Journal

The Journal of the Japanese Society for Clinical Microbiology

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[Vol.14 No.1 contents]
Japanese / English

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Article in Japanese

ArticleTitle A case of Neisseria elongata septicemia
Language J
AuthorList Makiko Murotani1), Yoshihito Otsuka1,4), Hiroyuki Hata3), Takako Tsubata1), Ayako Oomi1), Masatoshi Masuo2), Masaaki Nakano3), Yoshiaki Kawamura4), Takayuki Ezaki4)
Affiliation 1)Department of Laboratory Medicine, Social Insuarance Central General Hospital
2)Department of cardiology, Social Insuarance Central General Hospital
3)Department of dentology, Social Insuarance Central General Hospital
4)Gifu University Graduate School of Medicine, Regeneration and Advanced Medical Science, Department of Microbiology and Bioinfomatics
Publication J.J.C.M.: 14 (1), 29-33, 2004
Received October 15, 2003
Accepted February 9, 2004
Abstract In Japan, we report the first of septicemia caused by Neisseria elongata. A 52-year-old male initially presented to the clinic with a fever of 39° C on September 13, 2001. The next day, the fever was accompanied by an intense headache. Since symptoms were not resolved with supportive medical care, the patient was admitted to the emergency unit with suspected septicemia on September 15. Laboratory findings were as follows: a white blood count of 15,900 cells/mm3; a CRP of 18.1 mg/dl which was consistent with an inflammatory process; and a decreased platelet count of 2.9 x 104/μ l. The blood culture was positive for a Gram-negative bacilli which was identified as Eikenella corrodens using Crystal N/H (Becton Dickinson). However repeated Gram stain of very small colonies isolated on 5% sheep-blood agar medium demonstrated a coccobacillary morphology which led to a consideration of N. elongata. Furthermore, by nucleotide sequencing analysis of bacterial 16S rDNA, the isolate was identified as N. elongata (% consistense, 99.7).
Keywords Neisseria elongata
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