Investigation of a staphylococcal food poisoning outbreak combining case-control, traditional typing and whole genome sequencing methods, Luxembourg, June 2014.

In June 2014, a staphylococcal food poisoning outbreak occurred at an international equine sports event in Luxembourg requiring the hospitalisation of 31 persons. We conducted a microbiological investigation of patients and buffet items, a case-control study and a carriage study of catering staff. Isolates of Staphylococcus aureus from patients, food and catering staff were characterised and compared using traditional typing methods and whole genome sequencing. Genotypically identical strains (sequence type ST8, spa-type t024, MLVA-type 4698, enterotoxin A FRI100) were isolated in 10 patients, shiitake mushrooms, cured ham, and in three members of staff. The case-control study strongly suggested pasta salad with pesto as the vehicle of infection (p<0.001), but this food item could not be tested, because there were no leftovers. Additional enterotoxigenic strains genetically unrelated to the outbreak strain were found in four members of staff. Non-enterotoxigenic strains with livestock-associated sequence type ST398 were isolated from three food items and two members of staff. The main cause of the outbreak is likely to have been not maintaining the cold chain after food preparation. Whole genome sequencing resulted in phylogenetic clustering which concurred with traditional typing while simultaneously characterising virulence and resistance traits.

Inventory study of non-tuberculous mycobacteria in the European Union.

BACKGROUND: Since non-tuberculous mycobacteria (NTM) disease is not notifiable in most European Union (EU) and European Economic Area (EEA) countries, the epidemiological situation of the >150 NTM species is largely unknown. We aimed to collect data on the frequency of NTM detection and NTM species types in EU/EEA countries. METHODS: Officially nominated national tuberculosis reference laboratories of all EU/EEA countries were asked to provide information on: laboratory routines for detection and identification of NTM, including drug sensitivity testing (DST) methods; data on the number and type of NTM species identified; coverage and completeness of the provided data on NTM; type and number of human specimens tested for NTM; and number of specimens tested for Mycobacterium tuberculosis complex and NTM. This information was summarized and the main results are described. RESULTS: In total, 99 different NTM species were identified with M. avium, M. gordonae, M. xenopi , M. intracellulare, and M. fortuitum identified most frequently. Seven percent of the NTM species could not be identified. NTM was cultured from between 0.4-2.0% of the specimens (data from four countries). The laboratories use culturing methods optimised for M. tuberculosis complex. Identification is mainly carried out by a commercial line probe assay supplemented with sequencing. Most laboratories carried out DST for rapid growers and only at the explicit clinical request for slow growers. CONCLUSION: It is likely that the prevalence of NTM is underestimated because diagnostic procedures are not optimized specifically for NTM and isolates may not be referred to the national reference laboratory for identification. Due to the diagnostic challenges and the need to establish the clinical relevance of NTM, we recommend that countries should concentrate detection and identification in only few laboratories.

Routine laboratory test enabling the detection of dermatophytes and the identification of Trichophyton rubrum by means of in-house duplex real-time PCR.

Dermatophytes are responsible, in majority, for fungal infections of skin, hair and nails, and Trichophyton rubrum is the most frequently isolated dermatophyte in humans. The time for dermatophyte growth in culture requires a total of two to four weeks. Molecular methods were developed to improve time to diagnosis and initiation of treatment. We present here an in-house duplex real-time PCR enabling detection of dermatophytes and simultaneous identification of T. rubrum from mycological samples and cultures. The objective of this work was to optimize the fungal DNA extraction method, the detection of dermatophytes and the identification of T. rubrum on a CFX96® (Real-Time PCR Detection System). In addition, the method comparison showed that this new method is more sensitive than the culture and microscopic observations. To conclude, this routinely used method has been accredited ISO 15189 since January 2020 in our laboratory.

Spin Transition in [Fe(DPEA)(NCS)(2)], a Compound with the New Tetradentate Ligand (2-Aminoethyl)bis(2-pyridylmethyl)amine (DPEA): Crystal Structure, Magnetic Properties, and Mössbauer Spectroscopy.

