A fatal case of streptococcal toxic shock syndrome caused by Streptococcus suis carrying tet (40) and tet (O/W/32/O), Italy

2016 ◽  
Vol 22 (11) ◽  
pp. 774-776 ◽  
Author(s):  
Fabiola Mancini ◽  
Francesco Adamo ◽  
Roberta Creti ◽  
Monica Monaco ◽  
Giovanna Alfarone ◽  
...  
2008 ◽  
Vol 190 (22) ◽  
pp. 7567-7578 ◽  
Author(s):  
Youjun Feng ◽  
Ming Li ◽  
Huimin Zhang ◽  
Beiwen Zheng ◽  
Huiming Han ◽  
...  

ABSTRACT Zinc is an essential trace element for all living organisms and plays pivotal roles in various cellular processes. However, an excess of zinc is extremely deleterious to cells. Bacteria have evolved complex machineries (such as efflux/influx systems) to control the concentration at levels appropriate for the maintenance of zinc homeostasis in cells and adaptation to the environment. The Zur (zinc uptake regulator) protein is one of these functional members involved in the precise control of zinc homeostasis. Here we identified a zur homologue designated 310 from Streptococcus suis serotype 2, strain 05ZYH33, a highly invasive isolate causing streptococcal toxic shock syndrome. Biochemical analysis revealed that the protein product of gene 310 exists as a dimer form and carries zinc ions. An isogenic gene replacement mutant of gene 310, the Δ310 mutant, was obtained by homologous recombination. Physiological tests demonstrated that the Δ310 mutant is specifically sensitive to Zn2+, while functional complementation of the Δ310 mutant can restore its duration capability, suggesting that 310 is a functional member of the Zur family. Two-dimensional electrophoresis indicated that nine proteins in the Δ310 mutant are overexpressed in comparison with those in the wild type. DNA microarray analyses suggested that 121 genes in the Δ310 mutant are affected, of which 72 genes are upregulated and 49 are downregulated. The transcriptome of S. suis serotype 2 with high Zn2+ concentrations also showed 117 differentially expressed genes, with 71 upregulated and 46 downregulated. Surprisingly, more than 70% of the genes differentially expressed in the Δ310 mutant were the same as those in S. suis serotype 2 that were differentially expressed in response to high Zn2+ concentration, consistent with the notion that 310 is involved in zinc homeostasis. We thus report for the first time a novel zinc-responsive regulator, Zur, from Streptococcus suis serotype 2.


PLoS Medicine ◽  
2006 ◽  
Vol 3 (5) ◽  
pp. e151 ◽  
Author(s):  
Jiaqi Tang ◽  
Changjun Wang ◽  
Youjun Feng ◽  
Weizhong Yang ◽  
Huaidong Song ◽  
...  

2021 ◽  
Author(s):  
Yasha Luo ◽  
Minling Zheng ◽  
Yanyuan Chen ◽  
Chunming Gu ◽  
Lijuan Lv ◽  
...  

Abstract Background Group A streptococcal (GAS) toxic shock syndrome (TSS) is a rare invasive disease, causing a high risk of maternal and fetal mortality during pregnancy. We report a fatal case of a female caused by GAS-TSS in the third trimester of pregnancy in Guangzhou, China. Case presentation: The patient is a 33-year-old female who presented at 37 weeks’ gestation with a history of three hours fever. She underwent an emergency cesarean section due to fetal bradycardia. The neonate survived after an aggressive anti-infection treatment. However, the patient’s condition deteriorated rapidly after the operation and the patient died of disseminated intravascular coagulation and septic shock within 24h after admission. She was finally diagnosed with GAS-TSS. The GAS strains were isolated from two bottles of blood cultures, which confirmed as Streptococcus pyogenes by 16S gene sequencing and identified as serotype M1 by molecular typing. Conclusions Dramatical clinical picture and laboratory characters of the pregnant woman presented here might help improve clinicians' awareness and recognition of Streptococcus pyogenes, which could be of great importance for the early diagnosis of GAS- TSS in pregnancy.


PLoS Medicine ◽  
2006 ◽  
Vol 3 (8) ◽  
pp. e377 ◽  
Author(s):  
Jiaqi Tang ◽  
Changjun Wang ◽  
Youjun Feng ◽  
Weizhong Yang ◽  
Huaidong Song ◽  
...  

2008 ◽  
Vol 22 (5) ◽  
pp. 313-316 ◽  
Author(s):  
Yefei Zhu ◽  
Zhongmin Tan ◽  
Lingyang Zhu ◽  
Hongxing Pan ◽  
Xuejun Zhang ◽  
...  

2008 ◽  
Vol 38 (2) ◽  
pp. 129-131
Author(s):  
Levent Doganci ◽  
Esra Tanyel ◽  
Hakki Basıbuyuk ◽  
Ozge Darka

2021 ◽  
Author(s):  
Yasha Luo ◽  
Minling Zheng ◽  
Yanyuan Chen ◽  
Chunming Gu ◽  
Lijuan Lv ◽  
...  

Abstract Background: Group A streptococcal (GAS) toxic shock syndrome (TSS) is a rare invasive disease, causing a high risk of maternal and fetal mortality during pregnancy. We report a fatal case of a female caused by GAS-TSS in the third trimester of pregnancy in Guangzhou, China. Case presentation: The patient is a 33-year-old female who presented at 37 weeks’ gestation with a history of three hours fever. The patient underwent an early onset and rapid progression with dramatic clinical picture and laboratory characters within 24 hours. The neonate survived after an aggressive anti-infection treatment.The GAS strains were isolated from two bottles of blood cultures and airway secretion culture, which confirmed as Streptococcus pyogenes associated with genotype emm1 by molecular analysis.Conclusion: Dramatic clinical picture and laboratory characters of the pregnant woman presented here might help improve clinicians' awareness and recognition of Streptococcus pyogenes, which could be of great importance for the early diagnosis of GAS- TSS in pregnancy.


2018 ◽  
Vol 6 (20) ◽  
Author(s):  
Silvia Fillo ◽  
Fabiola Mancini ◽  
Anna Anselmo ◽  
Antonella Fortunato ◽  
Giovanni Rezza ◽  
...  

ABSTRACT Streptococcus suis is an economically important pathogen in the pig industry and is also an emerging zoonotic agent responsible for severe infections in humans. Here, we report the genome sequence of S. suis strain SsRC-1. Specifically, this strain was a serotype 2 and was isolated from a human fatal case of toxic shock syndrome (TSS) in Italy.


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