Brain abscess associated with aggregati bacter actinomycetemcomitans: case report and review of literature

Introduction: Aggregatibacter actinomycetemcomitans is considered a major pathogen in localized and generalized aggressive periodontitis. A. actinomycetemcomitans has been found in various extra oral infections and most frequently in endocarditis. We report a patient with multiple brain abscesses due to infection with A. actinomycetemcomitans and review the English language literature related to this subject. Case report: A 42-year-old patient with no underlying medical conditions presented with multiple brain lesions initially thought to be metastatic lesions of a tumour of unknown origin. Findings during drainage and subsequent histopathological conclusions made infection more likely. Culture of drained material remained negative; however, 16S rDNA polymerase chain reaction and sequence analysis on direct material revealed A. actinomycetemcomitans as the causative agent of the infection. The most likely source of infection was the poor dentition of the patient. After repeated drainage of the lesions and antibiotic treatment the patient gradually improved, although cognitive impairment remained. Conclusions: Our report illustrates that a poor dental condition, notably destructive periodontal disease, can be a risk for life-threatening extra oral disease, and thus contributes to the total inflammatory burden of the body

The Occurrence of the A2 Mating-Type of Phytophthora-Infestans in the Netherlands - Significance and Consequences

Phytophthora infestans (Mont.) de Bary, the causal agent of potato late blight, was first discovered in Europe in 1845. Until 1980, only Al mating type isolates were known to occur in Europe. The absence of A2 mating type isolates restrained the fungus from sexual reproduction. In the early 1980s, A2 mating type isolates were discovered in Europe. Presumably, a new introduction of P.infestans isolates originating from Mexico had taken place. In this paper, the significance of the presence of A1 and A2 mating type isolates in the Netherlands is reviewed. Now that both mating types are present, sexual reproduction can occur and its consequences for the control of potato late blight are discussed

A 2nd Worldwide Migration and Population Displacement of Phytophthora-Infestans

The appearance of the A2 mating type (previously restricted to central Mexico) in Europe during the 1980s prompted an investigation of the genetic make-up of European populations using allozyme loci as genetic markers. The investigation shows that major genetic changes have occurred in populations of Phytophthora infestans in the Netherlands. Poland, and the British Isles. It now appears that a new type of population has been introduced into several locations, and has displaced or is displacing the original populations in these locations. The new and old population types are characterized by unique allozyme alleles and genotypes. The mechanism for displacement of the 'old' by the 'new' population is not yet known