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Chapter 9 : The Genera Klebsiella and Raoultella

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Abstract:

The first, , was proposed for strains isolated from plants (banana, rice, sugar cane, and maize) and human clinical samples based on DNA-DNA hybridization, sequencing of six genes, and phenotypic properties. The inherent difficulties in identification and separation of (and ) species, both in the past and the present, have made interpretation of clinical and environmental epidemiologic data of the genera difficult. Most and species can be isolated from diverse mammals, birds, reptiles, insects, and environmental sources. In nosocomial infections, catheterization is believed to be an important factor in the incidence and spread of strains. This chapter talks about laboratory identification that includes isolation, biochemical methods, biotyping and immunodiagnostics. As with other pathogenic bacteria, virulence in is both multifactorial and complex, and the virulence factors produced may vary depending upon the site of the infection. If agglutination is inhibited by D-mannose, the adhesins are classified as mannose-sensitive hemagglutinins (MSHA) or mannose resistant. In six antimicrobial resistance prevalence studies published between 2001 and 2004 from Europe and North America, ranges of susceptibility were as follows: ceftazidime, 92 to 95%; ceftriaxone, 96 to 98%; cefotaxime, 96%; cefepime, 97 to 98%; ciprofloxacin, 93 to 95%; piperacillin-tazobactam, 90 to 97%; imipenem, 98 to 100%; gentamicin, 95 to 96%; amikacin, 98 to 99%; and trimethoprimsulfamethoxazole (SXT), 88 to 90%.

Citation: Janda J, Abbott S. 2006. The Genera Klebsiella and Raoultella, p 115-136. In The Enterobacteria, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817541.ch9

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References

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1. Alberti, S.,, S. Hernandez-Alles,, J. Gil,, J. Reina,, J. Martinez-Beltran,, S. Camprubi,, J. M. Tomas,, and V. J. Benedi. 1993. Development of an enzyme-linked immunosorbent assay method for typing and quantitation of Klebsiella pneumoniae lipopolysaccharide: application to serotype O1. J. Clin. Microbiol. 31: 1379 1381.
2. Altmann, G.,, E. Ostfield,, S. Zohar,, and E. Theodor. 1977. Rhinoscleroma. Isr. J. Med. Sci. 13: 62 64.
3. Anderson, M. J.,, and E. N. Janoff. 1998. Klebsiella endocarditis: report of two cases and review. Clin. Infect. Dis. 26: 468 474.
4. Andraca, R.,, R. S. Edson,, and E. B. Kern. 1993. Rhinoscleroma: a growing concern in the United States? Mayo Clinic experience. Mayo Clin. Proc. 68: 1151 1157.
5. Avery, R. K.,, S. D. Salman,, and A. S. Baker. 1995. Rhinoscleroma treated with ciprofloxacin: a case report. Laryngoscope 105: 854 856.
6. Bagley, S. T.,, R. L. Seidler,, and D. J. Brenner. 1981. Klebsiella planticola sp. nov.: a new species of Enterobacteriaceae found primarily in nonclinical environments. Curr. Microbiol. 6: 105 109.
7. Bangert, R. L.,, A. C. S. Ward,, E. H. Stauber,, B. R. Cho,, and P. R. Widders. 1988. A survey of the aerobic bacteria in the feces of captive raptors. Avian Dis. 32: 53 62.
8. Bascomb, S.,, S. L. Abbott,, J. D. Bobolis,, D. A. Bruckner,, S. J. Connell,, S. K. Cullen,, M. Daugherty,, D. Glenn,, J. M. Janda,, S. J. Lentsch,, D. Lindquist,, P. B. Mayhew,, D. M. Nothaft,, J. R. Skinner,, G. B. Williams,, J. Wong,, and B. L. Zimmer. 1997. Multicenter evaluation of the MicroScan Rapid Gram- Negative Identification Type Panel. J. Clin. Microbiol. 35: 2531 2536.
9. Bascomb, S.,, S. P. Lapage,, W. R. Wilcox,, and M. A. Curtis. 1971. Numerical classification of the tribe Klebsiellae. J. Gen. Microbiol. 66: 279 295.
10. Basu, S.,, K. K. Mukherjee,, B. Poddar,, J. S. Goraya,, K. Chawla,, and V. R. Parmar. 2001. An unusual case of neonatal brain abscess following Klebsiella pneumoniae septicemia. Infection 29: 283 285.
11. Bauernfeind, A. C. Petermuller, and R. Schneider. 1981. Bacteriocins as tools in analysis of nosocomial Klebsiella pneumoniae infections. J. Clin. Microbiol. 14: 15 19.
12. Berman, S. J.,, E. W. Johnson,, C. Nakatsu,, M. Alkan,, R. Chen,, and J. LeDuc. 2004. Burden of infection in patients with end-stage renal disease requiring long-term dialysis. Clin. Infect. Dis. 39: 1747 1753.
13. Blaylock, R. S. M. 2001. Normal oral bacterial flora from some southern African snakes. Onderstepoort J . Vet. Res. 68: 175 182.
14. Bottone, E. J.,, A. A. Perez II,, and J. L. Oeser. 1994. Loofah sponges as reservoirs and vehicles in the transmission of potentially pathogenic bacterial species to the human skin. J. Clin. Microbiol. 32: 469 472.
15. Bourbeau, P. P.,, and B. J. Heiter. 1998. Comparison of Vitek GNI and GNI+ cards for identification of gram-negative bacteria. J. Clin. Microbiol. 36: 2775 2777.
16. Boye, K.,, and D. S. Hansen. 2003. Sequencing of 16S rDNA of Klebsiella: taxonomic relation within the genus and to other Enterobacteriaceae. Int. J. Med. Microbiol. 292: 495 503.
17. Brenner, D. J.,, J. J. Farmer III,, F. W. Hickman,, M. A. Asbury,, and A. G. Steigerwalt. 1977. Taxonomic and nomenclature changes in Enterobacteriaceae. HEW publication (CDC) 79-8356. Centers for Disease Control, Atlanta, Ga.
18. Brenner, D. J.,, A. G. Steigerwalt,, and G. R. Fanning. 1972. Differentiation of Enterobacter aerogenes from Klebsiellae by deoxyribonucleic acid reassociation. Int. J. Syst. Bacteriol. 22: 193 200.
19. Brisse, S.,, S. Issenhuth-Jeanjean,, and P. A. D. Grimont. 2004. Molecular serotyping of Klebsiella species isolates by restriction of the amplified capsular antigen gene cluster. J. Clin. Microbiol. 42: 3388 3398.
20. Broug-Holub, E.,, G. B. Toews,, J. F. Van Iwaarden,, R, M. Strieter,, S. L. Kunkel,, R. Paine III,, and T. J. Standford. 1997. Alveolar macrophages are required for protective pulmonary defense in murine Klebsiella pneumonia: elimination of alveoloar macrophages increases neutrophil recruitment but decreases bacterial clearance and survival. Infect. Immun. 65: 1139 1146.
21. Bruce, S. K.,, D. G. Schick,, L. Tanaka,, E. M. Jimenez,, and J. Z. Montgomerie. 1981. Selective medium for isolation of Klebsiella pneumoniae. J. Clin. Microbiol. 13: 1114 1116.
