Abstract
A coryneform bacteria known asCorynebacterium group D2 pending definitive taxonomic classification, has emerged as a human pathogen. Although first described 16 years ago, the organism has only recently been implicated in clinical infections. It differs from all previously recognized species ofCorynebacterium, and in common withCorynebacterium jeikeium exhibits a broad spectrum of antimicrobial resistance, being sensitive to only vancomycin, teicoplanin and some quinolones. The microorganism is mainly involved in urinary tract infections, and its strong urease activity seems to play an important role in its pathogenicity.Corynebacterium jeikeium and group D2 are very different from the clinical and microbiological point of view.Corynebacterium group D2, like other coryneform bacteria, may be isolated from healthy skin in hospitalized patients, mainly females, whileCorynebacterium jeikeium is more prevalent in males. Microbiologists should be aware that such a slow-growing microorganism may be responsible for clinical infections and should not be overlooked in routine cultures of clinical specimens.
Similar content being viewed by others
References
Tow, A., Wechsler, H. F. Diphtheroid bacillus as a cause of acute endocarditis. American Journal of Diseases of Children 1932, 44: 156–161.
Lipsky, B. A., Goldberger, A. C., Tompkins, L. S., Plorde, J. J. Infections caused by non diphtheria corynebacteria. Reviews of Infectious Diseases 1982, 4: 1220–1235.
Coyle, M. B., Hollis, D. G., Groman, N. B. Corynebacterium spp. and other coryneform organisms. In: Lennette, E. H., Balows, A., Hausler, W. J., Shadomy, H. J. (ed.): Manual of clinical microbiology. American Society for Microbiology, Washington, DC, 1985, p. 193–204.
Hande, K. R., Witebsky, F. G., Brown, M. S., Schulman, C. B., Anderson, S. E., Levine, A. S., MacLowry, J. D., Chabner, B. A. Sepsis with a new species ofCorynebacterium. Annals of Internal Medicine 1976, 85: 423–426.
Jakobs, N. F., Perlino, C. A. Diphtheroid pneumonia. Southern Medical Journal 1979, 72: 475–476.
Soriano, F., Ponte, C., Santamaría, M., Aguado, J. M., Wilhelmi, I., Vela, R., Cifuentes, L. Corynebacterium group D2 as a cause of alkaline-encrusted cystitis: report of four cases and characterization of the organisms. Journal of Clinical Microbiology 1985, 21: 788–792.
King, E. O. The identification of unusual gram negative bacteria. United States Public Health Service, Washington, DC, 1972.
Jones, D., Collins, M. D. Irregular, non-sporing Grampositive rods. In: Bergey's Manual of Systematic Bactiology, Volume 2. Williams & Wilkins, Baltimore, 1986, p. 1261–1434.
Aguado, J. M., Ponte, C., Soriano, F. Bacteriuria by a multiresistantCorynebacterium species (Corynebacterium group D2). An unnoticed cause of urinary tract infection. Journal of Infectious Diseases 1987, 156: 144–150.
Soriano, F., Ponte, C., Santamaría, M., Castilla, C., Fernández-Roblas, R. In vitro and in vivo study of stone formation byCorynebacterium group D2 (Corynebacterium urealyticum). Journal of Clinical Microbiology 1986, 23: 691–694.
Soriano, F., Ponte, C., Santamaría, M., Fernández-Roblas, R. Struvite crystal formation byCorynebacterium group D2 in human urine and its prevention by acetohydroxamic acid. European Urology 1987, 13: 271–273.
Hager, B. H., Magath, T. B. The etiology of incrusted cystitis with alkaline urine. Journal of the American Medical Association 1925, 85: 1353–1355.
Randall, A., Campbell, S. N. Alkaline incrusted cystitis. Journal of Urology 1937, 37: 284–299.
Takebe, S., Numata, A., Kobashi, K. Stone formation byUreaplasma urealyticum in human urine and its prevention by urease inhibitors. Journal of Clinical Microbiology 1984, 20: 869–873.
