Abstract
The taxonomy modification of Propionibacterium sp. with the description of new species, especially Cutibacterium namnetense, raises the question of species distribution in routine clinical samples. We performed a retrospective study during 3 years before the implementation of MALDI-TOF. Two hundred sixty-nine isolates were included in the study. MALDI-TOF identification, 16S rRNA, and new developed gyrB partial sequencings were performed. The most representative species was C. acnes in 88% of the cases, regardless of the origin of the clinical sample. Eventually, we identified three C. namnetense strains, representing a 1.1% prevalence over the period of time, including two bone infections. MALDI-TOF databases should be regularly updated to incorporate new species. gyrB sequencing constitutes a both easy and relevant method to identify Cutibacterium sp. especially C. namnetense, a new player in bone infections.
References
Paugam C, Corvec S, Saint-Jean M, Le Moigne M, Khammari A, Boisrobert A et al (2017) Propionibacterium acnes phylotypes and acne severity: an observational prospective study. J Eur Acad Dermatol Venereol 31:e398–e399. https://doi.org/10.1111/jdv.14206
Aubin GG, Baud’huin M, Lavigne J-P, Brion R, Gouin F, Lepelletier D et al (2017) Interaction of Cutibacterium ( formerly Propionibacterium) acnes with bone cells: a step toward understanding bone and joint infection development. Sci Rep 7:42918. https://doi.org/10.1038/srep42918
Aubin GG, Ada Da Silva G, Eishi Y, Jacqueline C, Altare F, Corvec S et al (2017) Immune discrepancies during in vitro granuloma formation in response to Cutibacterium (formerly Propionibacterium) acnes infection. Anaerobe 48:172–176. https://doi.org/10.1016/j.anaerobe.2017.08.014
Corvec S (2018) Clinical and biological features of Cutibacterium (formerly Propionibacterium) avidum, an underrecognized microorganism. Clin Microbiol Rev 31. https://doi.org/10.1128/CMR.00064-17
Mak TN, Yu S-H, De Marzo AM, Brüggemann H, Sfanos KS (2013) Multilocus sequence typing (MLST) analysis of Propionibacterium acnes isolates from radical prostatectomy specimens. Prostate 73:770–777. https://doi.org/10.1002/pros.22621
Scholz CFP, Kilian M (2016) The natural history of cutaneous propionibacteria, and reclassification of selected species within the genus Propionibacterium to the proposed novel genera Acidipropionibacterium gen. nov., Cutibacterium gen. nov. and Pseudopropionibacterium gen. nov. Int J Syst Evol Microbiol 66:4422–4432. https://doi.org/10.1099/ijsem.0.001367
Dekio I, Culak R, Misra R, Gaulton T, Fang M, Sakamoto M et al (2015) Dissecting the taxonomic heterogeneity within Propionibacterium acnes: proposal for Propionibacterium acnes subsp. acnes subsp. nov. and Propionibacterium acnes subsp. elongatum subsp. nov. Int J Syst Evol Microbiol 65:4776–4787. https://doi.org/10.1099/ijsem.0.000648
McDowell A, Barnard E, Liu J, Li H, Patrick S (2016) Proposal to reclassify Propionibacterium acnes type I as Propionibacterium acnes subsp. acnes subsp. nov. and Propionibacterium acnes type II as Propionibacterium acnes subsp. defendens subsp. nov. Int J Syst Evol Microbiol 66:5358–5365. https://doi.org/10.1099/ijsem.0.001521
Corvec S, Luchetta J, Aubin GG (2015) Letter to the editor: is hemolysis a clinical marker of Propionibacterium acnes orthopedic infection or a phylogenetic marker? Am J Orthop Belle Mead NJ 44:E61–E62
Aubin GG, Bémer P, Kambarev S, Patel NB, Lemenand O, Caillon J et al (2016) Propionibacterium namnetense sp. nov., isolated from a human bone infection. Int J Syst Evol Microbiol 3. https://doi.org/10.1099/ijsem.0.001204
Aubin GG, Kambarev S, Bémer P, Lawson PA, Corvec S (2016) Draft genome sequence of highly rifampin-resistant Propionibacterium namnetense NTS 31307302T isolated from a patient with a bone infection. Genome Announc 11:4. https://doi.org/10.1128/genomeA.00819-16
Corvec S, Guillouzouic A, Aubin GG, Touchais S, Grossi O, Gouin F et al (2018) Rifampin-resistant Cutibacterium (formerly Propionibacterium) namnetense superinfection after Staphylococcus aureus bone infection treatment. J Bone Jt Infect 3:255–257. https://doi.org/10.7150/jbji.30029
d’Ersu J, Aubin GG, Mercier P, Nicollet P, Bémer P, Corvec S (2016) Characterization of Staphylococcus caprae clinical isolates involved in human bone and joint infections, compared with goat mastitis isolates. J Clin Microbiol 54:106–113. https://doi.org/10.1128/JCM.01696-15
Torrens C, Marí R, Alier A, Puig L, Santana F, Corvec S (2019) Cutibacterium acnes in primary reverse shoulder arthroplasty: from skin to deep layers. J Shoulder Elb Surg 28:839–846. https://doi.org/10.1016/j.jse.2018.10.016
Crémet L, Bemer P, Zambon O, Reynaud A, Caroff N, Corvec S (2009) Chitinophaga terrae bacteremia in human. Emerg Infect Dis 15:1134–1135. https://doi.org/10.3201/eid1507.090124
