PMID- 29461187 OWN - NLM STAT- MEDLINE DCOM- 20180412 LR - 20191210 IS - 1473-5644 (Electronic) IS - 0022-2615 (Linking) VI - 67 IP - 4 DP - 2018 Apr TI - Detection of Coxiella burnetii in heart valve sections by fluorescence in situ hybridization. PG - 537-542 LID - 10.1099/jmm.0.000704 [doi] AB - PURPOSE: Infective endocarditis is a severe and potentially fatal disease. Nearly a third of all cases remain culture-negative, making a targeted and effective antibiotic therapy of patients challenging. In the past years, fluorescence in situ hybridization (FISH) has proven its value for the diagnosis of infective endocarditis, particularly when it is caused by fastidious bacteria. To increase the number of infective endocarditis causing agents, which can be identified by FISH, we designed and optimized a FISH-probe for the specific detection of Coxiella burnetii in heart valve tissue. METHODOLOGY: Even with specific probes the detection and identification of bacteria can be complicated by the high autofluorescence due to calcification of the analysed tissue. To overcome this problem, we developed a protocol to detect C. burnetii by hybridizing, stripping and reprobing the identical section with different species-specific probes repeatedly.Results/Key findings. The newly designed specific FISH probe and the developed protocol exemplarily allowed us to unequivocally identify C. burnetii in tissue sections of a patient with infective endocarditis. CONCLUSION: This method provides an add-on to existing protocols for the unambiguous diagnosis of bacteria directly within tissues or other difficult tissue samples in cases with small sample size and limited sections. FAU - Aistleitner, Karin AU - Aistleitner K AD - Bundeswehr Institute of Microbiology, Munich, Germany. AD - Present address: Host Parasite Interactions Section, Laboratory of Bacteriology, Rocky Mountain Laboratories, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, MT, USA. FAU - Jeske, Rimma AU - Jeske R AD - Bundeswehr Institute of Microbiology, Munich, Germany. FAU - Wolfel, Roman AU - Wolfel R AD - Bundeswehr Institute of Microbiology, Munich, Germany. FAU - Wiessner, Alexandra AU - Wiessner A AD - Biofilmcenter, Deutsches Herzzentrum Berlin, Berlin, Germany. AD - Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, Institute for Microbiology and Hygiene, Germany. FAU - Kikhney, Judith AU - Kikhney J AD - Biofilmcenter, Deutsches Herzzentrum Berlin, Berlin, Germany. AD - Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, Institute for Microbiology and Hygiene, Germany. AD - DZHK (German Centre for Cardiovascular Research), partner site Berlin, Germany. FAU - Moter, Annette AU - Moter A AD - Biofilmcenter, Deutsches Herzzentrum Berlin, Berlin, Germany. AD - Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, Institute for Microbiology and Hygiene, Germany. AD - DZHK (German Centre for Cardiovascular Research), partner site Berlin, Germany. FAU - Stoecker, Kilian AU - Stoecker K AD - Bundeswehr Institute of Microbiology, Munich, Germany. LA - eng PT - Evaluation Study PT - Journal Article DEP - 20180220 PL - England TA - J Med Microbiol JT - Journal of medical microbiology JID - 0224131 SB - IM MH - Coxiella burnetii/genetics/*isolation & purification MH - Endocarditis, Bacterial/diagnosis/*microbiology MH - Heart Valves/*microbiology MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Q Fever/diagnosis/*microbiology OTO - NOTNLM OT - Coxiella OT - FISH OT - infective endocarditis EDAT- 2018/02/21 06:00 MHDA- 2018/04/13 06:00 CRDT- 2018/02/21 06:00 PHST- 2018/02/21 06:00 [pubmed] PHST- 2018/04/13 06:00 [medline] PHST- 2018/02/21 06:00 [entrez] AID - 10.1099/jmm.0.000704 [doi] PST - ppublish SO - J Med Microbiol. 2018 Apr;67(4):537-542. doi: 10.1099/jmm.0.000704. Epub 2018 Feb 20.