2014
DOI: 10.3390/pathogens3030732
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Genetic Characterization of Fungi Isolated from the Environmental Swabs collected from a Compounding Center Known to Cause Multistate Meningitis Outbreak in United States Using ITS Sequencing

Abstract: A multistate fungal meningitis outbreak started in September of 2012 which spread in 20 states of the United States. The outbreak has been fatal so far, and has affected 751 individuals with 64 deaths among those who received contaminated spinal injections manufactured by a Compounding Center located in Massachusetts. In a preliminary study, Food and Drug Administration (FDA) investigated the outbreak in collaboration with Centers for Disease Control and Prevention (CDC), state and local health departments, an… Show more

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Cited by 7 publications
(7 citation statements)
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“…Compared to the 100s or 1000s of bacterial species identified, very few fungi or protist species (dozens) were identified at any point in the treatment scheme, despite the large amount of DNA and RNA sequence obtained, suggesting that they represent very little of the total microbial community. Two identified fungi, Enterocytozoon , detected in Q1, MFF, MF biofilm, and RO biofilm, and Onygenales , detected across all samples, are potential human pathogens infecting immunocompromised individuals ( Sulaiman et al, 2014 ). Despite the identification of these two fungi, overall the fungi represented less than 1 percent of the sequence reads identified in influent (Q1) water, and were otherwise plant pathogens such as Puccinia and Lentinus ( Fangkrathok et al, 2014 ; Gill et al, 2015 ).…”
Section: Discussionmentioning
confidence: 99%
“…Compared to the 100s or 1000s of bacterial species identified, very few fungi or protist species (dozens) were identified at any point in the treatment scheme, despite the large amount of DNA and RNA sequence obtained, suggesting that they represent very little of the total microbial community. Two identified fungi, Enterocytozoon , detected in Q1, MFF, MF biofilm, and RO biofilm, and Onygenales , detected across all samples, are potential human pathogens infecting immunocompromised individuals ( Sulaiman et al, 2014 ). Despite the identification of these two fungi, overall the fungi represented less than 1 percent of the sequence reads identified in influent (Q1) water, and were otherwise plant pathogens such as Puccinia and Lentinus ( Fangkrathok et al, 2014 ; Gill et al, 2015 ).…”
Section: Discussionmentioning
confidence: 99%
“…Molecular techniques have showed enormous potential for rapidly and accurately identifying the ecological agents of mucormycosis, which helps in conducting epidemiologic investigations. Molecular detection assays for the Mucorales are, however, not yet widely available ( 18 , 26 ).…”
Section: Discussionmentioning
confidence: 99%
“…These include the thermotolerant species M. racemosus , which either does not grow or else grows poorly at 37°C. The presence of fungal species has been considered to be an environmental microbiological indicator, and some of the fungi have been found to cause fungal infection ( 26 ).…”
Section: Discussionmentioning
confidence: 99%
“…Thus far, DNA sequencing is considered the gold standard for rapid detection and species identification of human-pathogenic microorganisms of public health importance [ 13 , 14 , 15 ]. It has also been used to understand the population genetic structure, phylogenetic relationship, and taxonomic revision of various human-pathogenic bacteria causing foodborne illness.…”
Section: Introductionmentioning
confidence: 99%
“…It has also been used to understand the population genetic structure, phylogenetic relationship, and taxonomic revision of various human-pathogenic bacteria causing foodborne illness. More recently, nucleotide sequence characterization is routinely employed in effective epidemiologic studies to reveal transmission routes of emerging infectious diseases, and in the prevention and control of various foodborne and waterborne diseases [ 13 , 14 , 15 , 16 ]. Multilocus sequence typing has been successfully used in the species identification of Cronobacter spp.…”
Section: Introductionmentioning
confidence: 99%