Pulmonary disease caused by Mycobacterium marseillense, Italy

Mycobacteriummarseillense was recently described as a new species belonging to the Mycobacterium avium complex (MAC).We describe a case of pulmonary disease caused by M. marseillense in an immunocompetent patient. All strains isolated from the patient were preliminarily identified as M. intracellulare; however, a retrospective molecular analysis corrected the identification to M. marseillense

The conundrum of human visceral leishmaniasis in Emilia-Romagna, Italy: are wild and peridomestic animals potential reservoirs?

Leishmaniasis is a complex parasitic disease caused by intracellular protozoans of the genus Leishmania mainly transmitted by the bite of sand flies. In Italy, leishmaniasis is caused by Leishmania infantum, responsible for the human visceral and canine leishmaniases (HVL and CanL, respectively). Within Emilia-Romagna region, Italy, recent molecular studies indicated that L. infantum strains circulating in dogs and humans are different. This suggests that an animal reservoir other than dog should be evaluated in the epidemiology of HVL in Emilia-Romagna. Therefore, the main aim of this PhD project was to investigate the role of wild and peridomestic mammals as potential animal reservoirs of L. infantum in the regional zones where HVL foci are still active, also evaluating the possible role of arthropod vectors other than phlebotomine sandflies as vectors of Leishmania spp. in the sylvatic cycle of the protozoa. Overall, 206 specimens of different animal species (roe deer, rats, mice, badgers, hares, polecats, foxes, beech martens, bank voles, hedgehogs, and shrews), collected in Emilia-Romagna were screened for Leishmania with a real-time PCR, revealing a prevalence of 33% for roe deer (first report in this species). Positivity was also found in brown rats (10.6%), black rats (13.1%), mice (10%), badgers (25%), hedgehogs (80%) and bank voles (11%). To distinguish the two strains of L. infantum circulating in Emilia-Romagna, a nested PCR protocol optimized for animal tissues was developed, demonstrating that over 90% of L. infantum infections in roe deer were due to the strain isolated from humans and suggesting their possible role as reservoirs in the study area. Furthermore, the presence of Leishmania kDNA was detected in unfed larvae, nymphs and males of questing Ixodes ricinus ticks collected in regional parks of Emilia-Romagna suggesting their possible role in the transmission of L. infantum in a sylvatic or rural cycle

Identification of Fusarium verticillioides using gene sequencing in a patient after orthotopic liver transplantation

Fusarium is an opportunistic fungal pathogen which is emerging as a significant cause of morbidity and mortality particularly in patients with haematological malignancies and bone marrow transplant recipients but also in solid organ transplant recipients. Here we have diagnosed a case of disseminated Fusarium infection with cutaneous localization in a patient undergoing a second liver transplant after chronic rejection of primary graft. The morphology of the isolated strain didn’t allow a clear distinction between Fusarium. napiforme and Fusarium. verticillioides. For this reason it was performed a gene sequencing analysis to have a reliable identification.The isolated strain was thus identified as F. verticillioides

Papillomavirus DNA in sperm from infertile patients

The Human Papillomaviruses (HPV) are causative agents of sexually transmitted disease that affect both men and women (6, 7).The genus includes more than 150 types divided in according to different tropism for skin surfaces and paved mucosal epithelia. Although HPV infection has a very high incidence in both sexes, HPV infection in men is often neglected because of its transitory nature and its lack of clinical relevance.The HPV infection in males was found to be borne by the anal region, perineum, scrotum, urethra and glans. The persistence of the virus in these sites of infection has been linked both to male infertility and to the development of neoplasia in genital areas and not. In addition, several studies have documented the presence of HPV in the semen but with conflicting results regarding the location of the virus in the various components of semen (5, 9,10). The objective of this study was to highlight the presence of HPV DNA in the sperm of patients waiting for a Medically Assisted Procreation and to evaluate if there is a correlation between the semen parameters (motility, concentration and morphology of spermatozoa) and HPV infection

Molecular investigations applied to nontuberculous mycobacteria identification

Objective. Aim of this study was molecular identification in clinical specimens of NonTuberculous Mycobacteria (NTM) with commercial methods and automated sequencing. Materials and methods. Three thousand clinical specimens were analyzed for the isolation of Mycobacteria. Forty strains of NTM were previously analyzed with GenoType Mycobacteria CM/AS kit and then with partial 16S rDNA sequencing. Results. 38/40 NMT strains were identified with GenoType Mycobacteria CM/AS kit as: M. gordonae (15), M. intracellulare (8), M. xenopi (8), M. mucogenicum (2), M. kansasii (2), M. chelonae (1), M. avium (1), M. lentiflavum (1). Two unidentified strains were subjected to 16S rDNA sequencing and were identified as M. kumamotonense. Conclusions. Partial 16SrDNA sequencing is a valid assay to study NTM strains unidentified with commercial assays. This new approach, applied to clinical diagnostic, also permits the recognition of unusual strains or new species

Widespread circulation of echovirus 6 causing aseptic meningitis in paediatric patients in the area of Modena, Italy, in 2011

Introduction: Between May and November 2011, enterovirus RNA was detected in the cerebrospinal fluids (CSFs) of 72 children with signs of aseptic meningitis admitted to paediatric departments of different Hospitals of the prefecture of Modena, Emilia Romagna region, Italy. Enterovirus RNA was detected in 34 CSFs by commercial reverse transcriptase-polymerase chain reaction (RT-PCR). Twenty-one samples, resulted human enterovirus B by species-specific RT-nested PCR, were submitted to sequencing of the 3’ terminus of the VP1 gene. Materials and Methods: Upon sequencing and interrogation of the National Center for Biotechnology Information database, all 21 viruses were characterized as echovirus 6 (E6), and posses a 100% nucleotide identity each other.Results: This study reports the molecular detection and typing of E6 isolated from clinical specimens from paediatric patients with aseptic meningitis in the wide area of Modena, Italy, in 2011.</p