We report the second human case of infection caused by an organism identified as the proposed Bartonella species, “ B . washoensis .” The organism was isolated from a blood sample from a patient presenting with meningitis and early sepsis. Oropsylla montana fleas were implicated as the vector for disease transmission in this case.
Two processing methods were examined for the recovery of Salmonella from naturally contaminated alfalfa seed. Seed samples, from each of three investigations, were processed by sprouting and shredding before preenrichment and culture. In lot A, Salmonella serotype Newport was isolated from 3 of 30 sample units with the sprouting method and 2 of 30 with the shredding method. In lot B, three serotypes in various combinations were isolated from 10 of 30 sample units with the sprouting method and 9 of 30 with the shredding method. In lot C, Salmonella group C1 was isolated from 27 of 30 sample units with the sprouting method and 24 of 30 with the shredding method. Additionally, serotype Newport was found in one lot C sample unit. Using shredded seed data, a most probable number (MPN) for Salmonella contamination per lot was calculated. Serotype Newport was estimated at 0.07 MPN/100 g in lot A; the concentration for three serotypes was estimated to be 0.36 MPN/100 g in lot B; Salmonella group C1 was estimated at 1.8 MPN/100 g in lot C. Our success in isolating Salmonella from alfalfa seeds was likely attributed to the volume of material tested and the quick acquisition of the seeds after the outbreak was identified. Shredding the seeds was easier and yielded definitive results more quickly than sprouting.
Over the past several decades, the appearance of pink-pigmented bacteria in clinical specimens has gone from being a microbiologic curiosity in the clinical laboratory to the recognition of these aerobic microorganisms as etiologic agents of human disease, most notably bloodstream infections. Advances in the fields of molecular taxonomy and phylogenetics indicate that at least four distinct genera and eight different species are associated with clinical infections in susceptible patient populations. However, these bacteria are slow growing and present multiple diagnostic challenges to the microbiology laboratory including culture, isolation, and identification to species rank. This article provides a current review of these unusual non-fermentative chromogenic bacteria including their disease spectrum, taxonomy, and laboratory identification. The review also highlights the pitfalls or shortcomings we currently have in our knowledge of these microbes and their disease-producing capabilities.
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