22. Bruno-Murtha, L. A.,, M. A. Sedghivaziri,, and R. D. Arbeit. 1990. Crepitant myonecrosis caused by Klebsiella pneumoniae in an immunocompromised diabetic patient. J. Infect. Dis. 162: 1415 1416.
23. Buenviaje, G. N.,, P. W. Ladds,, L. Melville,, and S. C. Manolis. 1994. Disease-husbandry associations in farmed crocodiles in Queensland and the Northern Territory. Aust. Vet. J. 71: 165 173.
24. Buffenmeyer, C. L.,, R. R. Rycheck,, and R. B. Yee. 1976. Bacteriocin (Klebocin) sensitivity typing of Klebsiella. J. Clin. Microbiol. 4: 239 244.
25. Carpenter, J. L. 1990. Klebsiella pulmonary infections: occurrence at one medical center and review. Rev. Infect. Dis. 12: 672 682.
26. Carter, J.,, F. J. Bowden,, K. S. Sriprakash,, I. Bastian,, and D. J. Kemp. 1999. Diagnostic polymerase chain reaction for donovanosis. Clin. Infect. Dis. 28: 1168 1169.
27. Carter, J.,, S. Hutton,, K. S. Sriprakash,, D. J. Kemp,, G. Lum,, J. Savage,, and F. J. Bowden. 1997. Culture of the causative organism of donovanosis ( Calymmatobacterium granulomatis) in HEp-2 cells. J. Clin. Microbiol. 35: 2915 2917.
28. Chang, C. M.,, F. H. Lu,, H. R. Guo,, and W. C. Ko. 2005. Klebsiella pneumoniae fascial space infections of the head and neck in Taiwan: emphasis on diabetic patients and repetitive infections. J. Infect. 50: 34 40.
29. Chang, S.-C.,, C.-T. Fang,, P.-R. Hsueh,, Y.-C. Chen,, and K.-T. Luh. 2000. Klebsiella pneumoniae isolates causing liver abscess in Taiwan. Diagn. Microbiol. Infect. Dis. 37: 279 284.
30. Chang, W. N.,, C. H. Lu,, J. J. Wu,, C. B. Lei,, and C. R. Huang. 2003. Community-acquired spontaneous Klebsiella pneumoniae meningitis in adult cirrhotic patients with and without diabetes. Eur. J. Clin. Microbiol. Infect. Dis. 22: 271 273.
31. Cheng, H.-P.,, F.-Y. Chang,, C.-P. Fung,, and L.-K. Siu. 2002. Klebsiella pneumoniae liver abscess in Taiwan is not caused by a clonal spread strain. J. Microbiol. Immunol. Infect. 35: 85 88.
32. Chetoui, H.,, E. Delhalle,, P. Melin,, A. Sabri,, P. Thonart,, and P. De Mol. 1999. Epidemiological typing of extended-spectrum β-lactamase-producing Klebsiella pneumoniae isolates by pulsed-field gel electrophoresis and antibiotic susceptibility patterns. Res. Microbiol. 150: 265 272.
33. Chung, B. H. Y.,, S. Y. Ha,, G. C. F. Chan,, A. Chiang,, T. L. Lee,, H. K. Ko,, C. Y. Lee,, C. W. Luk,, and Y. L. Lau. 2003. Klebsiella infection in patients with thalassemia. Clin. Infect. Dis. 36: 575 579.
34. Cowan, S. T.,, K. J. Steel,, and C. A. Shaw. 1960. A classification of the Klebsiella group. J. Gen. Microbiol. 23: 601 612.
35. Darfeuille-Michaud, A.,, C. Jallat,, D. Aubel,, D. Sirot,, C. Rich,, J. Sirot,, and B. Joly. 1992. R-plasmid-encoded adhesive factor in Klebsiella pneumoniae strains responsible for human nosocomial finections. Infect. Immunol. 60: 44 45.
36. Di Martino, P.,, D. Sirot,, B. Joly,, C. Rich,, and A. Darfeuille- Michaud. 1997. A relationship between adhesion to intestinal Caco-2 cells and multidrug resistance in Klebsiella pneumoniae clinical isolates. J. Clin. Microbiol. 35: 1499 1503.
37. Donay, J. L.,, D. Mathieu,, P. Fernandes,, C. Pregermain,, P. Breul,, A. Wargnier,, I. Casin,, F. X. Weill,, P. H. Lagrange,, and J. L. Herrmann. 2004. Evaluation of the automated Phoenix system for potential routine use in the clinical microbiology laboratory. J. Clin. Microbiol. 42: 1542 1546.
38. Drancourt, M.,, C. Bollet,, A. Carta,, and P. Rousselier. 2001. Phylogenetic analyses of Klebsiella species delineate Klebsiella and Raoultella gen. nov., with description of Raoultella ornithinolytica comb. nov., Raoultella terrigena comb. nov. and Raoultella planticola comb. nov. 2001. Int. J. Syst. Evol. Microbiol. 51: 925 932.
39. Draper, C. S.,, R. D. Walker,, and H. E. Lawler. 1981. Patterns of oral bacterial infection in captive snakes. J. Am. Vet. Med. Assoc. 179: 1223 1226.
40. Dutour, C.,, R. Bonnet,, H. Marchandin,, M. Boyer,, C. Chanal,, D. Sirot,, and J. Sirot. 2002. CTX-M-1, CTX-M-3, and CTXM-14 β-lactamases from Enterobacteriaceae isolated in France. Antimicrob. Agents Chemother. 46: 534 537.
41. Dylewski, J. S.,, and I. Dylewski. 1998. Necrotizing fasciitis with Klebsiella liver abscess. Clin. Infect. Dis. 27: 1561 1562.
42. Endimiani, A.,, F. Luzzaro,, M. Perilli,, G. Lombardi,, A. Coli,, A. Tamborini,, G. Amicosante,, and A. Toniolo. 2004. Bacteremia due to Klebsiella pneumoniae isolates producing the TEM-52 extended-spectrum β-lactamase: treatment outcome of patients receiving imipenem or ciprofloxacin. Clin. Infect. Dis. 38: 243 251.
43. Ewing, E. H. 1972. Edwards and Ewing’s Identification of Enterobacteriaceae, 3rd ed. Burgess Publishing Co., Minneapolis, Minn.
44. Farmer, J. J., III,, B. R. Davis,, F. W. Hickman-Brenner,, A. McWhorter,, G. P. Huntley-Carter,, M. A. Asbury,, C. Riddle,, H. G. Wathen-Grady,, C. Elias,, G. R. Fanning,, A. G. Steigerwalt,, C. M. O’Hara,, G. K. Morris,, P. B. Smith,, and D. J. Brenner. 1985. Biochemical identification of new species and biotypes of Enterobacteriaceae isolated from clinical specimens. J. Clin. Microbiol. 21: 46 76.
45. Farrell, D. J.,, I. Morrissey,, D. De Rubeis,, M. Robbins,, and D. Felmingham. 2003. A UK multicentre study of the antimicrobial susceptibility of bacterial pathogens causing urinary tract infection. J. Infect. 46: 94 100.
