C. Sakazakii
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''Cronobacter sakazakii'', which before 2007 was named ''Enterobacter sakazakii'', is an opportunistic
Gram-negative Gram-negative bacteria are bacteria that, unlike gram-positive bacteria, do not retain the crystal violet stain used in the Gram staining method of bacterial differentiation. Their defining characteristic is that their cell envelope consists ...
,
rod-shaped Bacterial cellular morphologies are the shapes that are characteristic of various types of bacteria and often key to their identification. Their direct examination under a light microscope enables the classification of these bacteria (and archae ...
,
pathogenic In biology, a pathogen (, "suffering", "passion" and , "producer of"), in the oldest and broadest sense, is any organism or agent that can produce disease. A pathogen may also be referred to as an infectious agent, or simply a germ. The term ...
bacterium Bacteria (; : bacterium) are ubiquitous, mostly free-living organisms often consisting of one biological cell. They constitute a large domain of prokaryotic microorganisms. Typically a few micrometres in length, bacteria were among the ...
that can live in very dry places, a phenomenon known as
xerotolerance A xerophile () is an extremophilic organism that can grow and reproduce in conditions with a low availability of water, also known as water activity. Physics Water activity, a thermodynamical value denoted , is defined as the partial water vapo ...
. ''C. sakazakii'' utilizes a number of genes to survive
desiccation Desiccation is the state of extreme dryness, or the process of extreme drying. A desiccant is a hygroscopic (attracts and holds water) substance that induces or sustains such a state in its local vicinity in a moderately sealed container. The ...
and this xerotolerance may be strain specific. Most ''C. sakazakii'' cases are adults but low-birth-weight
preterm Preterm birth, also known as premature birth, is the birth of a baby at fewer than 37 weeks gestational age, as opposed to full-term delivery at approximately 40 weeks. Extreme preterm is less than 28 weeks, very early preterm birth is betwee ...
neonatal In common terminology, a baby is the very young offspring of adult human beings, while infant (from the Latin word ''infans'', meaning 'baby' or 'child') is a formal or specialised synonym. The terms may also be used to refer to Juvenile (orga ...
and older
infant In common terminology, a baby is the very young offspring of adult human beings, while infant (from the Latin word ''infans'', meaning 'baby' or 'child') is a formal or specialised synonym. The terms may also be used to refer to juveniles of ...
s are at the highest risk. The pathogen is a rare cause of invasive infection in infants, with historically high case fatality rates (40–80%).Free full text
/ref> In infants it can cause
bacteraemia Bloodstream infections (BSIs) are infections of blood caused by blood-borne pathogens. The detection of microbes in the blood (most commonly accomplished by blood cultures) is always abnormal. A bloodstream infection is different from sepsis, w ...
,
meningitis Meningitis is acute or chronic inflammation of the protective membranes covering the brain and spinal cord, collectively called the meninges. The most common symptoms are fever, intense headache, vomiting and neck stiffness and occasion ...
and
necrotizing enterocolitis Necrotizing enterocolitis (NEC) is an intestinal disease that affects premature or very low birth weight infants. Symptoms may include poor feeding, bloating, decreased activity, blood in the stool, vomiting of bile, multi-organ failure, and p ...
. Most neonatal ''C. sakazakii'' infections cases have been associated with the use of powdered
infant formula Infant formula, also called baby formula, simply formula (American English), formula milk, baby milk, or infant milk (British English), is a manufactured food designed and marketed for feeding to babies and infants under 12 months of age, ...
with some strains able to survive in a desiccated state for more than two years. However, not all cases have been linked to contaminated infant formula. In November 2011, several shipments of
Kotex Kotex (; ) is an American brand of menstrual hygiene products, which includes the Kotex maxi, thin and ultra-thin pads, the Security tampons, and the Lightdays pantiliners. Most recently, the company has added U by Kotex to its menstrual hyg ...
tampon A tampon is a menstrual product designed to absorb blood and vaginal secretions by insertion into the vagina during menstruation. Unlike a pad, it is placed internally, inside of the vaginal canal. Once inserted correctly, a tampon is held ...
s were recalled due to a ''Cronobacter'' (''E. sakazakii'') contamination. In one study, the pathogen was found in 12% of field vegetables and 13% of hydroponic vegetables. All ''
Cronobacter ''Cronobacter'' is a genus of Gram-negative, facultatively anaerobic, oxidase-negative, catalase-positive, rod-shaped bacteria of the family Enterobacteriaceae. Several ''Cronobacter'' species are desiccation resistant and persistent in dry p ...
'' species, except '' C. condimenti'', have been linked retrospectively to clinical cases of infection in either adults or infants. However
multilocus sequence typing Multilocus sequence typing (MLST) is a technique in molecular biology for the typing of multiple loci, using DNA sequences of internal fragments of multiple housekeeping genes to characterize isolates of microbial species. The first MLST scheme ...
has shown that most neonatal
meningitis Meningitis is acute or chronic inflammation of the protective membranes covering the brain and spinal cord, collectively called the meninges. The most common symptoms are fever, intense headache, vomiting and neck stiffness and occasion ...
cases in the past 30 years, across six countries, have been associated with only one genetic lineage of the species ''Cronobacter sakazakii'' called 'Sequence Type 4' or 'ST4', and therefore this clone appears to be of greatest concern with infant infections. The bacterium is ubiquitous, being isolated from a range of environments and foods; the majority of ''Cronobacter'' cases occur in the adult population. However it is the association with intrinsically or extrinsically contaminated powdered formula which has attracted the main attention. According to multilocus sequence analysis (MLSA) the genus originated ~40 MYA, and the most clinically significant species, ''C. sakazakii'', was distinguishable ~15-23 MYA.


