Evidence for Elizabethkingia anophelis Transmission from Mother to Infant, Hong Kong

Elizabethkingia anophelis, recently discovered from mosquito gut, is an emerging bacterium associated with neonatal meningitis and nosocomial outbreaks. However, its transmission route remains unknown. We use rapid genome sequencing to investigate 3 cases of E. anophelis sepsis involving 2 neonates...

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Main Authors: Susanna K.P. Lau, Alan K.L. Wu, Jade L.L. Teng, Herman Tse, Shirly O.T. Curreem, Stephen K.W. Tsui, Yi Huang, Jonathan H.K. Chen, Rodney A. Lee, Patrick C.Y. Woo, Kwok-Yung Yuen
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2015-02-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/21/2/14-0623_article
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author Susanna K.P. Lau
Alan K.L. Wu
Jade L.L. Teng
Herman Tse
Shirly O.T. Curreem
Stephen K.W. Tsui
Yi Huang
Jonathan H.K. Chen
Rodney A. Lee
Patrick C.Y. Woo
Kwok-Yung Yuen
author_facet Susanna K.P. Lau
Alan K.L. Wu
Jade L.L. Teng
Herman Tse
Shirly O.T. Curreem
Stephen K.W. Tsui
Yi Huang
Jonathan H.K. Chen
Rodney A. Lee
Patrick C.Y. Woo
Kwok-Yung Yuen
author_sort Susanna K.P. Lau
collection DOAJ
description Elizabethkingia anophelis, recently discovered from mosquito gut, is an emerging bacterium associated with neonatal meningitis and nosocomial outbreaks. However, its transmission route remains unknown. We use rapid genome sequencing to investigate 3 cases of E. anophelis sepsis involving 2 neonates who had meningitis and 1 neonate’s mother who had chorioamnionitis. Comparative genomics revealed evidence for perinatal vertical transmission from a mother to her neonate; the 2 isolates from these patients, HKU37 and HKU38, shared essentially identical genome sequences. In contrast, the strain from another neonate (HKU36) was genetically divergent, showing only 78.6% genome sequence identity to HKU37 and HKU38, thus excluding a clonal outbreak. Comparison to genomes from mosquito strains revealed potential metabolic adaptations in E. anophelis under different environments. Maternal infection, not mosquitoes, is most likely the source of neonatal E. anophelis infections. Our findings highlight the power of genome sequencing in gaining rapid insights on transmission and pathogenesis of emerging pathogens.
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spelling doaj.art-c3ba2ef7daa744c1bcbd12c415e5dc192022-12-22T01:59:22ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592015-02-0121223224110.3201/eid2102.140623Evidence for Elizabethkingia anophelis Transmission from Mother to Infant, Hong KongSusanna K.P. LauAlan K.L. WuJade L.L. TengHerman TseShirly O.T. CurreemStephen K.W. TsuiYi HuangJonathan H.K. ChenRodney A. LeePatrick C.Y. WooKwok-Yung YuenElizabethkingia anophelis, recently discovered from mosquito gut, is an emerging bacterium associated with neonatal meningitis and nosocomial outbreaks. However, its transmission route remains unknown. We use rapid genome sequencing to investigate 3 cases of E. anophelis sepsis involving 2 neonates who had meningitis and 1 neonate’s mother who had chorioamnionitis. Comparative genomics revealed evidence for perinatal vertical transmission from a mother to her neonate; the 2 isolates from these patients, HKU37 and HKU38, shared essentially identical genome sequences. In contrast, the strain from another neonate (HKU36) was genetically divergent, showing only 78.6% genome sequence identity to HKU37 and HKU38, thus excluding a clonal outbreak. Comparison to genomes from mosquito strains revealed potential metabolic adaptations in E. anophelis under different environments. Maternal infection, not mosquitoes, is most likely the source of neonatal E. anophelis infections. Our findings highlight the power of genome sequencing in gaining rapid insights on transmission and pathogenesis of emerging pathogens.https://wwwnc.cdc.gov/eid/article/21/2/14-0623_articlegenomeElizabethkingia anophelisneonatalmeningitissepsisvertical
spellingShingle Susanna K.P. Lau
Alan K.L. Wu
Jade L.L. Teng
Herman Tse
Shirly O.T. Curreem
Stephen K.W. Tsui
Yi Huang
Jonathan H.K. Chen
Rodney A. Lee
Patrick C.Y. Woo
Kwok-Yung Yuen
Evidence for Elizabethkingia anophelis Transmission from Mother to Infant, Hong Kong
Emerging Infectious Diseases
genome
Elizabethkingia anophelis
neonatal
meningitis
sepsis
vertical
title Evidence for Elizabethkingia anophelis Transmission from Mother to Infant, Hong Kong
title_full Evidence for Elizabethkingia anophelis Transmission from Mother to Infant, Hong Kong
title_fullStr Evidence for Elizabethkingia anophelis Transmission from Mother to Infant, Hong Kong
title_full_unstemmed Evidence for Elizabethkingia anophelis Transmission from Mother to Infant, Hong Kong
title_short Evidence for Elizabethkingia anophelis Transmission from Mother to Infant, Hong Kong
title_sort evidence for elizabethkingia anophelis transmission from mother to infant hong kong
topic genome
Elizabethkingia anophelis
neonatal
meningitis
sepsis
vertical
url https://wwwnc.cdc.gov/eid/article/21/2/14-0623_article
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