46. Favre-Bonte, S.,, A. Darfeuille-Michaud,, and C. Forestier. 1995. Aggregative adherence of Klebsiella pneumoniae to human intestinal-407 cells. Infect. Immun. 63: 1318 1328.
47. Feldman, C.,, S. Ross,, A. G. Mahomed,, J. Omar,, and C. Smith. 1995. The aetiology of severe community-acquired pneumonia and its impact on initial, empiric, antimicrobial chemotherapy. Respir. Med. 89: 187 192.
48. Feldman, C.,, C. Smith,, H. Levy,, P. Ginsberg,, S. D. Miller,, and J. J. Koornhof. 1990. Klebsiella pneumoniae bacteraemia at an urban general hospital. J. Infect. 20: 21 31.
49. Ferguson, J. L.,, T. V. McCaffrey,, E. B. Kern,, and W. J. Martin III. 1990. Effect of Klebsiella ozaenae on ciliary activity in vitro: implications in the pathogenesis of atrophic rhinitis. Otolaryngol. Head Neck Surg. 102: 207 211.
50. Flournoy, D. J. 1993. Incidence of bacteria from clean-catch and catheterized urine of nursing home residents. J. Okla. State Med. Assoc. 86: 550 552.
51. Freney, J.,, R. Gavini,, H. Alexandre,, S. Madier,, D. Izard,, H. Leclerc,, and J. Fleurette. 1986. Nosocomial infection and colonization by Klebsiella trevisanii. J. Clin. Microbiol. 23: 948 950.
52. Freney, J.,, M. O. Husson,, F. Gavini,, S. Madier,, A. Martra,, D. Izard,, H. Leclerc,, and H. Fleurette. 1988. Susceptibilities to antibiotics and antiseptics of new species of the family Enterobacteriaceae. Antimicrob. Agents Chemother. 32: 873 876.
53. Fryklund, B.,, K. Tullus,, and L. G. Burnam. 1995. Epidemiology and attack index of gram-negative bacteria causing invasive infection in three special-care neonatal units and risk factors for infection. Infection 23: 76 80.
54. Funke, G.,, D. Monnet,, C. DeBernardis,, A. Von Graevenitz,, and J. Freney. 1998. Evaluation of the VITEK 2 System for rapid identification of medically relevant gram-negative rods. J. Clin. Microbiol. 36: 1948 1952.
55. Garcia de la Torre, M.,, J. Romero-Vivas,, J. Martinez-Beltran,, A. Guerrero,, M. Meseguer,, and E. Bouza. 1985. Klebsiella bacteremia: an analysis of 100 episodes. Rev. Infect. Dis. 7: 143 150.
56. Gaston, M. A.,, B. A. Ayling-Smith,, and T. L. Pitt. 1987. New bacteriophage typing scheme for subdivision of the frequent capsular serotypes of Klebsiella spp. J. Clin. Microbiol. 25: 1228 1232.
57. Gavini, F.,, D. Izard,, P. A. D. Grimont,, A. Beji,, E. Algernon,, and H. Leclerc. 1986. Priority of Klebsiella planticola Bagley, Seidler, and Brenner 1982 over Klebsiella trevasanii Ferragut, Izard, Gavini, Kersters, De Ley, and Leclerc 1983. Int. J. Syst. Bacteriol. 36: 486 488.
58. Gera, N.,, A. Bhatia,, and S. K. Tickoo. 1995. Cytomorphic features of scleromatous lymphadenitis on fine-needle aspiration cytology: a case report. Diagn. Cytopathol. 13: 320 321.
59. Goldstein, E. J. C.,, R. P. Lewis,, W. J. Martin,, and P. H. Edelstein. 1978. Infections caused by Klebsiella ozaenae: a changing disease spectrum. J. Clin. Microbiol. 8: 413 418.
60. Gordon, D. M.,, and F. FitzGibbon. 1999. The distribution of enteric bacteria from Australian mammals: host and geographical effects. Microbiology 145: 2663 2671.
61. Gordon, K. A.,, R. N. Jones, and SENTRY Participant Groups (Europe, Latin America, North America). 2003. Susceptibility patterns of orally administered antimicrobials among urinary tract infection pathogens from hospitalized patients in North America: comparison report to Europe and Latin America. Results from the SENTRY Antimicrobial Surveillance Program ( 2000 ). Diagn. Microbiol. Infect. Dis. 45: 295 301.
62. Gori, A.,, F. Espinasse,, A. Deplano,, C. Nonhoff,, M. H. Nicolas,, and M. J. Struelens. 1996. Comparison of pulsed-field gel electrophoresis and randomly amplified DNA polymorphism analysis for typing extended-spectrum- β-lactamase-producing Klebsiella pneumoniae. J. Clin. Microbiol. 34: 2448 2453.
63. Granier, S. A.,, V. Leflon-Guibout,, F. W. Goldstein,, and M.-H. Nicolas-Chanoine. 2003. Enterobacterial repetitive intergenic consensus 1R PCR assay for detection of Raoultella sp. isolates among strains identified as Klebsiella oxytoca in the clinical laboratory. J. Clin. Microbiol. 41: 1740 1742.
64. Granier, S. A.,, L. Plaisance,, V. Lefon-Guibout,, E. Lagier,, S. Morand,, F. W. Goldstein,, and M.-H. Nicolas-Chanoine. 2003. Recognition of two genetic groups in the Klebsiella oxytoca taxon on the basis of chromosomal β-lactamase and housekeeping gene sequences as well as ERIC-1R PCR typing. Int. J. Syst. Evol. Microbiol. 53: 661 668.
65. Gregersen, N.,, W. Van Nierop,, A. Von Gottberg,, A. Duse,, V. Davies,, and P. Cooper. 1999. Klebsiella pneumoniae with extended spectrum beta-lactamase activity associated with a necrotizing enterocolitis outbreak. Pediatr. Infect. Dis. J. 18: 963 967.
66. Grimont, F.,, P. A. D. Grimont,, and C. Richard,. 1991. The genus Klebsiella, p. 2775 2796. In M. P. Starr,, H. Stolp,, H. G. Trouper,, A. Balows,, and H. G. Schlegel (ed.), The Prokaryotes: a Handbook on Habitats, Isolation, and Identification of Bacteria, 2nd ed. Springer-Verlag, Berlin, Germany.
67. Guarino, A.,, S. Guandalini,, M. Alessio,, F. Gentile,, L. Tarallo,, G. Capano,, M. Migliavacca,, and A. Rubino. 1989. Characteristics and mechanism of action of a heat-stable enterotoxin produced by Klebsiella pneumoniae from infants with secretory diarrhea. Pediatr. Res. 25: 514 518.
68. Guerin, F.,, C. Le Bouguenec,, J. Gilquin,, F. Haddad,, and F. W. Goldstein. 1998. Bloody diarrhea caused by Klebsiella pneumoniae: a new mechanism of bacterial virulence? Clin. Infect. Dis. 27: 648 649.
69. Habib, A. G.,, and P. A. Tambyah. 2003. Community-acquired Klebsiella pneumoniae central nervous system infections in adults in Singapore. Eur. J. Clin. Microbiol. Infect. Dis. 22: 486 488.
70. Hansen, D. S.,, H. M. Aucken,, T. Abiola,, and R. Podschun. 2004. Recommended test panel for differentiation of Klebsiella species on the basis of a trilateral interlaboratory evaluation of 18 biochemical tests. J. Clin. Microbiol. 42: 3665 3669.