The new spin transition compound [Fe(II)(DPEA)(NCS)(2)], where DPEA [(2-aminoethyl)bis(2-pyridylmethyl)amine] is a new tetradentate ligand, has been synthesized, and its structure, magnetic properties, and Mössbauer spectra have been investigated. The crystal structure has been determined by X-ray diffraction at 298 K. The compound crystallizes in the monoclinic system, space group is P2(1)/c, with Z = 4,a = 9.358(1) Å, b = 11.812(2) Å, c = 17.135(2) Å, and beta = 94.5(4) degrees. The distorted [FeN(6)] octahedron is formed from four nitrogen atoms belonging to DPEA and two provided by the cis thiocyanate groups. The two pyridine rings of DPEA are in mer positions. Each molecule is linked to its neighbors by hydrogen-bonding interactions as well as by numerous van der Waals contacts supposed to be responsible for the cooperativity of the system. Variable-temperature magnetic susceptibility measurements (20-290 K) have evidenced a relatively abrupt S = 2 right harpoon over left harpoon S = 0 transition centered at T(1/2) = 138 K. The thermal variation of the high spin state fraction observed by Mössbauer spectroscopy is in agreement with that obtained from magnetic susceptibility measurements. The fitting of Mössbauer and magnetic data with the Ising-like model allowed us to determine the energy gap between the high-spin and low-spin states (Delta(eff) = 835 K) and to estimate the variation of the thermodynamic parameters upon spin transition. The calculated variations of enthalpy (DeltaH = 6.76 kJ mol(-)(1)) and entropy (DeltaS = 49 J mol(-)(1) K(-)(1)) associated with the spin transition are in agreement with those previously observed for iron(II) spin-crossover compounds. The spin conversion is found to be close to a first-order phenomenon.

Polymorphism in Spin Transition Systems. Crystal Structure, Magnetic Properties, and Mössbauer Spectroscopy of Three Polymorphic Modifications of [Fe(DPPA)(NCS)(2)] [DPPA = (3-Aminopropyl)bis(2-pyridylmethyl)amine].

Three polymorphic modifications A-C of [Fe(II)(DPPA)(NCS)(2)], where DPPA = (3-aminopropyl)bis(2-pyridylmethyl)amine is a new tetradentate ligand, have been synthesized, and their structures, magnetic properties, and Mössbauer spectra have been investigated. For polymorph A, variable-temperature magnetic susceptibility measurements as well as Mössbauer spectroscopy have revealed the occurrence of a rather gradual HS if LS transition without hysteresis, centered at about 176 K. The same methods have shown that polymorph B is paramagnetic over the temperature range 4.5-295 K, whereas polymorph C exhibits a very abrupt S = 2 if S = 0 transition with a hysteresis. The hysteresis width is 8 K, the transitions being centered at T(c) downward arrow = 112 K for decreasing and T(c) upward arrow = 120 K for increasing temperatures. The crystal structures of the three polymorphs have been solved by X-ray diffraction at 298 K. Polymorph A is triclinic, space group P&onemacr; with Z = 2, a = 8.710(2) Å, b = 15.645(2) Å, c = 7.985(1) Å, alpha = 101.57(1) degrees, beta = 112.59(2) degrees, and gamma = 82.68(2) degrees. Polymorph B is monoclinic, space group P2(1)/c with Z = 4, a = 8.936(2) Å, b = 16.855(4) Å, c = 13.645(3) Å, and beta = 97.78(2) degrees. Polymorph C is orthorhombic, space group Pbca with Z = 8, a = 8.449(2) Å, b = 14.239(2) Å, and c = 33.463(5) Å. In the three polymorphs, the asymmetric units are almost identical and consist of one chiral complex molecule with the same configuration and conformation. The distorted [FeN(6)] octahedron is formed by four nitrogen atoms belonging to DPPA and two provided by the cis thiocyanate groups. The two pyridine rings of DPPA are in fac positions. The main differences between the structures of the three polymorphs are found in their crystal packing. The stabilization of the high-spin ground state of polymorph B is tentatively explained by the presence of two centers of steric strain in the crystal lattice resulting in the elongation of the Fe-N(aromatic) distance. The observed hysteresis in polymorph C seems to be due to the existence of an array of intermolecular contacts in the crystal lattice making the spin transition more cooperative than in polymorph A.

Study of professional practices among rheumatologists in Burgundy: initial corticotherapy in polymyalgia rheumatica.

