Cases reported "Bacillaceae Infections"

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1/4. Persistent Bacillus licheniformis bacteremia associated with an international injection of organic drain cleaner.

    In recent years manufacturers have developed several products containing saprophytic bacteria, previously believed to be of minimal pathogenicity. We describe the first case of persistent Bacillus licheniformis bacteremia occurring after intentional injection of a consumer product that includes B. licheniformis spores. We postulate that these spores remained in the tissue, unaffected by antimicrobials, ultimately necessitating soft-tissue debridement of the area surrounding the injection site. On the basis of this case and a review of the literature, we submit that some consumer products contain bacteria with demonstrated pathogenicity. Manufacturers should study these bacteria in detail in order to rapidly provide information such as bacteriologic data and antimicrobial susceptibility data to clinicians.
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ranking = 1
keywords = pathogenicity
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2/4. Characterization of bacillus cereus isolates associated with fatal pneumonias: strains are closely related to bacillus anthracis and harbor B. anthracis virulence genes.

    bacillus cereus is ubiquitous in nature, and while most isolates appear to be harmless, some are associated with food-borne illnesses, periodontal diseases, and other more serious infections. In one such infection, B. cereus G9241 was identified as the causative agent of a severe pneumonia in a louisiana welder in 1994. This isolate was found to harbor most of the B. anthracis virulence plasmid pXO1 (13). Here we report the characterization of two clinical and one environmental B. cereus isolate collected during an investigation of two fatal pneumonia cases in texas metal workers. Molecular subtyping revealed that the two cases were not caused by the same strain. However, one of the three isolates was indistinguishable from B. cereus G9241. PCR analysis demonstrated that both clinical isolates contained B. anthracis pXO1 toxin genes. One clinical isolate and the environmental isolate collected from that victim's worksite contained the cap A, B, and C genes required for capsule biosynthesis in B. anthracis. Both clinical isolates expressed a capsule; however, neither was composed of poly-D-glutamic acid. Although most B. cereus isolates are not opportunistic pathogens and only a limited number cause food-borne illnesses, these results demonstrate that some B. cereus strains can cause severe and even fatal infections in patients who appear to be otherwise healthy.
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ranking = 1.8746246417105
keywords = virulence
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3/4. Bacillus species pseudomeningitis.

    Bacillus species are aerobic gram-positive bacilli that are usually found in nature in the soil and dust. Except for B. anthracis, Bacillus species are organisms of low virulence, and only rarely cause infections in immunocompromised hosts. The recovery of Bacillus species from body fluids in healthy patients would suggest a Bacillus species pseudoinfection. Bacillus species has been associated with both pseudobacteremia and least commonly, pseudomeningitis. The Bacillus organisms usually contaminate liquid culture media, which have been implicated in Bacillus pseudoinfections of the blood and cerebrospinal fluid. We report a case of Bacillus pseudomeningitis in a normal host. To our knowledge, this is the third case of Bacillus pseudomeningitis reported in the literature.
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ranking = 0.3749249283421
keywords = virulence
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4/4. bacillus thuringiensis subsp. konkukian (serotype H34) superinfection: case report and experimental evidence of pathogenicity in immunosuppressed mice.

    We present a case of severe war wounds infected by bacillus thuringiensis serotype H34 and describe the experimental protocol used to demonstrate its ability to infect mice after cutaneous inoculation. This case is interesting because B. thuringiensis is considered to be a contaminant in laboratories and receives inadequate attention.
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ranking = 2
keywords = pathogenicity
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