71. Hansen, D. S.,, F. Mestre,, S. Alberti,, S. Hernandez-Alles,, D. Alvarez,, A. Domenech-Sanchez,, J. Gil,, S. Merino,, J. M. Tomas,, and V. J. Benedi. 1999. Klebsiella pneumoniae lipopolysaccharide O typing: revision of prototype strains of O-group distribution among clinical isolates from different sources and countries. J. Clin. Microbiol. 37: 56 62.
72. Harada, H.,, and H. Ishikawa. 1997. Phylogenetical relationship based on groE genes among phenotypically related Enterobacter, Pantoea, Klebsiella, Serratia and Erwinia species. J. Gen. Appl. Microbiol. 43: 355 361.
73. Hart, C. A.,, and S. K. Rao. 1999. Donovanosis. J. Med. Microbiol. 48: 707 709.
74. Hartstein, A. I.,, V. M. Morthland,, J. W. Rouke,, R. Sykes,, and A. L. Rashad. 1993. Plasmid DNA analysis, biotyping, and antimicrobic susceptibility as subtyping tests for Klebsiella pneumoniae and Klebsiella oxytoca. Diagn. Microbiol. Infect. Dis. 16: 35 41.
75. Hengstler, K. A.,, R. Hammann,, and A.-M. Fahr. 1997. Evaluation of BBL CHROMagar Orientation Medium for detection and presumptive identification of urinary tract pathogens. J. Clin. Microbiol. 35: 2773 2777.
76. Higaki, M.,, T. Chida,, H. Takano,, and R. Nakaya. 1990. Cytotoxic component(s) of Klebsiella oxytoca on HEp-2 cells. Microbiol. Immunol. 34: 147 151.
77. Ho, P. L.,, W. M. Tang,, and K. Y. Yuen. 2000. Klebsiella pneumoniae necrotizing fasciitis associated with diabetes and liver cirrhosis. Clin. Infect. Dis. 30: 989 990.
78. Hohl, P.,, J. Luthy-Hottenstein,, J. Zollinger-Iten,, and M. Altwegg. 1990. In vitro activities of fleroxacin, cefetamet, ciproloxacin, ceftriaxone, trimethoprim-sulfamethoxazole, and amoxicillin-clavulanic acid against rare members of the family Enterobacteriaceae primarily of human (clinical) origin. Antimicrob. Agents Chemother. 34: 1605 1608.
79. Holmes, B.,, M. Costas,, M. Ganner,, S. L. W. On,, and M. Stevens. 1994. Evaluation of Biolog System for identification of some gram-negative bacteria of clinical importance. J. Clin. Microbiol. 32: 1970 1975.
80. Ichpujani, R. L.,, R. Bhatia,, P. Aggarwal,, B. R. Anand,, and A. N. R. Chowdhury. 1983. Klebiocin type and diarrhoeagenicity of Klebsiella pneumoniae. Indian J. Med. Res. 77: 605 607.
81. Izard, D.,, C. Ferragut,, F. Gavini,, K. Kersters,, J. DeLey,, and H. Leclerc. 1981. Klebsiella terrigena, a new species from soil and water. Int. J. Syst. Bacteriol. 31: 116 127.
82. Javaloyas, M.,, D. Garcia-Somoza,, and F. Gudiol. 2002. Epidemiology and prognosis of bacteremia: a 10-y study in a community hospital. Scand. J. Infect. Dis. 34: 436 441.
83. Jonas, D.,, B. Spitzmuller,, F. D. Daschner,, J. Verhoef,, and S. Brisse. 2004. Discrimination of Klebsiella pneumoniae and Klebsiella oxytoca phylogenetic groups and other Klebsiella species by use of amplified fragment length polymorphism. Res. Microbiol. 155: 17 23.
84. Jones, R. N.,, D. J. Biedenbach,, and A. C. Gales. 2003. Sustained activity and spectrum of selected extended-spectrum β-lactams (carbapenems and cefepime) against Enterobacter spp. and ESBL-producing Klebsiella spp.: report from the SENTRY antimicrobial surveillance program (USA, 1997-2000). Int. J. Antimicrob. Agents 21: 1 7.
85. Jones, R. N.,, K. C. Kugler,, M. A. Pfaller,, P. L. Winokur, and the SENTRY Surveillance Group, North America. 1999. Characteristics of pathogens causing urinary tract infections in hospitals in North America: results from the SENTRY antimicrobial surveillance program, 1997. Diagn. Microbiol. Infect. Dis. 35: 55 63.
86. Jones, R. N.,, M. A. Pfaller,, S. D. Allen,, E. H. Gerlack,, P. C. Fuchs,, and K. E. Alderidge. 1991. Antimicrobial activity of cefpirome: an update compared to five third-generation cepahlosporins against nearly 6000 recent clinical isolates from five medical centers. Diagn. Microbiol. Infect. Dis. 14: 361 364.
87. Jossart, M.-F.,, and R. J. Courcol. 1999. Evaluation of an automated system for identification of Enterobacteriaceae and nonfermenting bacilli. Eur. J. Clin. Microbiol. Infect. Dis. 18: 902 907.
88. Karlowsky, J. A.,, M. E. Jones,, D. C. Mayfield,, C. Thornsberry,, and D. F. Sahm. 2002. Cetriaxone activity against gram-positive and gram-negative pathogens isolated in US clinical microbiology laboratories from 1996 to 2000: results from the Surveillance Network (TSN). Int. J. Antimicrob. Agents 19: 413 426.
89. Karlowsky, J. A.,, M. E. Jones,, C. Thornsberry,, I. R. Friedland,, and D. F. Sahm. 2003. Trends in antimicrobial susceptibilities among Enterobacteriaceae isolated from hospitalized patients in the United States from 1998 to 2001. Antimicrob. Agents Chemother. 47: 1672 1680.
90. Karpas, C. M.,, and I. Boman. 1966. The significance of Klebsiella enteritis. Am. J. Clin. Pathol. 46: 632 640.
91. Kim, B. N.,, J. Ryu,, Y. S. Kim,, and J. H. Woo. 2002. Retrospective analysis of clinical and microbiological aspects of Klebsiella oxytoca bacteremia over a 10-year period. Eur. J. Clin. Microbiol. Infect. Dis. 21: 419 426.
92. Kitch, T. T.,, M. R. Jacobs,, and P. C. Appelbaum. 1994. Evaluation of RapID onE System for identification of 379 strains in the family Enterobacteriaceae and oxidase-negative gram-egative nonfermenters. J. Clin. Microbiol. 32: 931 934.
93. Klipstein, F. A.,, and R. F. Engert. 1976. Purification and properties of Klebsiella pneumoniae heat-stable toxin. Infect. Immun. 13: 373 381.
94. Ko, W.-C.,, D. L. Paterson,, A. J. Sagnimeni,, D. S. Hansen,, A. Von Gottberg,, S. Mohapatra,, J. M. Casella,, H. Goossens,, L. Mulazimoglu,, G. Trenholme,, K. P. Klugman,, J. G. McCormack,, and V. L. Yu. 2002. Community-acquired Klebsiella pneumoniae bacteremia: global differences in clinical patterns. Emerg. Infect. Dis. 8: 160 166.
