PMID- 22950075 OWN - NLM STAT- MEDLINE DCOM- 20130111 LR - 20211021 IS - 2234-3814 (Electronic) IS - 2234-3806 (Print) IS - 2234-3806 (Linking) VI - 32 IP - 5 DP - 2012 Sep TI - First Korean case of Robinsoniella peoriensis bacteremia in a patient with aspiration pneumonia. PG - 370-4 LID - 10.3343/alm.2012.32.5.370 [doi] AB - Robinsoniella peoriensis has recently been identified as a Gram-positive, spore-forming, anaerobic rod originally recovered from swine manure storage pits. To date, 6 cases of R. peoriensis infection have been reported, including 2 cases of bacteremia, 1 of abdominal fluid collection, and 3 of wound infection. In the present study, we report a 76-yr-old man with R. peoriensis bacteremia who developed aspiration pneumonia. Gram staining of a purified colony revealed Gram-positive, rod-shaped bacteria. Biochemical identification using API 20 A (bioMerieux, France) indicated presence of Clostridium spp. We performed both 500-bp and full-gene sequencing of 16S rRNA of the isolate. The sequence was analyzed with MicroSeq ID 16S rRNA Library v2.0 (Applied Biosystems, USA), GenBank Basic Local Alignment Search Tool (BLAST) (http://www.ncbi.nlm.nih.gov/genbank), and EzTaxon database v2.1 (http://www.eztaxon.org). The 500-bp 16S rRNA sequence of the blood culture isolate showed 99.16-99.79% similarity with R. peoriensis and the full-gene 16S rRNA sequence showed 98.87-99.50% similarity with R. peoriensis. The organism was confirmed as R. peoriensis by using all of the mentioned databases except for MicroSeq, which did not include the RNA sequence of this bacterium. This case suggests that identification of R. peoriensis might be challenging in clinical laboratories with no access to molecular methods, as certain commercial identification systems may not identify, or may misidentify, this organism. To the best of our knowledge, this is the first report of the isolation of R. peoriensis in Korea. FAU - Jeon, Yongbum AU - Jeon Y AD - Department of Laboratory Medicine, Seoul National University Hospital, Seoul, Korea. FAU - Kim, Taek Soo AU - Kim TS FAU - Kim, Hong Bin AU - Kim HB FAU - Park, Kyoung Un AU - Park KU FAU - Song, Junghan AU - Song J FAU - Kim, Eui Chong AU - Kim EC LA - eng PT - Case Reports PT - Journal Article DEP - 20120813 PL - Korea (South) TA - Ann Lab Med JT - Annals of laboratory medicine JID - 101571172 RN - 0 (RNA, Ribosomal, 16S) SB - IM MH - Aged MH - Bacteremia/*microbiology MH - Clostridium/classification/genetics/*isolation & purification MH - Databases, Genetic MH - Humans MH - Male MH - Phylogeny MH - Pneumonia, Aspiration/*diagnosis/microbiology MH - RNA, Ribosomal, 16S/chemistry/genetics MH - Republic of Korea MH - Sequence Analysis, DNA PMC - PMC3427827 OTO - NOTNLM OT - 16S ribosomal RNA OT - Bacteremia OT - Robinsoniella peoriensis COIS- No potential conflicts of interest relevant to this article were reported. EDAT- 2012/09/06 06:00 MHDA- 2013/01/12 06:00 PMCR- 2012/09/01 CRDT- 2012/09/06 06:00 PHST- 2012/04/09 00:00 [received] PHST- 2012/04/28 00:00 [revised] PHST- 2012/07/17 00:00 [accepted] PHST- 2012/09/06 06:00 [entrez] PHST- 2012/09/06 06:00 [pubmed] PHST- 2013/01/12 06:00 [medline] PHST- 2012/09/01 00:00 [pmc-release] AID - 10.3343/alm.2012.32.5.370 [doi] PST - ppublish SO - Ann Lab Med. 2012 Sep;32(5):370-4. doi: 10.3343/alm.2012.32.5.370. Epub 2012 Aug 13.