infecciones por micobacterias de lento crecimiento

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UNIVERSIDAD NACIONAL DE COLOMBIA FACULTAD DE MEDICINA DEPARTAMENTO DE MICROBIOLOGIA ASPECTOS MICROBIOLOGICOS DE LAS MICOBACTERIAS 2013

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MICOBACTERIAS NO TUBERCULOSAS MICOBACTERIAS ATÍPICAS MICOBACTERIAS AMBIENTALES DE CRECIMIENTO LENTO

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Page 1: Infecciones por micobacterias de lento crecimiento

UNIVERSIDAD NACIONAL DE COLOMBIA FACULTAD DE

MEDICINA DEPARTAMENTO DE MICROBIOLOGIA

ASPECTOS MICROBIOLOGICOS DE LAS MICOBACTERIAS

2013

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INFECCIONES CAUSADAS POR MICOBACTERIAS DIFERENTES A LAS

DEL COMPLEJO M. tuberculosis “de crecimiento lento”

Leonardo Favio Jurado ZambranoMICOBAC- UN

2013

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MNT DE LENTO CRECIMIENTOMycobacterium ulceransMycobacterium marinumMycobacterium haemophilumMycobacterium kansasiiMycobacterium scrofulaceumMycobacterium xenopiMycobacterium celatumMycobacterium genavenseMycobacterium simiaeMycobacterium gordonaeMycobacterium malmoenseMycobacterium lentiflavumMycobacterium shimoideiMycobacterium nonchromogenicumMycobacterium szulgaiMycobacterium asiaticumMycobacterium gastri

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Mycobacterium ulcerans MacCallum et al. 1950, species.

Type strain: strain ATCC 19423 = NCTC 10417. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: AB548725. Etymology: L. part. adj. ulcerans, making sore, causing to ulcerate. References: SKERMAN (V.B.D.), McGOWAN (V.) and SNEATH (P.H.A.) (editors): Approved Lists of Bacterial Names. Int. J. Syst. Bacteriol., 1980, 30, 225-420. [MacCALLUM (P.), TOLHURST (J.C.) and BUCKLE (G.). In: FENNER (F.): The siginificance of the incubation period in infectious diseases. MedicalJournal of Australia, 1950, 2, 813-818.]

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Mycobacterium ulcerans

• Posee un tiempo de generación largo, su temperatura de crecimiento esta alrededor de 30 grados centígrados.

• Capacidad excepcional para producir una toxina llamada micolactona (plásmido pMUM 001).

• Es la única sustancia identificada como factor de virulencia.

NAT REV MICRO VOL 7; JAN 2009.

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Mycobacterium ulceransULCERA DE BURULI• Inicialmente descrita en Australia, bastante

prevalente en África. • La infección de la piel causa extensas lesiones

que comprometen el tejido celular subcutáneo. Produce necrosis coagulativa.

• Se ha encontrado posible transmisión favorecida por insectos.

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NAT REV MICRO VOL 7; JAN 2009.

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NAT REV MICRO VOL 7; JAN 2009.

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Lancet Infect Dis 2009; 9: 699–710

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NAT REV MICRO VOL 7; JAN 2009

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Mycobacterium marinum

Aronson 1926, species. Type strain: ATCC 927 = CCUG 20998 = CCUG 27843 = CIP 104528 = DSM 44344 = JCM 12275 = JCM 17638 = NCTC 2275. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: AF456240. Synonyms: "Mycobacterium platypoecilus" (sic) Baker and Hagan 1942, "Mycobacterium balnei" Linell and Norden 1952, not "Mycobacterium marinum" Suzanne and Penso 1953. Etymology: L. neut. adj. marinum, of the sea, marine. References: SKERMAN (V.B.D.), McGOWAN (V.) and SNEATH (P.H.A.) (editors): Approved Lists of Bacterial Names. Int. J. Syst. Bacteriol., 1980, 30, 225-420. [ARONSON (J.D.): Spontaneous tuberculosis in salt water fish. Journal of Infectious Diseases, 1926, 39, 314-320.]

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Mycobacterium marinum

• Fotocromógena, con una temperatura optima de crecimiento de 30 a 33 grados centígrados.

• Ampliamente distribuido en ambientes húmedos y acuáticos duces y salados.

• La infección en humanos es rara, generalmente se produce asociada a trauma y contacto con seres acuáticos o agua contaminada.

