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Published on: December 23, 2022
Case report: Whole genome sequence of Clostridium perfringens JUM001 causing acute emphysematous cholecystitis
Mari Tohya1,2, Tomohiro Otsuka3, Jiro Yoshimoto3
1Department of Microbiology, Juntendo University School of Medicine, Tokyo, Japan.
Abstract:
A strain of Clostridium perfringens was isolated from the bile sample of a patient with emphysematous cholecystitis who underwent a laparoscopic cholecystectomy, followed by treatment with meropenem and recovery. Metagenomic analysis of the bile sample showed that 99.73% of the bile microbiota consisted of C. perfringens, indicating that C. perfringens JUM001 was the causative pathogen of acute emphysematous cholecystitis in this patient. Complete genome sequencing showed that C. perfringens JUM001 contained a circular chromosome of 3,231,023 bp and two circular plasmids, pJUM001-1 of 49,289 bp and pJUM001-2 of 47,855 bp. JUM001 was found to possess a typing toxin gene, plc, but no other typing toxin genes, indicating that its toxinotype is type A. The plasmids pJUM001-1 and pJUM001-2 belonged to the pCP13-like and pCW3-like families of plasmids, respectively, which are characteristic conjugative and archetypical plasmids of C. perfringens. Phylogenetic analysis showed that JUM001 was closely related to C. perfringens strain JXNC-DD isolated from a dog in China. To our knowledge, this is the first report of whole-genome sequences of a clinical isolate of C. perfringens causing acute emphysematous cholecystitis.
Insights
This study identified Clostridium perfringens JUM001 as the cause of acute emphysematous cholecystitis. Whole-genome sequencing revealed its genetic makeup, including toxin types and plasmid families, offering insights into this severe infection.
Area of Science:
- Microbiology
- Genomics
- Infectious Diseases
Background:
- Acute emphysematous cholecystitis is a severe gallbladder inflammation.
- Clostridium perfringens is an opportunistic pathogen.
- Understanding the genetic basis of C. perfringens infections is crucial.
Observation:
- A patient with emphysematous cholecystitis had bile microbiota dominated by Clostridium perfringens (99.73%).
- The isolated strain, C. perfringens JUM001, was identified as the causative agent.
- Metagenomic and complete genome sequencing were performed on the bile sample.
Findings:
- C. perfringens JUM001 possesses a chromosome and two plasmids (pJUM001-1, pJUM001-2).
- The strain is Toxinotype A, identified by the presence of the plc gene.
- Phylogenetic analysis indicates a close relationship with a canine C. perfringens strain.
Implications:
- This is the first whole-genome report of a C. perfringens clinical isolate causing acute emphysematous cholecystitis.
- The genomic data provides a foundation for understanding the virulence factors and evolution of C. perfringens.
- Further research can explore therapeutic strategies targeting specific genomic features of this pathogen.
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