To study the initial dose of corticoids prescribed by rheumatologists in the Côte d'Or, a French department of Burgundy, in the treatment of polymyalgia rheumatica (PMR), the clinical and biological data of patients who consulted rheumatologists of the Côte d'Or between March 2006 and December 2008 for PMR were collected. The statistical analyses concerned the initially prescribed dose of prednisone: the median, mean, and standard deviation were calculated cumulatively and then for individual rheumatologists; the Mann-Whitney test was used to compare the mean initial doses prescribed with regard to (a) the main practice of the practitioner (private-practice or hospital rheumatologist), (b) the presence of clinical signs of severity, (c) severity of the inflammatory syndrome, and (d) the presence of clinical relapse with the decrease in corticoids. Ninety-nine patients were included (age = 72 ± 8.6 years, 59% women). The mean dose of prednisone prescribed was 27.4 ± 12.4 mg/day. Considerable inter- and intra-individual variabilities in the doses prescribed were noted. There was no significant difference concerning the dose prescribed according to the clinical severity or the type of practice. However, the dose was significantly higher (34.3 ± 14.7 vs. 25.5 ± 11.1 mg/day) in patients with a high sedimentation rate. Clinical relapse was not statistically linked to the initial dose of corticoids. This evaluation of professional practices among French rheumatologists shows that the initial dose of prednisone prescribed in PMR varies considerably and is higher than the dose currently recommended in the literature (15 mg/day).

Spin crossover behavior in a family of iron(II) zigzag chain coordination polymers.

The paper reports the synthesis and detailed characterization of two new Fe(II) compounds: [Fe(pyim)(2)(bpen)](ClO(4))(2).2C(2)H(5)OH (2) and [Fe(pyim)(2)(bpe)](ClO(4))(2).C(2)H(5)OH (3) (pyim = 2-(2-pyridyl)imidazole, bpen = 1,2-bis(4-pyridyl)ethane, and bpe = 1,2-bis(4-pyridyl)ethene). Both compounds and the earlier synthesized [Fe(pyim)(2)(bpy)](ClO(4))(2).2C(2)H(5)OH (1) (bpy = 4,4'-bipyridine) form a family of one-dimensional spin crossover coordination polymers. Variable-temperature magnetic susceptibility measurements and Mössbauer spectroscopy have revealed rather gradual spin transitions centered at 176 and 198 K for 2 and 3, respectively. The fitting of magnetic properties with the regular solution model leads to the enthalpy and entropy of spin transitions and the cooperativity parameter equal to DeltaH = 12.3 kJ mol(-1), DeltaS = 68.5 J mol(-1) K(-1), Gamma = 1.80 kJ mol(-1) for 2 and DeltaH = 13.6 kJ mol(-1), DeltaS = 68.1 J mol(-1) K(-1), Gamma = 2.05 kJ mol(-1) for 3. The crystal structures of 2 and 3, resolved by X-ray diffraction at 293 K, belong to the monoclinic space group C2/c (Z = 4). Both compounds display a one-dimensional infinite zigzag-chain structure. The polymer chains are stacked into two-dimensional sheets through intermolecular pi-interactions. The crystal packing of both compounds encloses two kinds of channels in which the counter ions and ethanol molecules are inserted. The DFT calculations of binuclear fragments extracted from three polymers resulted in the energy gaps between the LS and HS states being ordered as the observed transition temperatures. The influence of bridging ligands in the studied family of compounds was found in the modulation of the energy gap between the LS and HS states, leading to different transition temperatures.

Fatal case of Listeria innocua bacteremia.

Listeria innocua is widespread in the environment and in food. This species has to date never been described in association with human disease. We report a case of fatal bacteremia caused by L. innocua in a 62-year-old patient.

First synthesis and structure of beta-ketoimine calix[4]arenes: complexation and extraction studies.

The synthesis of a new series of beta-ketoimine calix[4]arene derivatives is described. The reaction of calix[4]arene or p-tert-butylcalix[4]arene with bromoacetonitrile or bromobutyronitrile afforded di-, tri-, and tetranitrile calixarene derivatives (3-8, 3a), which were then reduced into the corresponding amine (9-13, 3b). The condensation of these aminocalixarenes with acetylacetone led to six beta-ketoimine calix[4]arene derivatives (14-18, 3c) as a class of selective receptors toward transition metals. Molecular structures of 4, 7, and 17 have been determined by X-ray diffraction. The packing of 17 revealed a network of intramolecular and intermolecular hydrogen bonds. The complexation properties of receptors 15, 17, and 3c toward different metal ions have been investigated by UV-vis titrations in organic media. The stoichiometries of complexes with 17 were determined by both the mole ratio method and Job plots. These novel receptors selectively complex Cu2+, Hg2+, and Ag+. Moreover, the extraction properties of 17 toward cations have been studied by liquid-liquid extraction and atomic absorption spectrometry. Compound 17 has good affinity and selectivity toward Pb2+.