Taxonomy

''E. sakazakii'' was defined as a species in 1980 by JJ Farmer III ''et al''.
DNA–DNA hybridization In genomics, DNA–DNA hybridization is a molecular biology technique that measures the degree of genetic similarity between DNA sequences. It is used to determine the genetic distance between two organisms and has been used extensively in phylo ...
showed that ''E. sakazakii'' was 53–54% related to species in two different genera, ''
Enterobacter ''Enterobacter'' is a genus of common Gram-negative, Facultative anaerobic organism, facultatively anaerobic, bacillus (shape), rod-shaped, non-spore-forming bacteria of the family Enterobacteriaceae. Cultures are found in soil, water, sewage, ...
'' and ''
Citrobacter ''Citrobacter'' is a genus of Gram-negative, aerobic, rod-shaped coliform bacteria of the Enterobacteriaceae family. ''Citrobacter'' spp. cause opportunistic infections (including urinary tract infections, gastroenteritis, and bacteremia). ...
''. However, diverse biogroups within ''E. sakazakii'' were described and Farmer ''et al'' suggested these may represent different species and required further research for clarification. The taxonomic relationship between ''E. sakazakii'' strains has been studied using full-length
16S rRNA 16S ribosomal RNA (or 16Svedberg, S rRNA) is the RNA component of the 30S subunit of a prokaryotic ribosome (SSU rRNA). It binds to the Shine-Dalgarno sequence and provides most of the SSU structure. The genes coding for it are referred to as ...
gene sequencing, DNA–DNA hybridization,
multilocus sequence typing Multilocus sequence typing (MLST) is a technique in molecular biology for the typing of multiple loci, using DNA sequences of internal fragments of multiple housekeeping genes to characterize isolates of microbial species. The first MLST scheme ...
(MLST), f- AFLP, automated
ribotyping Ribotyping is a molecular technique for bacterial identification and characterization that uses information from rRNA-based phylogenetic analyses. It is a rapid and specific method widely used in clinical diagnostics and analysis of microbial commu ...
. This resulted in the classification of ''E. sakazakii'' as a new genus, ''
Cronobacter ''Cronobacter'' is a genus of Gram-negative, facultatively anaerobic, oxidase-negative, catalase-positive, rod-shaped bacteria of the family Enterobacteriaceae. Several ''Cronobacter'' species are desiccation resistant and persistent in dry p ...
'' within the
Enterobacteriaceae Enterobacteriaceae is a large family (biology), family of Gram-negative bacteria. It includes over 30 genera and more than 100 species. Its classification above the level of Family (taxonomy), family is still a subject of debate, but one class ...
, initially comprising four named species in 2007. The taxonomy was expanded to five named species in 2008, and more recently (2011) to seven named species. The initial four named species in 2007 were ''Cronobacter sakazakii'' (comprising two subspecies), '' C. turicensis'', '' C. muytjensii'' and '' C. dublinensis'' (comprising three subspecies) plus an unnamed species referred to as ''Cronobacter'' genomospecies I. The taxonomy was revised in 2008 to include a fifth named species '' C. malonaticus'', which in 2007 had been regarded as a subspecies of ''C. sakazakii''. In 2012, ''Cronobacter'' genomospecies I was formally renamed ''
Cronobacter universalis ''Cronobacter'' is a genus of Gram-negative, facultatively anaerobic, oxidase-negative, catalase-positive, rod-shaped bacteria of the family Enterobacteriaceae. Several ''Cronobacter'' species are desiccation resistant and persistent in dry p ...
'', and a seventh species was described called ''
Cronobacter condimenti ''Cronobacter'' is a genus of Gram-negative, facultatively anaerobic, oxidase-negative, catalase-positive, rod-shaped bacteria of the family Enterobacteriaceae. Several ''Cronobacter'' species are desiccation resistant and persistent in dry p ...
''.


Etymology

The first documented isolation of what would become known as ''Cronobacter sakazakii'' was from a can of dried milk in 1950, although these organisms have likely existed for millions of years. In 1980, John J. Farmer III, proposed the name ''Enterobacter sakazakii'' for what had been known as "yellow-pigmented E. cloacae", in honor of Japanese bacteriologist Riichi Sakazaki. Over the next decades, ''E. sakazakii'' was implicated in scores of cases of meningitis and sepsis among infants, frequently in association with powdered infant formula. In 2007, the genus ''Cronobacter'' was created to accommodate the biogroups of ''E. sakazakii'', with ''C. sakazakii'' as the type species. The genus was named for Cronos, the Titan of Greek myth, who devoured his children as they were born.


References


External links


An international meeting on ''Cronobacter''Type strain of ''Cronobacter sakazakii'' at Bac''Dive'' - the Bacterial Diversity Metadatabase
{{Taxonbar, from=Q25841585 Enterobacteriaceae Food microbiology Bacteria described in 1980 ja:エンテロバクター・サカザキ