van Belkum A, Chatellier S, Girard V, Pincus D, Deol P, Dunne WM (2015) Progress in proteomics for clinical microbiology: MALDI-TOF MS for microbial species identification and more. Expert Rev Proteomics 12:595–605. https://doi.org/10.1586/14789450.2015.1091731
Thomin J, Aubin GG, Foubert F, Corvec S (2015) Assessment of four protocols for rapid bacterial identification from positive blood culture pellets by matrix-assisted laser desorption ionization-time of flight mass spectrometry (Vitek® MS). J Microbiol Methods 115:54–56. https://doi.org/10.1016/j.mimet.2015.05.010
Girard V, Mailler S, Polsinelli S, Jacob D, Saccomani MC, Celliere B et al (2017) Routine identification of Nocardia species by MALDI-TOF mass spectrometry. Diagn Microbiol Infect Dis 87:7–10. https://doi.org/10.1016/j.diagmicrobio.2016.09.024
Portillo ME, Corvec S, Borens O, Trampuz A (2013) Propionibacterium acnes: an underestimated pathogen in implant-associated infections. Biomed Res Int 2013:804391. https://doi.org/10.1155/2013/804391
Aubin GG, Portillo ME, Trampuz A, Corvec S (2014) Propionibacterium acnes, an emerging pathogen: from acne to implant-infections, from phylotype to resistance. Méd Mal Infect 44:241–250. https://doi.org/10.1016/j.medmal.2014.02.004
Bémer P, Corvec S, Tariel S, Asseray N, Boutoille D, Langlois C et al (2008) Significance of Propionibacterium acnes-positive samples in spinal instrumentation. Spine 33:E971–E976. https://doi.org/10.1097/BRS.0b013e31818e28dc
Mook WR, Klement MR, Green CL, Hazen KC, Garrigues GE (2015) The incidence of Propionibacterium acnes in open shoulder surgery: a controlled diagnostic study. J Bone Joint Surg Am 97:957–963. https://doi.org/10.2106/JBJS.N.00784
Eishi Y (2013) Etiologic aspect of sarcoidosis as an allergic endogenous infection caused by Propionibacterium acnes. Biomed Res Int 2013:935289. https://doi.org/10.1155/2013/935289
Banzon JM, Rehm SJ, Gordon SM, Hussain ST, Pettersson GB, Shrestha NK (2017) Propionibacterium acnes endocarditis: a case series. Clin Microbiol Infect 2. https://doi.org/10.1016/j.cmi.2016.12.026
Dagnelie M-A, Corvec S, Saint-Jean M, Bourdès V, Nguyen J-M, Khammari A et al (2017) Decrease in diversity of Propionibacterium acnes phylotypes in patients with severe acne on the back. Acta Derm Venereol 14. https://doi.org/10.2340/00015555-2847
Loureiro-Amigo J, Pons S, Sierra M, Meije Y (2016) Prosthetic valve with infective endocarditis caused by Propionibacterium avidum. A case report. Enferm Infecc Microbiol Clin 12. https://doi.org/10.1016/j.eimc.2016.08.010
Kritikos A, Pagin M, Borens O, Voide C, Orasch C (2015) Identification of Propionibacterium avidum from a breast abscess: an overlooked etiology of clinically significant infections. New Microbes New Infect 4:9–10. https://doi.org/10.1016/j.nmni.2014.12.001
Isabel R, Monica M (2019) Cutibacterium avidum: a rare but expected agent of breast implant infection. IDCases 17:e00546. https://doi.org/10.1016/j.idcr.2019.e00546
Tena D, Saa L (2019) Skin and soft tissue infection caused by Cutibacterium (formerly Propionibacterium) avidum: report of eleven cases. Anaerobe 56:91–94. https://doi.org/10.1016/j.anaerobe.2019.02.013
Lomholt HB, Kilian M (2010) Population genetic analysis of Propionibacterium acnes identifies a subpopulation and epidemic clones associated with acne. PLoS One 5:e12277. https://doi.org/10.1371/journal.pone.0012277
Carbonnelle E, Beretti J-L, Cottyn S, Quesne G, Berche P, Nassif X et al (2007) Rapid identification of Staphylococci isolated in clinical microbiology laboratories by matrix-assisted laser desorption ionization-time of flight mass spectrometry. J Clin Microbiol 45:2156–2161. https://doi.org/10.1128/JCM.02405-06
Conville PS, Brown-Elliott BA, Smith T, Zelazny AM (2018) The complexities of Nocardia taxonomy and identification. J Clin Microbiol 56. https://doi.org/10.1128/JCM.01419-17
Acknowledgments
We are grateful for the lab technicians for their implication in Cutibacterium species recovering. We would like to thank Andrej Trampuz and Brigitte Dréno for their helpful discussions.
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According to the French and European legislations, the use of anonymous data does not need an approval of the ethics committee. This study has been recorded in the Nantes Hospital by the local’s Data Protection Officer under reference TS005.BIO.AP.2019_1.
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Ruffier d’Epenoux, L., Arshad, N., Bémer, P. et al. Misidentification of Cutibacterium namnetense as Cutibacterium acnes among clinical isolates by MALDI-TOF VitekMS: usefulness of gyrB sequencing and new player in bone infections. Eur J Clin Microbiol Infect Dis 39, 1605–1610 (2020). https://doi.org/10.1007/s10096-020-03873-0
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DOI: https://doi.org/10.1007/s10096-020-03873-0