• Se puede considerar como una enfermedad “ocupacional”.

J Cutan Pathol 2000 Mar;27(3):124-9.

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Mycobacterium marinum

• Causa infecciones granulomatosas en piel, tejidos blandos e incluso hueso.

• Pueden ocurrir en pcts inmunocompetentes como inmunocomprometidos (VIH, CORTICOIDES, TERAPIA BIOLOGICA.

J Orthop Surg. 2010 Apr;18(1):98-103

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Mycobacterium marinum87-year-old woman who was treated with oral corticosteroids

for polymyalgia rheumatica for many years and developed erythema nodosum-like lesions on the right forearm and arthritis of the right wrist. By increasing the steroid dosage and adding methotrexate only short-term remission was achieved. Seven months later painful erythematous nodules occurred on all extremities which became necrotic, ulcerative and suppurative. Ziehl-Neelsen staining revealed acid-fast bacilli and Mycobacterium marinum was cultured from skin biopsies, blood, and urine. The critically ill patient was treated with clarithromycin and ethambutol resulting in a dramatic improvement of the general condition. After four months, doxycycline had to be added because of new skin lesions.Eur J Dermatol 2006; 16 (1): 79-83

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Eur J Dermatol 2006; 16 (1): 79-83

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MODELO PARA ESTUDIO DE LA

PATOGENESIS DE LA TB

Cellular Microbiology, 2008; 10: 1027–39

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Mycobacterium haemophilum

Sompolinsky et al. 1978, species. Type strain: strain ATCC 29548 = CCUG 47452 = CIP 105049 = DSM 44634 = JCM 15465 = NCTC 11185. GenBank/EMBL/DDBJ accession number for the 16SrRNA gene sequence of the type strain: AF547932.Etymology: Gr. n. haima (Latin transliteration haema), blood; N.L. neut. adj. philum (from Gr. neut. adj. philon), friend, loving; N.L. neut. adj. haemophilum, blood loving. References: SKERMAN (V.B.D.), McGOWAN (V.) and SNEATH (P.H.A.) (editors): Approved Lists of Bacterial Names. Int. J. Syst. Bacteriol., 1980, 30, 225-420

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Mycobacterium kansasii Hauduroy 1955, species.

Type strain: strain ATCC 12478 = CIP 104589 = DSM 44162 = JCM 6379 = NCTC 13024. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: AJ536035. Etymology: N.L. gen. n. kansasii, of Kansas, USA. References: SKERMAN (V.B.D.), McGOWAN (V.) and SNEATH (P.H.A.) (editors): Approved Lists of Bacterial Names. Int. J. Syst. Bacteriol., 1980, 30, 225-420. [HAUDUROY (P.): Derniers aspects du monde des mycobactéries. Masson et Cie, Paris, 1955.]

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Mycobacterium scrofulaceum Prissick and Masson 1956, species.

Type strain: strain ATCC 19981 = CCUG 29045 = CIP 105416 = DSM 43992 = JCM 6381 = NCTC 10803. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: AF480604. Etymology: L. pl. n. scrofulae, a swelling of the glands of the neck, scrofula; L. neut. suff. -aceum, suffix used with various meanings; N.L. neut. adj. scrofulaceum, of or pertaining to scrofula. References: SKERMAN (V.B.D.), McGOWAN (V.) and SNEATH (P.H.A.) (editors): Approved Lists of Bacterial Names. Int. J. Syst. Bacteriol., 1980, 30, 225-420. [PRISSICK (F.H.) and MASSON (A.M.): Cervical lymphadentis in children caused by chromogenic mycobacteria. Canadian Medical AssociationJournal, 1956, 75, 798-803.]

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Mycobacterium xenopi Schwabacher 1959, species.

Type strain: strain ATCC 19250 = CCUG 28011 = CCUG 31306 = CIP 104035 = DSM 43995 = JCM 15661 = NCTC 10042. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: AJ536033. Synonym: "Mycobacterium xenopei" (sic) Schwabacher 1959. Etymology: N.L. n. Xenopus, a genus of toad; N.L. gen. n. xenopi, of Xenopus. References: SKERMAN (V.B.D.), McGOWAN (V.) and SNEATH (P.H.A.) (editors): Approved Lists of Bacterial Names. Int. J. Syst. Bacteriol., 1980, 30, 225-420. [SCHWABACHER (H.): A strain of Mycobacterium isolated from skin lesions of a cold blooded animal, Xenopus laevus, and its relation to atypical acid-fast bacilli occurring in man. Journal of Hygiene, 1959, 57, 57-67.]

