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      A novel selective medium for the isolation of Burkholderia mallei from equine specimens

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          Abstract

          Background

          Burkholderia mallei is a Gram-negative bacterium that causes glanders, a zoonotic disease, especially in equine populations (e.g. horses, donkeys, and mules). B. mallei usually grows slowly on most culture media, and this property makes it difficult to isolate from clinical specimens. One of the problems is that B. mallei is easily overgrown by other bacteria, especially in animal specimens collected from non-sterile sites. The aim of this study was to develop a new selective agar for the laboratory diagnosis of glanders. We formulated a new agar, named BM agar, to enrich B. mallei growth, but inhibit the growth of other bacteria and fungi based on their antimicrobial profiles. We compared the growth of B. mallei on BM with Xie’s and PC agars, the two previously described selective agars for B. mallei.

          Results

          BM agar could sufficiently grow almost all of the tested B. mallei strains within 72 h: only one out of the 38 strains grew scantly after 72 h of incubation. BM agar was further tested with other Burkholderia species and various bacterial species commonly found in the nasal cavities and on the skin of horses. We have found that other Burkholderia species including B. pseudomallei and B. thailandensis can grow on BM agar, but non- Burkholderia species cannot. Furthermore, the specificities of the three selective agars were tested with or without spiking B. mallei culture into clinical specimens of non-sterile sites collected from healthy horses. The results showed that BM agar inhibited growths of fungi and other bacterial species better than PC and Xie’s agars. We have also found that growth of B. mallei on BM agar was equivalent to that on 5% horse blood agar and was significantly greater than those on the other two agars ( P < 0.05).

          Conclusions

          We believe that BM agar can be used to efficiently isolate B. mallei from mixed samples such as those typically collected from horses and other contaminated environments.

          Electronic supplementary material

          The online version of this article (10.1186/s12917-019-1874-0) contains supplementary material, which is available to authorized users.

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          Most cited references17

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          Members of the genus Burkholderia: good and bad guys

          In the 1990s several biocontrol agents on that contained Burkholderia strains were registered by the United States Environmental Protection Agency (EPA). After risk assessment these products were withdrawn from the market and a moratorium was placed on the registration of Burkholderia-containing products, as these strains may pose a risk to human health. However, over the past few years the number of novel Burkholderia species that exhibit plant-beneficial properties and are normally not isolated from infected patients has increased tremendously. In this commentary we wish to summarize recent efforts that aim at discerning pathogenic from beneficial Burkholderia strains.
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            Antibiotic susceptibility of 65 isolates of Burkholderia pseudomallei and Burkholderia mallei to 35 antimicrobial agents.

            Fifty isolates of Burkholderia pseudomallei and 15 isolates of Burkholderia mallei were tested for their susceptibilities to 35 antimicrobial agents, including agents not previously tested against these bacteria. MICs were determined by agar dilution in Mueller-Hinton medium. Among the antibiotics tested, lower MICs were obtained with imipenem, ceftazidime, piperacillin, piperacillin/tazobactam, doxycycline and minocycline. Fluoroquinolones and aminoglycosides had poor activities. A single clinical isolate of B. pseudomallei was resistant to ceftazidime, co-amoxiclav and doxycycline but remained susceptible to imipenem. Although B. mallei MICs are often lower, the overall results underline the importance of resistance in both species. The susceptibilities measured are consistent with the current recommendations for the treatment of B. pseudomallei and B. mallei infections.
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              Glanders in animals: a review on epidemiology, clinical presentation, diagnosis and countermeasures.

              Glanders or farcy, caused by Burkholderia mallei, is an infectious and zoonotic disease of solipeds. Horses, donkeys and mules are the only known natural reservoir of B. mallei. Although glanders has been eradicated from most countries, it has regained the status of a re-emerging disease because of the numerous recent outbreaks. Pre-symptomatic or carrier animals are the potential source of infection for the healthy equine population and play a crucial role in the spreading of the infectious agent. Glanders is characterized by ulcerating nodular lesions of the skin and mucous membrane. Generalized symptoms include fever, malaise, depression, cough, anorexia and weight loss. Burkholderia mallei can invade its host through mucous membranes, gastrointestinal tract and the integument. Its virulence mechanisms and pathogenesis are not yet completely understood. A major problem when using serological tests for diagnosing glanders is the occurrence of false-positive and false-negative results leading to difficulties in international trade with equids and to the spread of glanders to disease-free regions. Moreover, poor tests critically result in poor control of disease. These tests are not only incapable of discriminating between B. mallei and B. pseudomallei antibodies, they are also unable to differentiate between malleinized and naturally infected animals. Combined use of both serological and molecular detection methods increases the detection rate of glanders. Countermeasures against glanders include early detection of disease in susceptible animals, stringent quarantine measures, testing and safe destruction of infected carcasses, adequate compensation to the animal owners, disinfection of infected premises and awareness about glanders and the zoonotic implications through veterinary extension services. An account of the clinical picture and successful experimental therapy of spontaneous equine glanders is also given. © 2012 Blackwell Verlag GmbH.
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                Author and article information

                Contributors
                kinoshita@equinst.go.jp
                ashley.k.cloutier.ctr@mail.mil
                david.a.rozak2.ctr@mail.mil
                siddiqur.r.khan@ufl.edu
                niwa@equinst.go.jp
                uchida@equinst.go.jp
                Yoshinari_Katayama@jra.go.jp
                tuanyok@ufl.edu
                Journal
                BMC Vet Res
                BMC Vet. Res
                BMC Veterinary Research
                BioMed Central (London )
                1746-6148
                7 May 2019
                7 May 2019
                2019
                : 15
                : 133
                Affiliations
                [1 ]ISNI 0000 0001 0710 998X, GRID grid.482817.0, Microbiology Division, Equine Research Institute, Japan Racing Association, ; 1400-4 Shiba, Shimotsuke, Tochigi, 329-0412 Japan
                [2 ]ISNI 0000 0004 1936 8091, GRID grid.15276.37, Department of Infectious Diseases and Immunology, College of Veterinary Medicine, ; University of Florida, Gainesville, FL 32608 USA
                [3 ]ISNI 0000 0001 0666 4455, GRID grid.416900.a, Unified Culture Collection, Diagnostic Systems Division, U.S. Army Medical Research Institute of Infectious Diseases, ; Fort Detrick, Frederick, MD 21702-5011 USA
                Author information
                http://orcid.org/0000-0002-4581-9322
                Article
                1874
                10.1186/s12917-019-1874-0
                6505306
                31064357
                e3ff6b64-e6a3-4590-9aaf-46c60373c8de
                © The Author(s). 2019

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 21 December 2018
                : 18 April 2019
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2019

                Veterinary medicine
                bacterial isolation,burkholderia mallei,equine,glanders,horse,selective medium
                Veterinary medicine
                bacterial isolation, burkholderia mallei, equine, glanders, horse, selective medium

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