The genus Burkholderia belongs to the so-called gram-negative non-fermenting bacteria , it belongs to this group together with the genus Burkholderia genera showing similar characteristics as this genus, they are the genus Pseudomonas and the genus Stenotrophomonas . Due to their common characteristics and traits, these genera can be put into context, in the medical sense, these genera are important mainly in terms of nosocomial diseases .
Burkholderia cepacia is a bacterium originally parasitizing on garlic plants. It is currently gaining in importance as a causative agent of nosocomial infections . High resistance to hospital disinfectants such as Ajatin, Septonex or chlorhexidine makes it exceptional. The bacteria can bind atmospheric carbon dioxide and thanks to this property it can also multiply in distilled water. B. cepacia produces exo substances that damage macroorganisms.
It is especially dangerous for patients with artificial heart valves or vascular implants and for patients with cystic pulmonary fibrosis . Among other things, it contributes to infections of the urogenital tract of women caused by nosocomial transmission via a gel used for gynecological examination. Effective treatment has been demonstrated with piperacillin and its protected variants with tazobactam , as well as with ceftazidime , carbopenems or fluoroquinolones . Cultivation of Burkholderia cepacia is not demanding, but selective soils are used to exclude the growth of the Pseudomonas aeruginosa colony .
Taxonomy
The taxonomy of the genus Burkholderia is constantly renewed, the current classification is as follows:
class Betaproteobacteria
order Burkholderiales
family Burkholderiaceae
genus Burkholderia
Burkholderia mallei
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Burkholderia mallei
Burkholderiaceae
Burkholderia
Colonies of Burkholderia mallei on blood agar
Morphology
Good bar
Relation to oxygen
strictly aerobic
Cultivation
common cultivation soils
Transmission
direct contact with a sick animal, inhalation of contaminated dust or aerosol
Incubation time
1-14 days
Disease
fever (acute, chronic)
Diagnostics
cultivation (in case of clinical suspicion, notify the laboratory in advance), serological and skin tests
Therapy
acute: carbapenems, ceftazidime, co-trimoxazole, fluoroquinolones, doxycycline; chronic: up to several months administration
MeSH ID
D042726
Burkholderia mallei - microscopically
Burkholderia mallei is an exception among other genera, it is a stationary gram-negative rod. It occurs mostly in the tropics and subtropics and can be brought to us from these areas. It causes a disease of solipeds called malleus . When transmitted to humans, it often has lethal consequences.
Burkholderia pseudomallei
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Burkholderia pseudomallei
Burkholderiaceae
Burkholderia
Colonies of Burkholderia pseudomallei on blood agar
Morphology
Good bar
Relation to oxygen
strictly aerobic
Cultivation
common cultivation soils
Virulence factors
polysaccharide case
Transmission
inhalation of contaminated dust, skin abrasion, ingestion of contaminated water
Burkholderia pseudomallei is atypical of our destination, occurring mainly in the tropics and subtropics of Southeast Asia, but also in northern Australia. This bacterium causes melioidosis or pseudomalleus in humans and animals. The course of the disease can be different, asymptomatic, chronic and acute. Untreated melioidosis is 95% fatal .
Links
Related articles
Pseudomonas, Stenotrophomonas, Burkholderia
Burkholderia cepacia
Burkholderia mallei
Burkholderia pseudomallei
References
POVÝŠIL, Ctibor and Ivo ŠTEINER, et al. General pathology. 1st edition. Prague: Galén, 2011. 290 pp. Chapter 13: General Oncology. pp. 133-190. ISBN 978-80-7262-773-8 .
VOTAVA, Miroslav, et al. Medical microbiology special. 1st edition. Brno: Neptun, 2003. 495 pp. Chapter 1.1: Gram-negative non-fermenting bacteria. pp. 29-37. ISBN 80-902896-6-5 .
KAYSER, Fritz H. and Kurt A. BIENZ. Medical Microbiology. 1st edition. Germany: Thieme, 2005. 268 pp. 308-311. ISBN 9781588902450 .
SEDLÁK, Kamil and Markéta TOMŠÍČKOVÁ. Dangerous infections of animals and humans. 1st edition. Prague: Scientia, 2006. 167 pp. 147-148. ISBN 80-86960-07-2 .
External links
Burkholderia description
Recent advances in the treatment of Pseudomonas aeruginosa infections in cystic fibrosis
Recent advances in the treatment of Pseudomonas aeruginosa infections in cystic fibrosis
↑ a b c d e f g h i jJump up to: BENEŠ, Jiří, et al. Infectious medicine. 1st edition. Galén, 2009. 651 pp. 261-262. ISBN 978-80-7262-644-1 .
↑ BEDNÁŘ, Marek, Andrej SOUČEK and Věra FRAŇKOVÁ, et al. Medical microbiology: Bacteriology, virology, parasitology. 1st edition. Prague: Marvil, 1996. 558 pp. ISBN 8594031505280 .