First Description of a Yersinia pseudotuberculosis Clonal Outbreak in France, Confirmed Using a New Core Genome
Cyril Savin1,2,3, Anne-Sophie Le Guern1,2,3, Fanny Chereau4
1Institut Pasteurgrid.428999.7, Université de Paris Cité, Yersinia Research Unit, Paris, France.
Abstract:
Yersinia pseudotuberculosis is an enteric pathogen causing mild enteritis that can lead to mesenteric adenitis in children and septicemia in elderly patients. Most cases are sporadic, but outbreaks have already been described in different countries. We report for the first time a Y. pseudotuberculosis clonal outbreak in France, that occurred in 2020. An epidemiological investigation based on food queries pointed toward the consumption of tomatoes as the suspected source of infection. The Yersinia National Reference Laboratory (YNRL) developed a new cgMLST scheme with 1,921 genes specific to Y. pseudotuberculosis that identified the clustering of isolates associated with the outbreak and allowed to perform molecular typing in real time. In addition, this method allowed to retrospectively identify isolates belonging to this cluster from earlier in 2020. This method, which does not require specific bioinformatic skills, is now used systematically at the YNRL and proves to display an excellent discriminatory power and is available to the scientific community. IMPORTANCE We describe in here a novel core-genome MLST method that allowed to identify in real time, and for the first time in France, a Y. pseudotuberculosis clonal outbreak that took place during the summer 2020 in Corsica. Our method allows to support epidemiological and microbiological investigations to establish a link between patients infected with closely associated Y. pseudotuberculosis isolates, and to identify the potential source of infection. In addition, we made this method available for the scientific community.
Insights
A new core-genome multilocus sequence typing (cgMLST) method identified France's first Yersinia pseudotuberculosis clonal outbreak, linked to tomatoes. This real-time molecular typing supports investigations into foodborne pathogen outbreaks.
Area of Science:
- Microbiology
- Epidemiology
- Food Safety
Background:
- Yersinia pseudotuberculosis is an enteric pathogen causing various illnesses, with sporadic cases and documented outbreaks.
- Outbreaks are often linked to contaminated food sources, necessitating robust surveillance and typing methods.
Purpose of the Study:
- To report the first Yersinia pseudotuberculosis clonal outbreak in France (2020).
- To introduce and validate a novel core-genome multilocus sequence typing (cgMLST) scheme for real-time molecular typing of Y. pseudotuberculosis.
Main Methods:
- Development of a new cgMLST scheme with 1,921 genes specific to Y. pseudotuberculosis.
- Application of the cgMLST scheme for epidemiological investigation and molecular typing of outbreak isolates.
- Retrospective analysis of earlier isolates using the developed cgMLST method.
Main Results:
- Identification of a Y. pseudotuberculosis clonal outbreak in France during summer 2020, with tomatoes as the suspected source.
- The cgMLST scheme successfully clustered outbreak isolates and enabled real-time molecular typing.
- Retrospective analysis identified additional cluster isolates from earlier in 2020.
Conclusions:
- The novel cgMLST method provides excellent discriminatory power for Y. pseudotuberculosis typing.
- This user-friendly method supports real-time identification and investigation of clonal outbreaks.
- The method is now systematically used at the Yersinia National Reference Laboratory and available to the scientific community.
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