PMID- 23209631 OWN - NLM STAT- MEDLINE DCOM- 20130611 LR - 20240313 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 7 IP - 11 DP - 2012 TI - Whole genome sequence typing to investigate the Apophysomyces outbreak following a tornado in Joplin, Missouri, 2011. PG - e49989 LID - 10.1371/journal.pone.0049989 [doi] LID - e49989 AB - Case reports of Apophysomyces spp. in immunocompetent hosts have been a result of traumatic deep implantation of Apophysomyces spp. spore-contaminated soil or debris. On May 22, 2011 a tornado occurred in Joplin, MO, leaving 13 tornado victims with Apophysomyces trapeziformis infections as a result of lacerations from airborne material. We used whole genome sequence typing (WGST) for high-resolution phylogenetic SNP analysis of 17 outbreak Apophysomyces isolates and five additional temporally and spatially diverse Apophysomyces control isolates (three A. trapeziformis and two A. variabilis isolates). Whole genome SNP phylogenetic analysis revealed three clusters of genotypically related or identical A. trapeziformis isolates and multiple distinct isolates among the Joplin group; this indicated multiple genotypes from a single or multiple sources. Though no linkage between genotype and location of exposure was observed, WGST analysis determined that the Joplin isolates were more closely related to each other than to the control isolates, suggesting local population structure. Additionally, species delineation based on WGST demonstrated the need to reassess currently accepted taxonomic classifications of phylogenetic species within the genus Apophysomyces. FAU - Etienne, Kizee A AU - Etienne KA AD - Centers for Disease Control and Prevention, Atlanta, GA, USA. ketienne@cdc.gov FAU - Gillece, John AU - Gillece J FAU - Hilsabeck, Remy AU - Hilsabeck R FAU - Schupp, Jim M AU - Schupp JM FAU - Colman, Rebecca AU - Colman R FAU - Lockhart, Shawn R AU - Lockhart SR FAU - Gade, Lalitha AU - Gade L FAU - Thompson, Elizabeth H AU - Thompson EH FAU - Sutton, Deanna A AU - Sutton DA FAU - Neblett-Fanfair, Robyn AU - Neblett-Fanfair R FAU - Park, Benjamin J AU - Park BJ FAU - Turabelidze, George AU - Turabelidze G FAU - Keim, Paul AU - Keim P FAU - Brandt, Mary E AU - Brandt ME FAU - Deak, Eszter AU - Deak E FAU - Engelthaler, David M AU - Engelthaler DM LA - eng PT - Journal Article DEP - 20121127 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - *Disasters MH - Disease Outbreaks MH - Genome, Bacterial MH - Humans MH - Missouri MH - Mucorales/classification/*genetics/isolation & purification MH - Mucormycosis/epidemiology/*microbiology MH - Phylogeny MH - Polymorphism, Single Nucleotide MH - Sequence Analysis, DNA MH - *Tornadoes PMC - PMC3507928 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2012/12/05 06:00 MHDA- 2013/06/12 06:00 PMCR- 2012/11/27 CRDT- 2012/12/05 06:00 PHST- 2012/05/22 00:00 [received] PHST- 2012/10/19 00:00 [accepted] PHST- 2012/12/05 06:00 [entrez] PHST- 2012/12/05 06:00 [pubmed] PHST- 2013/06/12 06:00 [medline] PHST- 2012/11/27 00:00 [pmc-release] AID - PONE-D-12-14793 [pii] AID - 10.1371/journal.pone.0049989 [doi] PST - ppublish SO - PLoS One. 2012;7(11):e49989. doi: 10.1371/journal.pone.0049989. Epub 2012 Nov 27.