95. Koo, F. C. W.,, and M. D. Stein. 1986. Detection of an extracellular toxin produced by burn isolates of Klebsiella pneumoniae Curr. Microbiol. 13: 23 27.
96. Korvick, J. A.,, C. S. Bryan,, B. Farber,, T. R. Beam, Jr.,, L. Schenfeld,, R. R. Muder,, D. Weinbaum,, R. Lumish,, and D. N. Gerding. 1992. Prospective observational study of Klebsiella bacteremia in 230 patients: outcome for antibiotic combinations versus monotherapy. Antimicrob. Agents Chemother. 36: 2639 2644.
97. Kovtunovych, G.,, T. Lytvynenko,, V. Negrutska,, O. Lar,, S. Brisse,, and N. Kozyrovska. 2003. Identification of Klebsiella oxytoca using a specific PCR assay targeting the polygalaturonase pehX gene. Res. Microbiol. 154: 587 592.
98. Krasilnikov, A. P.,, N. A. Izraitel,, and I. A. Krylov. 1971. Focal incidence of scleroma. J. Hyg. Epidemiol. Microbiol. Immunol. 15: 243 257.
99. Krontal, S.,, E. Leibovitz,, M. Greenwald-Maimon,, D. Fraser,, and R. Dagan. 2002. Klebsiella bacteremia in children in southern Israel (1988-1997). Infection 30: 125 131.
100. Kuo, C.-H.,, C.-S. Changchien,, J.-J. Chen,, D.-I. Tai,, S.-S. Chiou,, and C.-M. Lee. 1995. Septic acute cholecystitis. Scand. J. Gastroenterol. 30: 272 275.
101. Kuzina, L. V.,, J. L. Peloquin,, D. C. Vacek,, and T. A. Miller. 2001. Isolation and identification of bacteria associated with adult laboratory Mexican fruit flies, Anastrepha ludens (Diptera: Tephritidae). Curr. Microbiol. 42: 290 294.
102. Lau, Y.-J.,, B.-S. Hu,, W.-L. Wu,, Y.-H. Lin,, H.-Y. Chang,, and Z.-Y. Shi. 2000. Identification of a major cluster of Klebsiella pneumoniae isolates from patients with liver abscess in Taiwan. J. Clin. Microbiol. 38: 412 414.
103. Lee, P.-Y.,, W.-N. Chang,, C.-H. Lu,, M.-W. Lin,, B.-C. Cheng,, C.-C. Chien,, C.-J. Chang,, and H.-W. Chang. 2003. Clinical feature and in vitro antimicrobial susceptibilities of community-acquired Klebsiella pneumoniae meningitis in Taiwan. J. Antimicrob. Chemother. 51: 957 962.
104. Lee, T. Y.,, S. F. Ko,, Y. F. Cheng,, Y. L. Wang,, and W. Y. Chen. 1995. Primary gas-containing mediastinal abscess in a diabetic patient. Am. J. Emerg. Med. 13: 427 429.
105. Leverstein-Hall, M. A.,, A. C. Fluit,, A. Paauw,, A. T. A. Box,, S. Brisse,, and J. Verhoef. 2002. Evaluation of the Etest ESBL and the BD Phoenix, VITEK 1, and VITEK 2 automated instruments for detection of extended-spectrum beta-lactamases in multiresistant Escherichia coli and Klebsiella spp. J. Clin. Microbiol. 40: 3703 3711.
106. Li, X.,, D. Zhang,, F. Chen,, J. Ma,, Y. Dong,, and L. Zhang. 2004. Klebsiella singaporensis sp. nov., a novel isomaltuloseproducing bacterium. Int. J. Syst. Evol. Microbiol. 54: 2131 2136.
107. Liliang, P.-C.,, Y.-C. Lin,, T.-M. Su,, C.-S. Rau,, C.-H. Lu,, W.-N. Chang,, T.-C. Lee,, and H.-J. Chen. 2001. Klebsiella brain abscess in adults. Infection 29: 81 86.
108. Ling, T. K. W.,, P. C. Tam,, Z. K. Liu,, and A. F. B. Cheng. 2001. Evaluation of VITEK 2 rapid identification and susceptibility testing system against gram-negative clinical isolates. J. Clin. Microbiol. 39: 2964 2966.
109. Livrelli, V.,, C. De Champs,, P. Di Martino,, A. Darfeuille- Michaud,, C. Forestier,, and B. Joly. 1996. Adhesive properties and antibiotic resistance of Klebsiella, Enterobacter, and Serratia clinical isolates involved in nosocomial infections. J. Clin. Microbiol. 34: 1963 1969.
110. Lucet, J. C.,, S. Chevret,, D. Decre,, D. Vanjak,, A. Macrez,, J. P. Bedos,, M. Wolff,, and B. Regnier. 1996. Outbreak of multiply resistant Enterobacteriaceae in an intensive care unit: epidemiology and risk factors for acquistion. Clin. Infect. Dis. 22: 430 436.
111. Maloway, M. S.,, B. Chester,, and L. Allerhand. 1972. Isolation and microbiologic differentiation of Klebsiella rhinoscleromatis and Klebsiella ozaenae in cases of chronic rhinitis. Am. J. Clin. Pathol. 58: 550 553.
112. Mayhall, C. G. 2003. The epidemiology of burn wound infections: then and now. Clin. Infect. Dis. 37: 543 550.
113. McIver, C. J.,, and J. W. Tapsall. 1990. Assessment of conventional and commercial methods for identification of clinical isolates of cysteine-requiring strains of Escherichia coli and Klebsiella species. J. Clin. Microbiol. 28: 1947 1951.
114. McIver, C. J.,, and J. W. Tapsall. 1993. Further studies of clinical isolates of cysteine-requiring Escherichia coli and Klebsiella and possible mechanisms for their selection in vivo. J. Med. Microbiol. 39: 382 387.
115. Merino, S.,, S. Camprubi,, V. Benedi,, and J. M. Tomas. 1992. Mechanisms of Klebsiella pneumoniae resistance to complement-mediated killing. Infect. Immun. 60: 2529 2535.
116. Minami, J.,, S. Katayama,, O. Matsushita,, H. Sakamoto,, and A. Okabe. 1994. Enterotoxic activity of Klebsiella oxytoca cytotoxin in rabbit intestinal loops. Infect. Immun. 62: 172 177.
117. Minami, J.,, A. Okabe,, J. Shiode,, and H. Hayashi. 1989. Production of a unique cytotoxin by Klebsiella pneumoniae. Microb. Pathog. 7: 203 211.
118. Minami, J.,, S. Saito,, T. Yoshida,, T. Uemara,, and A. Okabe. 1992. Biological activities and chemical composition of a cytotoxin of Klebsiella oxytoca. J. Gen. Microbiol. 138: 1921 1927.
119. Monnet, D.,, and J. Freney. 1994. Method for differentiating Klebsiella planticola and Klebsiella terrigena from other Klebsiella species. J. Clin. Microbiol. 32: 1121 1122.
120. Montgomerie, J. Z. 1979. Epidemiology of Klebsiella and hospital-associated infections. Rev. Infect. Dis. 1: 736 753.