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Mycobacterium celatum Butler et al. 1993, sp. nov.

Type strain: strain ATCC 51131 = CCUG 39185 = CDC 90-0899 = CIP 106109 = DSM 44243 = JCM 12373. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: L08169. Etymology: L. neut. part. adj. celatum, hidden from or concealed from, referring to the concealed nature of these organisms among recognized Mycobacterium species. Reference: BUTLER (W.R.), O'CONNOR (S.P.), YAKRUS (M.A.), SMITHWICK (R.W.), PLIKAYTIS (B.B.), MOSS (C.W.), FLOYD (M.M.), WOODLEY (C.L.), KILBURN (J.O.), VADNEY (F.S.) and GROSS (W.M.): Mycobacterium celatum sp. nov. Int. J. Syst. Bacteriol., 1993, 43, 539-548.

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Mycobacterium genavense Böttger et al. 1993, sp. nov. Type strain: strain 2289 = ATCC 51234.

GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: X60070.Etymology: L. neut. adj. genavense, of or belonging to Geneva, the source of the first isolate. Reference: BÖTTGER (E.C.), HIRSCHEL (B.) and COYLE (M.B.): Mycobacterium genavense sp. nov. Int. J. Syst. Bacteriol., 1993, 43, 841-843.

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Mycobacterium simiae Karassova et al. 1965, species.

Type strain: strain ATCC 25275 = CCUG 29114 = CCUG 42427 = CIP 104531 = DSM 44165 = JCM 12377. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: X52931. Etymology: L. n. simia, an ape; L. gen. simiae, of an ape. References: SKERMAN (V.B.D.), McGOWAN (V.) and SNEATH (P.H.A.) (editors): Approved Lists of Bacterial Names. Int. J. Syst. Bacteriol., 1980, 30, 225-420. [KARASSOVA (V.), WEISZFEILER (J.) and KRASZNAY (E.): Occurrence of atypical mycobacteriain Macacus rhesus. Acta MicrobiologicaAcademiae Scientiarum Hungaricae, 1965, 12, 275-282.]

Note: According to Meissner and Schröder 1975, Mycobacterium simiae Karassova et al. 1965 (Approved Lists 1980) is an earlier heterotypic synonym of "Mycobacterium habana" Valdivia Alvarez et al. 1971. Reference: MEISSNER (G.) and SCHRÖDER (K.H.): Relationship between Mycobacterium simiae and Mycobacterium habana. Am. Rev. Respir. Dis., 1975, 111, 196-200.

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Mycobacterium gordonae Bojalil et al. 1962, species.

Type strain: strain ATCC 14470 = CCUG 21801 = CCUG 21811 = CIP 104529 = DSM 44160 = JCM 6382 = NCTC 10267. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain:X52923Etymology: N.L. gen. fem. n. gordonae, of Gordon, named after the American bacteriologist Ruth E. Gordon. References: SKERMAN (V.B.D.), McGOWAN (V.) and SNEATH (P.H.A.) (editors): Approved Lists of Bacterial Names. Int. J. Syst. Bacteriol., 1980, 30, 225-420.

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Mycobacterium malmoense Schroder and Juhlin 1977, species.

Type strain: strain ATCC 29571 = CCUG 37761 = CIP 105775 = DSM 44163 = JCM 13391 = NCTC 11298. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: X52930Etymology: N.L. neut. adj. malmoense, of or belonging to Malmö, Sweden, the source of the strains on which the original description is based. References: SKERMAN (V.B.D.), McGOWAN (V.) and SNEATH (P.H.A.) (editors): Approved Lists of Bacterial Names. Int. J. Syst. Bacteriol., 1980, 30, 225-420

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Mycobacterium lentiflavum Springer et al. 1996, sp. nov.

