A Case Series of Diarrheal Diseases Associated with Yersinia frederiksenii

To date, Yersinia pestis, Yersinia enterocolitica, and Yersinia pseudotuberculosis are the three Yersinia species generally agreed to be pathogenic in humans. However, there are a limited number of studies that suggest some of the “non-pathogenic” Yersinia species may also cause infections. For instance, Yersinia frederiksenii used to be known as an atypical Y. enterocolitica strain until rhamnose biochemical testing was found to distinguish between these two species in the 1980s. From our regional microbiology laboratory records of 18 hospitals in Eastern Ontario, Canada from 1 May 2018 to 1 May 2021, we identified two patients with Y. frederiksenii isolates in their stool cultures, along with their clinical presentation and antimicrobial management. Both patients presented with diarrhea, abdominal pain, and vomiting for 5 days before presentation to hospital. One patient received a 10-day course of sulfamethoxazole-trimethoprim; his Y. frederiksenii isolate was shown to be susceptible to amoxicillin-clavulanate, ceftriaxone, ciprofloxacin, and sulfamethoxazole-trimethoprim, but resistant to ampicillin. The other patient was sent home from the emergency department and did not require antimicrobials and additional medical attention. This case series illustrated that diarrheal disease could be associated with Y. frederiksenii; the need for antimicrobial treatment should be determined on a case-by-case basis.

Identification of a Novel Yersinia enterocolitica Strain from Bats in Association with a Bat Die-Off That Occurred in Georgia (Caucasus)

Yersinia entercolitica is a bacterial species within the genus Yersinia, mostly known as a human enteric pathogen, but also recognized as a zoonotic agent widespread in domestic pigs. Findings of this bacterium in wild animals are very limited. The current report presents results of the identification of cultures of Y. entercolitica from dead bats after a massive bat die-off in a cave in western Georgia. The growth of bacterial colonies morphologically suspected as Yersinia was observed from three intestine tissues of 11 bats belonging to the Miniopterus schreibersii species. These three isolates were identified as Y. enterocolitica based on the API29 assay. No growth of Brucella or Francisella bacteria was observed from tissues of dead bats. Full genomes (a size between 4.6–4.7 Mbp) of the Yersinia strains isolated from bats were analyzed. The phylogenetic sequence analyses of the genomes demonstrated that all strains were nearly identical and formed a distinct cluster with the closest similarity to the environmental isolate O:36/1A. The bat isolates represent low-pathogenicity Biotype 1A strains lacking the genes for the Ail, Yst-a, Ysa, and virulence plasmid pYV, while containing the genes for Inv, YstB, and MyfA. Further characterization of the novel strains cultured from bats can provide a clue for the determination of the pathogenic properties of those strains.

Function of pYV Plasmid on Biofilm Formation of Yersinia enterocolitica ERL032123 in the Presence of Ca2+

ABSTRACT The effect of the virulence plasmid pYV and calcium ions on biofilm of Yersinia enterocolitica biofilm formation was determined using a microtiter plate assay. Loss of the pYV plasmid prevented biofilm formation and the presence of Ca2+ enhanced biofilm formation in cultures containing the pYV plasmid. Scanning electron microscopy supported the result from the microtiter plate assay showing that in the presence of Ca2+, the wild-type Y. enterocolitica strain formed a strong biofilm on a polycarbonate surface. The results implied that Ca2+ promotes Y. enterocolitica biofilm formation through the function of the pYV plasmid.

Flagellin genes of Yersinia enterocolitica biotype 1A: playground of evolution towards novel flagellin functions

Yersinia enterocolitica strain 8081, representing the high-pathogenic biotype 1B, harbours three flagellin genes arranged in tandem in the order fliC3, fliC, fliC2. The genes are organized monocistronic but coordinately expressed under the control of the flagellar sigma factor. No sequence data is available on flagellins of low-pathogenic Y. enterocolitica biotypes 2-5 and of biotype 1A strains, appearing non-pathogenic in the mouse infection model. We sequenced the flagellin genes of ten biotype 1A and biotype 4 isolates, respectively. While we could not identify any sequence polymorphism among flagellin genes of biotype 4 isolates, we found that biotype 1A strains harbour three variable flagellin genes. Moreover, three biotype 1A isolates exhibited a rearranged flagellin gene order and at least one rearranged flagellin gene was apparently acquired by horizontal gene transfer. The variability of flagellin genes seems to mirror evolution towards novel flagellin functions. By contrast, strictly conserved flagellins of biotype 4 isolates point at a strong selection pressure such as expected to be imposed by an important function in the context of infection.