Microbial analyses of infectious keloids on the anterior chest-a case-control study

Qian Chen1, Shen Hou1, Xiao-Yan Wu1

  • 1Department of Dermatology, Affiliated Hospital of Nantong University, Nantong, 226001, Jiangsu, China.

Insights

Infectious keloids show distinct bacterial surface differences compared to non-infectious ones. This study identifies specific bacterial genera linked to keloid infections, aiding in prediction and treatment.

Area of Science:

  • Microbiology
  • Dermatology
  • Genetics

Background:

  • Pathogens are known to cause infections in keloids via surface bacterial cultures.
  • Limited research exists comparing infectious and non-infectious keloids' bacterial flora.
  • Understanding microbial composition in infectious keloid foci is crucial.

Purpose of the Study:

  • To compare the differential flora of purulent secretions on infectious versus non-infectious keloids.
  • To determine the microbial composition within the infectious foci of keloids.
  • To explore the link between microbial presence and keloid pathogenesis.

Main Methods:

  • A case-control study involving 17 patients.
  • Swab specimens collected from keloid surfaces (infectious and non-infectious groups) and infectious foci.
  • Bacterial composition analyzed using 16S ribosomal RNA sequencing.

Main Results:

  • No statistical differences in general patient condition between groups.
  • Phylum Actinobacteriota, orders Propionibacteriales, Corynebacteriales, and genus Taibaiella were more prevalent on infectious keloid surfaces.
  • Dominant genera in infective sites included Staphylococcus, Peptoniphilus, and Cutibacterium.
  • Microbial pathways correlated with inflammation and tumor-like keloid growth.

Conclusions:

  • A significant connection exists between infectious keloids and specific microorganisms.
  • Findings offer insights for predicting and treating keloid infections.
  • Differential bacterial analysis aids in understanding keloid pathogenesis.

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