PMID- 35202220 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220228 IS - 2414-6366 (Electronic) IS - 2414-6366 (Linking) VI - 7 IP - 2 DP - 2022 Feb 11 TI - Francisella sp., a Close Relative of Francisella orientalis, Causing Septicemia with Cholestatic Hepatitis in a Patient with Anti-Interferon-gamma (IFN-gamma) Autoantibodies. LID - 10.3390/tropicalmed7020025 [doi] LID - 25 AB - Francisella is an intracellular, fastidious, Gram-negative bacterium that is difficult to identify using routine microbiological methods in the laboratory. We studied the isolation of Francisella sp. (strain IDAMR664) from the blood of a patient with anti-interferon-gamma (IFN-gamma) autoantibodies who presented with septicemia and cholestatic hepatitis. Analysis of the strain IDAMR664 genome sequence revealed the isolate was closely related to the strain GA01-2794 that had been isolated from a human in the USA. In addition, it was clustered with F. orientalis, a fish pathogen. The isolate contained several virulence factors and had Francisella pathogenicity island pattern no. 3. FAU - Kajeekul, Rattagan AU - Kajeekul R AUID- ORCID: 0000-0001-5067-5389 AD - Department of Medicine, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima 30000, Thailand. FAU - Insiripong, Somchai AU - Insiripong S AD - Department of Medicine, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima 30000, Thailand. FAU - Riwlord, Athita AU - Riwlord A AD - Clinical Microbiology Laboratory, Department of Medical Technology, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima 30000, Thailand. FAU - Poomchuchit, Suleeporn AU - Poomchuchit S AD - Department of Community Health, Faculty of Public Health, Chalermphrakiat Sakon Nakhon Province Campus, Kasetsart University, Sakon Nakhon 47000, Thailand. FAU - Kerdsin, Anusak AU - Kerdsin A AUID- ORCID: 0000-0003-1055-3656 AD - Department of Community Health, Faculty of Public Health, Chalermphrakiat Sakon Nakhon Province Campus, Kasetsart University, Sakon Nakhon 47000, Thailand. LA - eng PT - Journal Article DEP - 20220211 PL - Switzerland TA - Trop Med Infect Dis JT - Tropical medicine and infectious disease JID - 101709042 PMC - PMC8874608 OTO - NOTNLM OT - Francisella philomiragia OT - anti-interferon-gamma autoantibodies OT - genome COIS- The authors declare no conflict of interest. EDAT- 2022/02/25 06:00 MHDA- 2022/02/25 06:01 PMCR- 2022/02/11 CRDT- 2022/02/24 17:21 PHST- 2021/12/29 00:00 [received] PHST- 2022/02/01 00:00 [revised] PHST- 2022/02/08 00:00 [accepted] PHST- 2022/02/24 17:21 [entrez] PHST- 2022/02/25 06:00 [pubmed] PHST- 2022/02/25 06:01 [medline] PHST- 2022/02/11 00:00 [pmc-release] AID - tropicalmed7020025 [pii] AID - tropicalmed-07-00025 [pii] AID - 10.3390/tropicalmed7020025 [doi] PST - epublish SO - Trop Med Infect Dis. 2022 Feb 11;7(2):25. doi: 10.3390/tropicalmed7020025.