Acidomonas methanolica-associated necrotizing lymphadenitis in a patient with chronic granulomatous disease.

Abstract:

PURPOSE:Adenitis for which no causative organism can be isolated is a common occurrence in patients with chronic granulomatous disease (CGD). Here we identify Acidomonas methanolica as a pathogen associated with adenitis in a patient with CGD. METHODS:The causative pathogen was obtained after prolonged incubation of an excised lymph node in thioglycolate broth. Identification was carried out by sequencing the 16s rRNA. Immunoblots were prepared utilizing protein extracts from the case patient's A. methanolica isolate, an ATCC type strain of A. methanolica and G. bethesdensis. RESULTS:Fastidious gram-negative rods grew after prolonged incubation of an excised lymph node in thioglycolate broth. Sequencing of the 16s rRNA identified the organism as A. methanolica. Immunoblot confirmed the pathogen's role in the patient's adenitis by showing the patient's specific immune response to the organism. CONCLUSIONS:A. methanolica is the second member of the family, Acetobacteaceae to be associated with adenitis in patients with CGD.

journal_name

J Clin Immunol

authors

Chase JM,Holland SM,Greenberg DE,Marshall-Batty K,Zelazny AM,Church JA

doi

10.1007/s10875-012-9728-6

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

1193-6

issue

6

eissn

0271-9142

issn

1573-2592

journal_volume

32

pub_type

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