121. Montgomerie, J. Z.,, and J. K. Ota. 1980. Klebsiella bacteremia. Arch. Intern. Med. 140: 525 527.
122. Murray, K. A.,, B. H. Clements,, and S. E. Keas. 1981. Klebsiella ozaenae septicemia associated with Hansen’s disease. J. Clin. Microbiol. 14: 703 705.
123. Naemura, L. G.,, S. T. Bagley,, R. J. Seidler,, and J. B. Kaper. 1979. Numerical taxonomy of Klebsiella pneumoniae strain isolated from clinical and nonclinical sources. Curr. Microbiol. 2: 175 180.
124. Nassif, X.,, J. Fournier,, J. Arondel,, and P. J. Sansonetti. 1989. Mucoid phenotype of Klebsiella pneumoniae is a plasmid-encoded virulence factor. Infect. Immun. 57: 546 552.
125. Nassif, X.,, and P. J. Sansonetti. 1986. Correlation of the virulence of Klebsiella pneumoniae K1 and K2 with the presence of plasmid encoding aerobactin. Infect. Immun. 54: 603 608.
126. National Committee for Clinical Laboratory Standards. 2002. Performance Standards for Antimicrobial Susceptibility Testing; Twelfth Informational Supplement. NCCLS document M100-S12. National Committee for Clinical Laboratory Standards, Wayne, Pa.
127. Nicolle, L. E. 2001. Urinary tract pathogens in complicated infection and in elderly individuals. J. Infect. Dis. 183( Suppl. 1): S5 S8.
128. Nordmann, P. 1998. Trends in β-lactam resistance among Enterobacteriaceae. Clin. Infect. Dis. 27( Suppl. 1): S100 S106.
129. Novak, S. S.,, and R. A. Seigel. 1986. Gram-negative septicemia in American alligators ( Alligator mississippiensis). J. Wildl. Dis. 22: 484 487.
130. O’Hara, C. M.,, and J. M. Miller. 2000. Evaluation of the MicroScan Rapid Neg ID3 Panel for identification of Enterobacteriaceae and some common gram-negative nonfermenters. J. Clin. Microbiol. 38: 3577 3580.
131. O’Hara, C. M.,, and J. M. Miller. 2003. Evaluation of the Vitek 2 ID-GNB Assay for identification of members of the family Enterobacteriaceae and other nonenteric gram-negative bacilli and comparison with the Vitek GNI+ Card. J. Clin. Microbiol. 41: 2096 2101.
132. O’Hara, C. M.,, G. L. Westbrook,, and J. M. Miller. 1997. Evaluation of Vitek GNI+ and Becton Dickinson Microbiology Systems Crystal E/NF Identification Systems for identification of members of the family Enterobacteriaceae and other gram-negative, glucose-fermenting and non-glucose-fermenting bacilli. J. Clin. Microbiol. 35: 3269 3273.
133. Olarte, J.,, W. W. Ferguson,, N. D. Henderson,, and L. Torregrosa. 1961. Klebsiella strains isolated from diarrheal infants. Am. J. Dis. Child. 101: 763 770.
134. Oliver, J. M.,, E. D. Dorval,, J. Loulergue,, Y. Bacq,, G. Duval,, and E. H. Metman. 1991. Klebsiella oxytoca and antibiotic-associated non-pseudomembranous colitis. Gastroenterology 100: A605.
135. Ørskov, I., 1984. Genus V. Klebsiella Trevisan 1885, 105 AL, p. 461 465. In N. R. Krieg, and J. G. Holt (ed.), Bergey’s Manual of Systematic Bacteriology, vol. 1. Williams & Wilkins, Baltimore, Md.
136. Ørskov, I.,, and M. A. Fife-Asbury. 1977. New Klebsiella capsular antigen, K82, and the deletion of five of those previously assigned. Int. J. Syst. Bacteriol. 27: 386 387.
137. Österblad, M.,, O. Pensala,, M. Peterzéns,, H. Helenius,, and P. Huovinen. 1999. Antimicrobial susceptibility of Enterobacteriaceae isolated from vegetables. J. Antimicrob. Chemother. 43: 503 509.
138. Paterson, D. L.,, W.-C. Ko,, A. Von Gottberg,, S. Mohapatra,, J. M. Casellas,, H. Goossens,, L. Mulazimoglu,, G. Trenholme,, K. P. Klugman,, R. A. Bonomo,, L. B. Rice,, M. M. Wagener,, J. G. McCormack,, and V. L. Yu. 2004. International prospective study of Klebsiella pneumoniae bacteremia: implications of extended-spectrum β -lactamase production in nosocomial infections. Ann. Intern. Med. 140: 26 32.
139. Paul, C.,, G. Pialoux,, B. Dupont. J. Fleury, G. Gonzalez-Canali, M. Eliaszewicz, P. Sansonetti, and T. Genereau. 1993. Infection due to Klebsiella rhinoscleromatis in two patients infected with immunodeficiency virus. Clin. Infect. Dis. 16: 441 442.
140. Peele, D.,, J. Bradfield,, W. Pryor,, and S. Vore. 1997. Comparison of identifications of human and animal source gramnegative bacteria by API 20E and Crystal E/NF systems. J. Clin. Microbiol. 35: 213 216.
141. Penner, C.,, B. Maycher,, and R. Long. 1994. Pulmonary gangrene a complication of bacterial pneumonia. Chest 105: 567 573.
142. Pfaller, M. A.,, R. N. Jones,, D. J. Biedenbach, and the MYSTIC Program Study Group (USA). 2001. Antimicrobial resistance trends in medical centers using carbapenems: report of 1999 and 2000 results from the MYSTIC Program (USA). Diagn. Microbiol. Infect. Dis. 41: 177 182.
143. Picard, E.,, D. Gillis,, L. Klapholz,, L. Schreiber,, and D. Engelhard. 1994. Toxic epidermal necrolysis associated with Klebsiella pneumoniae. Pedriatr. Dermatol. 11: 331 334.
144. Podschun, R. 1991. Isolation of K. terrigena from human feces: biochemical reactions, capsule types, and antibiotic sensitivity. Zentralbl. Bakteriol. 275: 73 78.
145. Podschun, R.,, H. Acktun,, J. Okpara,, O. Linderkamp,, U. Ullmann,, and M. Borneff-Lipp. 1998. Isolation of Klebsiella planticola from newborns in a neonatal ward. J. Clin. Microbiol. 36: 2331 2332.
146. Podschun, R.,, and U. Ullmann. 1992. Isolation of Klebsiella terrigena from clinical specimens. Eur. J. Clin. Microbiol. Infect. Dis. 11: 349 352.
147. Podschun, R.,, and U. Ullmann. 1994. Incidence of Klebsiella planticola among clinical Klebsiella isolates. Med. Microbiol. Lett. 3: 90 95.
148. Podschun, R.,, and U. Ullmann. 1998. Klebsiella spp. as nosocomial pathogens: epidemiology, taxonomy, typing methods, and pathogenicity factors. Clin. Microbiol. Rev. 11: 589 603.
149. Podschun, R.,, D. Sievers,, A. Fischer,, and U. Ullmann. 1993. Serotypes, hemagglutinins, siderophore synthesis, and serum resistance of Klebsiella isolates causing urinary tract infections. J. Infect. Dis. 168: 1415 1421.