Ortí, T., Martin, A., Palafox, E., Bonilla, I. Infección urinaria porCorynebacterium spp: presentación de 8 casos. Medicina Clínica 1985, 85: 266–268.
Schoch, P. A., Ferragamo, M. A., Cunha, B. A. Corynebacterium group D2 pyelonephritis. Urology 1987, 29: 66–67.
Van Bosterhaut, B., Claeys, G., Gigi, J., Wauters, G. Isolation ofCorynebacterium group D2 from clinical specimens. European Journal of Clinical Microbiology 1987, 6: 418–419.
Marshall, R. J., Routh, K. R., MacGowan, A. P. Corynebacterium CDC group D2 bacteraemia. Journal of Clinical Pathology 1987, 40: 813–815.
Cifuentes, L. Cistitis incrustadas. In: Cifuentes, L. (ed.): Cistitis y cistopatias. Paz Montalvo, Madrid, 1947, p. 195–210.
Rodriguez-Talrá, J., Serrate, R. Cistitis incrustante. Archivos Españoles de Urología 1978, 31: 541–556.
Aubert, J., Dore, B., Touchard, G., Loetitia, G. La cystite incrustée á urine alcaline. Journal d'Urologie 1982, 88: 359–363.
Vilaseca, J., Martínez, J. M., Angel, J., Fernández, F., Villanueva, C., Guardia, J., Tornos, J., Bacardi, R. Endocarditis porCorynebacterium. Revista Clinica Española 1973, 129: 207–210.
Young, V. M., Meyers, W. F., Moody, M. R., Schimpff, S. C. The emergence of coryneform bacteria as a cause of nosocomial infections in compromised hosts. American Journal of Medicine 1981, 70: 646–650.
Larson, E. L., McGinley, K. J., Leyden, J. J., Cooley, M. E., Talbot, G. H. Skin colonization with antibiotic-resistant (JK group) and antibiotic-sensitive lipophilic diphtheroids in hospitalized and normal adults. Journal of Infectious Diseases 1986, 153: 701–706.
Gill, V. J., Manning, C., Lamson, M., Woltering, P., Pizzo, P. A. Antibiotic-resistant group JK bacteria in hospitals. Journal of Clinical Microbiology 1981, 13: 472–477.
Stamm, W. E., Tompkins, L. S., Wagner, K. F., Counts, G. W., Thomas, E. D., Meyers, J. D. Infection due toCorynebacterium species in marrow transplant patients. Annals of Internal Medicine 1979, 91: 167–173.
François, J. J. La cystite incrustée. Journal d'Urologie Médicale et Chirurgicale 1914, 5: 35–52.
Riley, P. S., Hollis, D. G., Utter, G. B., Weaver, R. E., Baker, C. N. Characterization and identification of 95 diphtheroid (group JK) cultures isolated from clinical specimens. Journal of Clinical Microbiology 1979, 9: 418–424.
Santamaría, M., Ponte, C., Wilhelmi, I., Soriano, F. Antimicrobial susceptibility ofCorynebacterium group D2. Antimicrobial Agents and Chemotherapy 1985, 28: 845–846.
Fernández-Roblas, R., Prieto, S., Santamaría, M., Ponte, C., Soriano, F. Activity of nine antimicrobial agents againstCorynebacterium group D2 strains isolated from clinical specimens and skin. Antimicrobial Agents and Chemotherapy 1987, 31: 821–822.
Soriano, F., Ponte, C., Santamaría, M., Torres, A., Fernández-Roblas, R. Susceptibility of urinary isolates ofCorynebacterium group D2 to fifteen antimicrobials and acetohydroxamid acid. Journal of Antimicrobial Chemotherapy 1987, 20: 349–355.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Soriano, F., Fernández-Roblas, R. Infections caused by antibiotic-resistantCorynebacterium group D2. Eur. J. Clin. Microbiol. Infect. Dis. 7, 337–341 (1988). https://doi.org/10.1007/BF01962333
Issue Date:
DOI: https://doi.org/10.1007/BF01962333