Type strain: strain 2186/92 = ATCC 51985 = CCUG 42422 = CCUG 42559 = CIP 105465 = DSM 44418 = JCM 13390. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: AF480583. Etymology: L. adj. lentus -a -um, slow; L. adj. flavus -a -um, yellow; N.L. neut. adj. lentiflavum, slow and yellow, two characteristic features of this species. References: VALIDATION LIST N° 58. Int. J. Syst. Bacteriol., 1996, 46, 836-837. [SPRINGER (B.), WU (W.K.), BODMER (T.), HAASE (G.), PFYFFER (G.E.), KROPENSTEDT (R.M.), SCHRÖDER (K.H.), EMLER (S.), KILBURN (J.O.), KIRSCHNER (P.), TELENTI (A.), COYLE (M.B.) and BÖTTGER (E.C.): Isolation and characterization of a unique group of slowly growing mycobacteria: description ofMycobacterium lentiflavum sp. nov. J. Clin. Microbiol. 1996, 34, 1100-1107.]

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Mycobacterium shimoidei (ex Tsukamura et al. 1975) Tsukamura 1982, sp. nov., nom. rev.

Type strain: strain E4796 = ATCC 27962 = CCUG 37517 = DSM 44152 = JCM 12376. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: AJ005005. Synonym: "Mycobacterium shimoidei" Tsukamura et al. 1975. Etymology: N.L. gen. masc. n. shimoidei, of Shimoide, named for H. Shimoide, a Japanese microbiologist who first isolated a strain of this species. Reference: TSUKAMURA (M.): Mycobacterium shimoidei sp. nov., nom. rev., a lung pathogen. Int. J. Syst. Bacteriol., 1982, 32, 67-69.

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Mycobacterium nonchromogenicum Tsukamura 1965, species.

Type strain: strain ATCC 19530 = CCUG 28009 = CIP 106811 = DSM 44164 = JCM 6364 = NCTC 10424. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: X52928. Etymology: L. adv. non, not; Gr. n. chroma, color; Gr. v. gennaio, to produce; L. neut. suff. -icum, suffix used with the sense of pertaining to; N.L. neut. adj. nonchromogenicum, intended to mean not producing color. References: SKERMAN (V.B.D.), McGOWAN (V.) and SNEATH (P.H.A.) (editors): Approved Lists of Bacterial Names. Int. J. Syst. Bacteriol., 1980, 30, 225-420. [TSUKAMURA (M.): A group of mycobacteria from soil resources resembling nonphotochromogens (Group 3). Medicine and Biology, 1965, 71, 110-113.]

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Mycobacterium szulgai Marks et al. 1972, species.

Type strain: strain ATCC 35799 = CCUG 37675 = CIP 104532 = DSM 44166 = JCM 6383 = NCTC 10831. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: X52926. Etymology: N.L. gen. masc. n. szulgai, of Szulga, named after T. Szulga, a Polish microbiologist. References: SKERMAN (V.B.D.), McGOWAN (V.) and SNEATH (P.H.A.) (editors): Approved Lists of Bacterial Names. Int. J. Syst. Bacteriol., 1980, 30, 225-420. [Mycobacterium szulgai MARKS (J.), JENKINS (P.A.) and TSUKAMURA (M.): Mycobacterium szulgai - a new pathogen. Tubercle, 1972, 53, 210-214.]

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Mycobacterium asiaticum Weiszfeiler et al. 1971, species.

Type strain: strain ATCC 25276 = CCUG 29115 = CIP 106809 = DSM 44297 = JCM 6409. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: AF480595. Etymology: L. neut. adj. asiaticum, Asiatic, of Asia. References: SKERMAN (V.B.D.), McGOWAN (V.) and SNEATH (P.H.A.) (editors): Approved Lists of Bacterial Names. Int. J. Syst. Bacteriol., 1980, 30, 225-420. [WEISZFEILER (J.), KARASSEVA (G.V.) and KARCZAG (E.): A new Mycobacterium species: Mycobacterium asiaticum sp. ActaMicrobiologica Academiae Scientiarum Hungaricae, 1971, 18, 247-252.]

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Mycobacterium gastri Wayne 1966, species.

Type strain: strain ATCC 15754 = CCUG 20995 = CIP 104530 = DSM 43505 = JCM 12407. GenBank/EMBL/DDBJ accession number for the 16S rRNA gene sequence of the type strain: AF480602. Etymology: L. n. gaster -tri, belly, stomach; L. gen. n. gastri, of the stomach. References: SKERMAN (V.B.D.), McGOWAN (V.) and SNEATH (P.H.A.) (editors): Approved Lists of Bacterial Names. Int. J. Syst. Bacteriol., 1980, 30, 225-420. [WAYNE (L.G.): Classification and identification of mycobacteria. III. Species within Group III. American Review of Respiratory Diseases, 1966, 93, 919-928.]

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