PMID- 29899006 OWN - NLM STAT- MEDLINE DCOM- 20190626 LR - 20240214 IS - 1098-660X (Electronic) IS - 0095-1137 (Print) IS - 0095-1137 (Linking) VI - 56 IP - 9 DP - 2018 Sep TI - Fluorescence In Situ Hybridization (FISH) and Peptide Nucleic Acid Probe-Based FISH for Diagnosis of Q Fever Endocarditis and Vascular Infections. LID - 10.1128/JCM.00542-18 [doi] LID - e00542-18 AB - Endocarditis and vascular infections are common manifestations of persistent localized infection due to Coxiella burnetii, and recently, fluorescence in situ hybridization (FISH) was proposed as an alternative tool for their diagnosis. In this study, we evaluated the efficiency of FISH in a series of valve and vascular samples infected by C. burnetii We tested 23 C. burnetii-positive valves and thrombus samples obtained from patients with Q fever endocarditis. Seven aneurysms and thrombus specimens were retrieved from patients with Q fever vascular infections. Samples were analyzed by culture, immunochemistry, and FISH with oligonucleotide and PNA probes targeting C. burnetii-specific 16S rRNA sequences. The immunohistochemical analysis was positive for five (17%) samples with significantly more copies of C. burnetii DNA than the negative ones (P = 0.02). FISH was positive for 13 (43%) samples and presented 43% and 40% sensitivity compared to that for quantitative PCR (qPCR) and culture, respectively. PNA FISH detected C. burnetii in 18 (60%) samples and presented 60% and 55% sensitivity compared to that for qPCR and culture, respectively. Immunohistochemistry had 38% and 28% sensitivity compared to that for FISH and PNA FISH, respectively. Samples found positive by both immunohistochemistry and PNA FISH contained significantly more copies of C. burnetii DNA than the negative ones (P = 0.03). Finally, PNA FISH was more sensitive than FISH (60% versus 43%, respectively) for the detection of C. burnetii We provide evidence that PNA FISH and FISH are important assays for the diagnosis of C. burnetii endocarditis and vascular infections. CI - Copyright (c) 2018 American Society for Microbiology. FAU - Prudent, Elsa AU - Prudent E AD - Aix Marseille Universite, IRD, AP-HM, MEPHI, IHU-Mediterranee Infection, Marseille, France. FAU - Lepidi, Hubert AU - Lepidi H AD - Aix Marseille Universite, IRD, AP-HM, MEPHI, IHU-Mediterranee Infection, Marseille, France. FAU - Angelakis, Emmanouil AU - Angelakis E AD - Aix Marseille Universite, IRD, AP-HM, VITROME, IHU-Mediterranee Infection, Marseille, France. AD - French Reference Center for the Diagnosis and Study of Rickettsioses, Q fever and Bartonelloses, IHU-Mediterranee Infection, Marseille, France. FAU - Raoult, Didier AU - Raoult D AD - Aix Marseille Universite, IRD, AP-HM, MEPHI, IHU-Mediterranee Infection, Marseille, France didier.raoult@gmail.com. LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Retracted Publication DEP - 20180827 PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (Oligonucleotide Probes) RN - 0 (Peptide Nucleic Acids) RN - 0 (RNA, Ribosomal, 16S) SB - IM ECI - J Clin Microbiol. 2022 Sep 7;:e0107722. PMID: 36069599 RIN - J Clin Microbiol. 2024 Feb 14;62(2):e0150823. PMID: 38174947 MH - Coxiella burnetii/genetics MH - Endocarditis, Bacterial/*diagnosis/microbiology/pathology MH - Humans MH - Immunohistochemistry MH - *In Situ Hybridization, Fluorescence MH - *Molecular Diagnostic Techniques MH - Oligonucleotide Probes MH - Peptide Nucleic Acids/genetics MH - Polymerase Chain Reaction MH - Q Fever/*diagnosis/microbiology/pathology MH - RNA, Ribosomal, 16S/genetics MH - Sensitivity and Specificity MH - Vascular Diseases/*diagnosis/microbiology/pathology PMC - PMC6113452 OTO - NOTNLM OT - Coxiella burnetii OT - FISH OT - PNA probe OT - Q fever OT - infective endocarditis OT - oligonucleotide probe OT - vascular infections EDAT- 2018/06/15 06:00 MHDA- 2019/06/27 06:00 PMCR- 2019/02/27 CRDT- 2018/06/15 06:00 PHST- 2018/03/31 00:00 [received] PHST- 2018/06/11 00:00 [accepted] PHST- 2018/06/15 06:00 [pubmed] PHST- 2019/06/27 06:00 [medline] PHST- 2018/06/15 06:00 [entrez] PHST- 2019/02/27 00:00 [pmc-release] AID - JCM.00542-18 [pii] AID - 00542-18 [pii] AID - 10.1128/JCM.00542-18 [doi] PST - epublish SO - J Clin Microbiol. 2018 Aug 27;56(9):e00542-18. doi: 10.1128/JCM.00542-18. Print 2018 Sep.