immun 68:5869–5880CrossRefPubMed
41.
go back to reference Schierack P, Walk N, Ewers C, Wilking H, Steinrück H, Filter M, Wieler LH (2008) ExPEC-typical virulence-associated genes correlate with successful colonization by intestinal E. coli in a small piglet group. Environ Microbiol 10(7):1742–1751CrossRefPubMed Schierack P, Walk N, Ewers C, Wilking H, Steinrück H, Filter M, Wieler LH (2008) ExPEC-typical virulence-associated genes correlate with successful colonization by intestinal E. coli in a small piglet group. Environ Microbiol 10(7):1742–1751CrossRefPubMed
42.
go back to reference Ruiz J, Simon K, Horcajada JP, Velasco M, Barranco M, Roig G, Moreno-Martínez A, Martínez JA, Jiménez de Anta T, Mensa J, Vila J (2002) Differences in virulence factors among clinical isolates of Escherichia coli causing cystitis and pyelonephritis in women and prostatitis in men. J Clin Microbiol 40:4445–4449CrossRefPubMed Ruiz J, Simon K, Horcajada JP, Velasco M, Barranco M, Roig G, Moreno-Martínez A, Martínez JA, Jiménez de Anta T, Mensa J, Vila J (2002) Differences in virulence factors among clinical isolates of Escherichia coli causing cystitis and pyelonephritis in women and prostatitis in men. J Clin Microbiol 40:4445–4449CrossRefPubMed
43.
44.
go back to reference Sabaté M, Moreno E, Pérez T, Andreu A, Prats G (2006) Pathogenicity island markers in commensal and uropathogenic Escherichia coli isolates. Clin Microbiol Infect 12:880–886CrossRefPubMed Sabaté M, Moreno E, Pérez T, Andreu A, Prats G (2006) Pathogenicity island markers in commensal and uropathogenic Escherichia coli isolates. Clin Microbiol Infect 12:880–886CrossRefPubMed
45.
go back to reference Bertin Y, Girardeau JP, Darfeuille-Michaud A, Martin C (2000) Epidemiological study of pap genes among diarrheagenic or septicemic Escherichia coli strains producing CS31A and F17 adhesins and characterization of Pap(31A) fimbriae. J Clin Microbiol 38:1502–1509PubMed Bertin Y, Girardeau JP, Darfeuille-Michaud A, Martin C (2000) Epidemiological study of pap genes among diarrheagenic or septicemic Escherichia coli strains producing CS31A and F17 adhesins and characterization of Pap(31A) fimbriae. J Clin Microbiol 38:1502–1509PubMed
46.
go back to reference Jauréguy F, Carbonnelle E, Bonacorsi S, Clec’h C, Casassus P, Bingen E, Picard B, Nassif X, Lortholary O (2007) Host and bacterial determinants of initial severity and outcome of Escherichia coli sepsis. Clin Microbiol Infect 13:854–862CrossRefPubMed Jauréguy F, Carbonnelle E, Bonacorsi S, Clec’h C, Casassus P, Bingen E, Picard B, Nassif X, Lortholary O (2007) Host and bacterial determinants of initial severity and outcome of Escherichia coli sepsis. Clin Microbiol Infect 13:854–862CrossRefPubMed
47.
go back to reference Johnson JR, Owens K, Gajewski A, Kuskowski MA (2005) Bacterial characteristics in relation to clinical source of Escherichia coli isolates from women with acute cystitis or pyelonephritis and uninfected women. J Clin Microbiol 43:6064–6072CrossRefPubMed Johnson JR, Owens K, Gajewski A, Kuskowski MA (2005) Bacterial characteristics in relation to clinical source of Escherichia coli isolates from women with acute cystitis or pyelonephritis and uninfected women. J Clin Microbiol 43:6064–6072CrossRefPubMed
48.
go back to reference Bonacorsi S, Houdouin V, Mariani-Kurkdjian P, Mahjoub-Messai F, Bingen E (2006) Comparative prevalence of virulence factors in Escherichia coli causing urinary tract infection in male infants with and without bacteremia. J Clin Microbiol 44:1156–1158CrossRefPubMed Bonacorsi S, Houdouin V, Mariani-Kurkdjian P, Mahjoub-Messai F, Bingen E (2006) Comparative prevalence of virulence factors in Escherichia coli causing urinary tract infection in male infants with and without bacteremia. J Clin Microbiol 44:1156–1158CrossRefPubMed
49.
go back to reference Zdziarski J, Svanborg C, Wullt B, Hacker J, Dobrindt U (2008) Molecular basis of commensalism in the urinary tract: low virulence or virulence attenuation? Infect Immun 76:695–703CrossRefPubMed Zdziarski J, Svanborg C, Wullt B, Hacker J, Dobrindt U (2008) Molecular basis of commensalism in the urinary tract: low virulence or virulence attenuation? Infect Immun 76:695–703CrossRefPubMed
50.
go back to reference Harel J, Martin C (1999) Virulence gene regulation in pathogenic Escherichia coli. Vet Res 30:131–155PubMed Harel J, Martin C (1999) Virulence gene regulation in pathogenic Escherichia coli. Vet Res 30:131–155PubMed
Metadata
Title
Genetic relatedness and virulence gene profiles of Escherichia coli strains isolated from septicaemic and uroseptic patients
Authors
N. L. Ramos
M. L. Saayman
T. A. Chapman
J. R. Tucker
H. V. Smith
J. Faoagali
J. C. Chin
A. Brauner
M. Katouli
Publication date
01-01-2010
Publisher
Springer-Verlag
Published in
European Journal of Clinical Microbiology & Infectious Diseases / Issue 1/2010
Print ISSN: 0934-9723
Electronic ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-009-0809-2

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