Staphylococcus aureus causing tropical pyomyositis, Amazon Basin, Peru

Coralith García1, Marie Hallin, Ariane Deplano

  • 1Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru. coralith.garcia@upch.pe

Insights

This study identified Staphylococcus aureus strains causing tropical pyomyositis in Peru. Sequence type 25 strains carrying Panton-Valentine leukocidin genes are circulating in South America.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Tropical Medicine

Background:

  • Tropical pyomyositis is a bacterial infection primarily affecting skeletal muscles.
  • Staphylococcus aureus is a common pathogen, but its prevalence in tropical pyomyositis in the Amazon Basin is less understood.
  • Understanding the genetic characteristics of S. aureus strains is crucial for effective treatment and public health strategies.

Purpose of the Study:

  • To characterize Staphylococcus aureus isolates from patients with tropical pyomyositis in the Peruvian Amazon.
  • To identify specific genetic markers, such as Panton-Valentine leukocidin genes and multilocus sequence types, within these isolates.
  • To determine the potential circulation of specific S. aureus sequence types in this tropical region.

Main Methods:

  • Collection and microbiological analysis of 12 Staphylococcus aureus isolates from patients with tropical pyomyositis.
  • Methicillin susceptibility testing.
  • Detection of Panton-Valentine leukocidin-encoding genes using molecular methods.
  • Multilocus sequence typing (MLST) to determine the genetic lineage of the isolates.
  • Analysis for the presence of enterotoxin genes.

Main Results:

  • All 12 Staphylococcus aureus isolates were susceptible to methicillin.
  • Eleven out of 12 isolates (91.7%) harbored Panton-Valentine leukocidin-encoding genes.
  • Five isolates (41.7%) belonged to multilocus sequence type 25 (ST25).
  • These ST25 isolates also possessed a wide array of enterotoxin genes.
  • No methicillin-resistant Staphylococcus aureus (MRSA) was detected.

Conclusions:

  • Methicillin-susceptible Staphylococcus aureus (MSSA) strains are implicated in tropical pyomyositis in the Peruvian Amazon.
  • The high prevalence of Panton-Valentine leukocidin genes in these MSSA isolates is noteworthy.
  • The findings strongly suggest that multilocus sequence type 25 is a significant and circulating lineage in tropical South America, associated with pyomyositis and carrying virulence factors.

Related Concept Videos

Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
Atypical Pneumonia01:14

Atypical Pneumonia

Atypical pneumonia, often caused by Mycoplasma pneumoniae, is a form of pulmonary infection that differs from the classical presentation of bacterial pneumonia in both its cause and clinical symptoms. Mycoplasma pneumoniae is a pleomorphic bacterium notable for its lack of a rigid cell wall. This structural characteristic imparts resistance to beta-lactam antibiotics and significantly influences the bacterium’s behavior within the human host.Other pathogens responsible for the disease include...
Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
Skin Diseases and Disorders01:23

Skin Diseases and Disorders

Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Bacterial Phylum Spirochaetes01:30

Bacterial Phylum Spirochaetes

Spirochetes, unique bacteria in the phylum Spirochaetes, are gram-negative, motile, tightly coiled, slender, and flexible. They inhabit aquatic sediments and animals, with some causing diseases like syphilis. Spirochetes are classified into eight genera based on habitat, pathogenicity, phylogeny, and characteristics.Their distinctive motility arises from endoflagella, located within the cell’s periplasm. These endoflagella anchor at the cell poles and extend along the cell length, encased by a...
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such as Proteus,...