150. Prodinger, W. M.,, M. Fille,, A. Bauernfeind,, S. Stemplinger,, S. Amann,, B. Pfausler,, C. Las-Florl,, and M. P. Dierich. 1996. Molecular epidemiology of Klebsiella pneumoniae producing SHV-5 β -lactamase: parallel outbreaks due to multiple plasmid transfer. J. Clin. Microbiol. 34: 564 568.
151. Pruzzo, C.,, and G. Satta. 1988. Capsular antigenic variations by lysogenic conversion in Klebsiella pneumoniae: relationship with virulence. Curr. Microbiol. 16: 259 263.
152. Public Health Laboratory Service. 2002. Klebsiella spp, Enterobacter spp, Serratia spp, and Citrobacter spp from bacteraemias, England and Wales 2001. Commun. Dis. Rep. CDR Wkly. [Online.] http://www.hpa.org.uk/cdr/PDFfiles/2002/cdr2002.pdf.
153. Quentin, C.,, C. Arpin,, V. Dubois,, C. Andre,, I. Lagrange,, I. Fischer,, J.-P. Brochet,, F. Grobost,, J. Jullin,, B. Dutilh,, G. Larribet,, and P. Noury. 2004. Antibiotic resistance rates and phenotypes among isolates of Enterobacteriaceae in French extra-hospital practice. Eur. J. Clin. Microbiol. Infect. Dis. 23: 185 193.
154. Rahimian, J.,, T. Wilson,, V. Oram,, and R. S. Holzman. 2004. Pyogenic liver abscess: recent trends in etiology and mortality. Clin. Infect. Dis. 39: 1654 1659.
155. Rau, C.-S.,, W.-N. Chang,, Y.-C. Lin,, C.-H. Lu,, P.-C. Liliang,, T.-M. Su,, Y.-D. Tsai,, C.-J. Chang,, P.-Y. Lee,, M.-W. Lin,, and B.-C. Cheng. 2002. Brain abscess caused by aerobic gramnegative bacilli: clinical features and therapeutic outcomes. Clin. Neurol. Neurosurg. 105: 60 65.
156. Ritter, M. S.,, H. Mroch,, and M. J. Burns. 1993. Soaring suppurative sea shells from the sea shore: Pseudomonas aeruginosa and Klebsiella pneumoniae septic arthritis after a marine sea shell injury. Pediatr. Emerg. Care 9: 289 291.
157. Ronald, A. 2002. The etiology of urinary tract infection: traditional and emerging pathogens. Am. J. Med. 113( Suppl. 1A): 14S 19S.
158. Rosenblueth, M.,, L. Martinez,, J. Silva,, and E. Martinez- Romero. 2004. Klebsiella variicola, a novel species with clinical and plant-associated isolates. System. Appl. Microbiol. 27: 27 35.
159. Saccente, M. 1999. Klebsiella pneumoniae liver abscess, endophthalmitis, and meningitis in a man with newly recognized diabetes mellitus. Clin. Infect. Dis. 29: 1570 1571.
160. Sahly, H.,, R. Podschun,, T. A. Oelschlaeger,, M. Greiwe,, H. Parolis,, D. Hasty,, J. Kekow,, U. Ullmann,, I. Ofek,, and S. Sela. 2000. Capsule impedes adhesion to and invasion of epithelial cells by Klebsiella pneumoniae. Infect. Immun. 68: 6744 6749.
161. Sakazaki, R.,, K. Tamura,, Y. Kosako,, and E. Yoshizaki. 1989. Klebsiella ornithinolytica sp. nov., formerly known as ornithine-positive Klebsiella oxytoca. Curr. Microbiol. 18: 201 206.
162. Sanders, C. C.,, A. F. Ehrhardt,, E. S. Moland,, K. S. Thomson,, B. Zimmer,, and D. E. Roe. 2002. β lasEN: microdilution panel for identifying β -lactamases present in isolates of Enterobacteriaceae. J. Clin. Microbiol. 40: 123 127.
163. Sanguinetti, M.,, B. Posteraro,, T. Spanu,, D. Ciccaglione,, L. Romano,, B. Fiori,, G. Nicoletti,, S. Zanetti,, and G. Fadda. 2003. Characterization of clinical isolates of Enterobacteriaceae from Italy by the BD Phoenix extended-spectrum β -lactamase detection method. J. Clin. Microbiol. 41: 1463 1468.
164. Saurina, G.,, J. M. Quale,, V. M. Manikal,, E. Oydna,, and D. Landman. 2000. Antimicrobial resistance in Enterobacteriaceae in Brooklyn, NY: epidemiology and relation to antibiotic usage patterns. J. Antimicrob. Chemother. 45: 895 898.
165. Schaberg, D. R.,, D. H. Culver,, and R. P. Gaynes. 1991. Major trends in the microbial etiology of nosocomial infection. Am. J. Med. 91( Suppl. 3B): 72S 74S.
166. Silvanose, C. D.,, T. A. Bailey,, J. L. Naldo,, and J. C. Howlett. 2001. Bacterial flora of the conjunctiva and nasal cavity in normal and diseased captive bustards. Avian Dis. 45: 447 451.
167. Simoons-Smit, A. M.,, A. M. J. J. Verweij-Van Vaught,, and D. M. Maclaren. 1986. The role of K antigens as virulence factors in Klebsiella. J. Med. Microbiol. 21: 133 137.
168. Smith, S. M.,, J. T. Digori,, and R. H. K. Eng. 1982. Epidemiology of Klebsiella antibiotic resistance and serotypes. J. Clin. Microbiol. 16: 868 873.
169. Spanu, T.,, F. Luzzaro,, M. Perilli,, G. Amicosante,, A. Toniolo,, G. Fadda, and the Italian ESBL Study Group. 2002. Occurrence of extended-spectrum β -lactamases in members of the family Enterobacteriaceae in Italy: implications for resistance to β -lactams and other antimicrobial drugs. Antimicrob. Agents Chemother. 46: 196 202.
170. Stamm, W. E.,, and T. M. Hooton. 1993. Management of urinary tract infections in adults. N. Engl. J. Med. 329: 1328 1334.
171. Steward, C. D.,, J. M. Mohammed,, J. A. Swenson,, S. A. Stocker,, P. P. Williams,, R. P. Gaynes,, J. E. McGowan, Jr.,, and F. Tenover. 2003. Antimicrobial susceptibility testing of carbapenems: multicenter validity testing and accuracy levels of five antimicrobial test methods detecting resistance in Enterobacteriaceae and Pseudomonas aeruginosa isolates. J. Clin. Microbiol. 41: 351 358.
172. Strampfer, M. J.,, P. E. Schoch,, and B. A. Cunha. 1987. Cerebral abscess by Klebsiella ozaenae. J. Clin. Microbiol. 25: 1553 1554.
173. Stratton, C. W. 1984. Klebsiella. I nfect. Control 5: 343 347.
174. Struve, C.,, and K. A. Krogfelt. 2004. Pathogenic potential of environmental Klebsiella pneumonie isolates. Environ. Microbiol. 6: 584 590.
