Abstract
Genetic diversity and relationships among 42 strains of Citrobacter diversus recovered from the cerebrospinal fluid of human infants with meningitis and from other clinical sources in the United States were estimated on the basis of electrophoretically detectable allelic variation in 20 genes encoding metabolic enzymes. Sixteen distinctive multilocus enzyme genotypes were identified, among which the mean genetic diversity per locus was 0.244. The recovery of isolates of the same genotype in several regions of the United States and over periods as long as 20 years indicates that the population structure of C. diversus is clonal. There was little association between multilocus enzyme genotype and biotype, piliation, or presence of a 32-kilodalton outer membrane protein. The observation that the 32-kilodalton outer membrane protein, which is expressed predominantly by strains recovered from infants with meningitis, occurs in a variety of genotypically diverse clones belonging to several phylogenetic lineages supports the hypothesis that this protein confers virulence.
Full text
PDF





Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Achtman M., Pluschke G. Clonal analysis of descent and virulence among selected Escherichia coli. Annu Rev Microbiol. 1986;40:185–210. doi: 10.1146/annurev.mi.40.100186.001153. [DOI] [PubMed] [Google Scholar]
- Caugant D. A., Levin B. R., Selander R. K. Genetic diversity and temporal variation in the E. coli population of a human host. Genetics. 1981 Jul;98(3):467–490. doi: 10.1093/genetics/98.3.467. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Caugant D. A., Mocca L. F., Frasch C. E., Frøholm L. O., Zollinger W. D., Selander R. K. Genetic structure of Neisseria meningitidis populations in relation to serogroup, serotype, and outer membrane protein pattern. J Bacteriol. 1987 Jun;169(6):2781–2792. doi: 10.1128/jb.169.6.2781-2792.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Finn A., Talbot G. H., Anday E., Skros M., Provencher M., Hoegg C. Vertical transmission of Citrobacter diversus from mother to infant. Pediatr Infect Dis J. 1988 Apr;7(4):293–294. doi: 10.1097/00006454-198804000-00012. [DOI] [PubMed] [Google Scholar]
- Graham D. R., Anderson R. L., Ariel F. E., Ehrenkranz N. J., Rowe B., Boer H. R., Dixon R. E. Epidemic nosocomial meningitis due to Citrobacter diversus in neonates. J Infect Dis. 1981 Sep;144(3):203–209. doi: 10.1093/infdis/144.3.203. [DOI] [PubMed] [Google Scholar]
- Graham D. R., Band J. D. Citrobacter diversus brain abscess and meningitis in neonates. JAMA. 1981 May 15;245(19):1923–1925. [PubMed] [Google Scholar]
- Gross R. J., Rowe B. Citrobacter koseri (syn. C. diversus): biotype, serogroup and drug resistance patterns of 517 strains. J Hyg (Lond) 1983 Apr;90(2):233–239. doi: 10.1017/s0022172400028904. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gross R. J., Rowe B., Easton J. A. Neonatal meningitis caused by Citrobacter koseri. J Clin Pathol. 1973 Feb;26(2):138–139. doi: 10.1136/jcp.26.2.138. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kline M. W., Kaplan S. L., Hawkins E. P., Mason E. O., Jr Pathogenesis of brain abscess formation in an infant rat model of Citrobacter diversus bacteremia and meningitis. J Infect Dis. 1988 Jan;157(1):106–112. doi: 10.1093/infdis/157.1.106. [DOI] [PubMed] [Google Scholar]
- Kline M. W., Mason E. O., Jr, Kaplan S. L. Characterization of Citrobacter diversus strains causing neonatal meningitis. J Infect Dis. 1988 Jan;157(1):101–105. doi: 10.1093/infdis/157.1.101. [DOI] [PubMed] [Google Scholar]
- Kline M. W., Mason E. O., Jr, Kaplan S. L. Epidemiologic marker system for Citrobacter diversus using outer membrane protein profiles. J Clin Microbiol. 1989 Aug;27(8):1793–1796. doi: 10.1128/jcm.27.8.1793-1796.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Morris J. G., Jr, Lin F. Y., Morrison C. B., Gross R. J., Khabbaz R., Maher K. O., Rowe B., Israel E., Libonati J. P. Molecular epidemiology of neonatal meningitis due to Citrobacter diversus: a study of isolates from hospitals in Maryland. J Infect Dis. 1986 Sep;154(3):409–414. doi: 10.1093/infdis/154.3.409. [DOI] [PubMed] [Google Scholar]
- Musser J. M., Hewlett E. L., Peppler M. S., Selander R. K. Genetic diversity and relationships in populations of Bordetella spp. J Bacteriol. 1986 Apr;166(1):230–237. doi: 10.1128/jb.166.1.230-237.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nei M. Estimation of average heterozygosity and genetic distance from a small number of individuals. Genetics. 1978 Jul;89(3):583–590. doi: 10.1093/genetics/89.3.583. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ochman H., Whittam T. S., Caugant D. A., Selander R. K. Enzyme polymorphism and genetic population structure in Escherichia coli and Shigella. J Gen Microbiol. 1983 Sep;129(9):2715–2726. doi: 10.1099/00221287-129-9-2715. [DOI] [PubMed] [Google Scholar]
- Parry M. F., Hutchinson J. H., Brown N. A., Wu C. H., Estreller L. Gram-negative sepsis in neonates: a nursery outbreak due to hand carriage of Citrobacter diversus. Pediatrics. 1980 Jun;65(6):1105–1109. [PubMed] [Google Scholar]
- Sedlák J. Present knowledge and aspects of Citrobacter. Curr Top Microbiol Immunol. 1973;62:41–59. doi: 10.1007/978-3-642-65772-6_2. [DOI] [PubMed] [Google Scholar]
- Selander R. K., Beltran P., Smith N. H., Barker R. M., Crichton P. B., Old D. C., Musser J. M., Whittam T. S. Genetic population structure, clonal phylogeny, and pathogenicity of Salmonella paratyphi B. Infect Immun. 1990 Jun;58(6):1891–1901. doi: 10.1128/iai.58.6.1891-1901.1990. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Selander R. K., Caugant D. A., Ochman H., Musser J. M., Gilmour M. N., Whittam T. S. Methods of multilocus enzyme electrophoresis for bacterial population genetics and systematics. Appl Environ Microbiol. 1986 May;51(5):873–884. doi: 10.1128/aem.51.5.873-884.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Selander R. K., McKinney R. M., Whittam T. S., Bibb W. F., Brenner D. J., Nolte F. S., Pattison P. E. Genetic structure of populations of Legionella pneumophila. J Bacteriol. 1985 Sep;163(3):1021–1037. doi: 10.1128/jb.163.3.1021-1037.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Williams W. W., Mariano J., Spurrier M., Donnell H. D., Jr, Breckenridge R. L., Jr, Anderson R. L., Wachsmuth I. K., Thornsberry C., Graham D. R., Thibeault D. W. Nosocomial meningitis due to Citrobacter diversus in neonates: new aspects of the epidemiology. J Infect Dis. 1984 Aug;150(2):229–235. doi: 10.1093/infdis/150.2.229. [DOI] [PubMed] [Google Scholar]