Multicenter evaluation of the MB/BACT system for susceptibility testing of Mycobacterium tuberculosis.

The reliability of the MB/BACT system for susceptibility testing of Mycobacterium tuberculosis to pyrazinamide, rifampin, isoniazid, streptomycin, and ethambutol was compared to the BACTEC 460TB system. The proportion method was used to resolve discrepant results by an independent arbiter. Two interpretative methods were used, with an undiluted control (direct control) and a diluted control (10(-1) control). As no significant difference was observed between the two controls, the method with the direct control was adopted as the most accurate one. One hundred sixty-six strains were tested, with an overall agreement of 98.3%. After resolution of the 18 discrepant results by the proportion method, the sensitivity and specificity of the MB/BACT system were 100% for rifampin, isoniazid, and pyrazinamide. For ethambutol, sensitivity was 92.3% at the critical concentration and 33% at the high concentration, and specificity was 100% at both concentrations. For streptomycin, sensitivity was 100% at the critical concentration and 80% at the high concentration, and specificity was 98.6% at the critical concentration and 100% at the high concentration. The rifampin, isoniazid, streptomycin, and ethambutol susceptibility test results were obtained in 6.6 days with the MB/BACT versus 5 days with the BACTEC 460TB. The pyrazinamide susceptibility test results were obtained in 7.8 days with the MB/BACT, versus 6.7 days with the BACTEC 460TB. These data demonstrate that the fully automated MB/BACT system is a very reliable method for rapid susceptibility testing of M. tuberculosis against rifampin, isoniazid, and pyrazinamide. Sensitivity results have to be improved for ethambutol and streptomycin, especially at the high concentration.

Cooperative spin crossover and order-disorder phenomena in a mononuclear compound [Fe(DAPP)(abpt)](ClO(4))(2) [DAPP = [bis(3-aminopropyl)(2-pyridylmethyl)amine], abpt = 4-amino-3,5-bis(pyridin-2-yl)-1,2,4-triazole].

The synthesis and detailed characterization of the new spin crossover mononuclear complex [Fe(II)(DAPP)(abpt)](ClO(4))(2), where DAPP = [bis(3-aminopropyl)(2-pyridylmethyl)amine] and abpt = 4-amino-3,5-bis(pyridin-2-yl)-1,2,4-triazole, are reported. Variable-temperature magnetic susceptibility measurements and Mössbauer spectroscopy have revealed the occurrence of an abrupt spin transition with a hysteresis loop. The hysteresis width derived from magnetic susceptibility measurements is 10 K, the transition being centered at T(c) downward arrow = 171 K for decreasing and T(c) upward arrow = 181 K for increasing temperatures. The crystal structure was resolved in the high-spin (293 and 183 K) and low-spin (123 K) states. Both spin-state structures belong to the monoclinic space group P2(1)/n (Z = 4). The thermal spin transition is accompanied by the shortening of the mean Fe-N distances by 0.177 A. The two main structural characteristics of [Fe(DAPP)(abpt)](ClO(4))(2) are a branched network of intermolecular links in the crystal lattice and the occurrence of two types of order-disorder transitions (in the DAPP ligand and in the perchlorate anions) accompanying the thermal spin change. These features are discussed relative to the magnetic properties of the complex. The electronic structure calculations show that the structural disorder in the DAPP ligand modulates the energy gap between the HS and LS states. In line with previous studies, the order-disorder phenomena and the spin transition in [Fe(DAPP)(abpt)](ClO(4))(2) are found to be interrelated.

Synthesis and structure of lower rim C-linked N-tosyl peptidocalix[4]arenes.

Chiral p-tert-butylcalix[4]arenes functionalized at the lower rim with amino acid residues have been prepared. The (1)H and (13)C NMR spectra indicate that the macrocycles preferably adopt a cone conformation. Calix[4]arenes bearing amino acid moieties were prepared as a class of receptors selective for anions that are bound through hydrogen bonding with the NH group. The association constants are dependent on the nature of the substituents at the lower rim. Derivative 9 shows the strongest complexation and the largest selectivity for N-tosyl-(L)-alaninate. Finally, a preliminary X-ray crystal study of the difunctionalized receptor 6f shows the "flattened cone" conformation in the solid state.