175. Sugawara, Y.,, O. Sato,, T. Miyata,, H. Kimura,, M. Yamaoka,, H. Uozaki,, T. Oka,, and M. Makuuchi. 1997. Ruptured abdominal aorta secondary to psoas muscle abscess due to Klebsiella pneumoniae in an alcoholic. J. Infect. 35: 185 188.
176. Szabo, D.,, Z. Filetoth,, J. Szentandrassy,, M. Nemedi,, E. Toth,, C. Jeney,, G. Kispal,, and F. Rozgony. 1999. Molecular epidemiology of a cluster of cases due to Klebsiella pneumoniae producing SHV-5 extended-spectrum β -lactamase in the premature intensive care unit of a Hungarian hospital. J. Clin. Microbiol. 37: 4167 4169.
177. Talan, D. A.,, F. M. Abrahamian,, G. J. Moran,, D. M. Citron,, J. O. Tan,, and E. J. C. Goldstein, for the Emergency Medicine Human Bite Infection Study Group. 2003. Clinical presentation and bacteriologic analysis of infected human bites in patients presenting to emergency departments. Clin. Infect. Dis. 37: 1481 1489.
178. Tang, L.,, and S. Chen. 1994. Klebsiella pneumoniae meningitis: prognostic factors. Scand. J. Infect. Dis. 26: 95 102.
179. Tang, L.,, and S. Chen. 1994. Klebsiella ozaenae meningitis: report of two cases and review of the literature. Infection 22: 58 61.
180. Tarkkanen, A.,, B. L. Allen,, P. H. Williams,, M. Kauppi,, K. Haahtela,, A. Siitonen,, I. Orskov,, F. Orskov,, and S. Clegg. 1992. Fimbriation, capsulation, and iron-scavenging systems of Klebsiella strains associated with human urinary tract infection. Infect. Immun. 60: 1187 1192.
181. Tenover, F. C.,, M. J. Mohammed,, T. S. Gorton,, and Z. F. Dembek. 1999. Detection and reporting of organisms producing extended-spectrum β -lactamases: survey of laboratories in Connecticut. J. Clin. Microbiol. 37: 4065 4070.
182. Thi, P. L. N.,, S. Yassibanda,, A. Aidara,, C. Le Bouguenec,, and Y. Germani. 2003. Enteropathogenic Klebsiella pneumoniae HIV-infected adults, Africa. Emerg. Infect. Dis. 9: 135 137.
183. Thom, B. T. 1970. Klebsiella in feces. Lancet ii: 1033.
184. Thomson, K. S.,, C. C. Sanders,, and E. S. Moland. 1999. Use of microdilution with and without β -lactamase inhibitors as a phenotypic test for β -lactamase production among Escherichia coli, Klebsiella spp., Enterobacter spp., Citrobacter freundii, and Serratia marcescens. Antimicrob. Agents Chemother. 43: 1393 1400.
185. Thornsberry, C. 1994. Susceptibility of clinical bacterial isolates to ciprofloxacin in the United States. Infection 22( Suppl.): S80 S89.
186. Thornton, S. M.,, S. Nolan,, and F. M. D. Gulland. 1998. Bacterial isolates from California sea lions ( Zalophus californianus), harbor seals ( Phoca vitulina), and northern elephant seals ( Mirounga angustirostris) admitted to a rehabilitation center along the central California coast, 1994-1995. J. Zoo Wildl. Med. 29: 171 179.
187. Trautman, M.,, A. S. Cross,, G. Reich,, H. Held,, R. Podschun,, and R. Marre. 1996. Evaluation of a competitive ELISA method for the determination of Klebsiella O antigens. J. Med. Microbiol. 44: 44 51.
188. Trotter, J. F.,, and W. L. Peterson. 1992. Injection sclerotherapy as a cause of Klebsiella pneumoniae peritonitis. J. Clin. Gastroenterol. 15: 329 331.
189. Vernet, V.,, A. Philippon,, C. Madoulet,, R. Vistelle,, R. Jaussaud,, and C. Chippaux. 1995. Virulence factors (aerobactin and mucoid phenotype) in Klebsiella pneumoniae and Escherichia coli blood culture isolates. FEMS Microbiol. Lett. 130: 51 57.
190. Wang, H.,, S. Kelkar,, W. Wu,, M. Chen,, and J. P. Quinn. 2003. Clinical isolates of Enterobacteriaceae producing extended-spectrum β -lactamases: prevalence of CTX-M-3 at a hospital in China. Antimicrob. Agents Chemother. 47: 790 793.
191. Wang, J.-H.,, Y.-C. Liu,, S. S.-J. Lee,, M.-Y. Yen,, Y.-S. Chen,, J.-H. Wang,, S.-R. Wann,, and H.-H. Lin. 1998. Primary liver abscess due to Klebsiella pneumoniae in Taiwan. Clin. Infect. Dis. 26: 1434 1438.
192. Wang, T. K. F.,, S. S. Y. Wong,, and P. C. Y. Woo. 2001. Two cases of pyomyositis caused by Klebsiella pneumoniae and review of the literature. Eur. J. Clin. Microbiol. Infect. Dis. 20: 576 580.
193. Wauters, G.,, A. Boel,, G. P. Voorn,, J. Verhaegen,, F. Meunier,, M. Janssens,, and L. Verbist. 1995. Evaluation of a new identification system, Crystal Enteric/Non-fermenter, for gramnegative bacilli. J. Clin. Microbiol. 33: 845 849.
194. Westbrook, G. L.,, C. M. O’Hara,, S. B. Roman,, and J. M. Miller. 2000. Incidence and identification of Klebsiella planticola in clinical isolates with emphasis on newborns. J. Clin. Microbiol. 38: 1495 1497.
195. Williams, P.,, P. A. Lambert,, and M. R. W. Brown. 1988. Penetration of immunoglobulins through the Klebsiella capsule and their effect on cell-surface hydrophobicity. J. Med. Microbiol. 26: 29 35.
196. Wisplinghoff, H.,, T. Bischoff,, S. M. Tallent,, H. Seifert,, R. P. Wenzel,, and M. B. Edmond. 2004. Nosocomial bloodstream infections in US hospitals: analysis of 24,179 cases from a prospective nationwide surveillance study. Clin. Infect. Dis. 39: 309 317.
197. Woodward, B. W.,, M. Carter,, and R. J. Seidler. 1979. Most nonclinical Klebsiella strains are not K. pneumoniae sensu stricto. Curr. Microbiol. 2: 181 185.
198. Yang, C.-C.,, C.-H. Yen,, M.-W. Ho,, and J.-H. Wang. 2004. Comparison of pyogenic liver abscess caused by non- Klebsiella pneumoniae and Klebsiella pneumoniae. J. Microbiol. Immunol. Infect. 37: 176 184.

Tables

Generic image for table
Table 1

Members of the genera and

Citation: Janda J, Abbott S. 2006. The Genera Klebsiella and Raoultella, p 115-136. In The Enterobacteria, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817541.ch9
Generic image for table
Table 2

Identification of and species by commercial systems

Citation: Janda J, Abbott S. 2006. The Genera Klebsiella and Raoultella, p 115-136. In The Enterobacteria, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817541.ch9
Generic image for table
Table 3

Potential virulence factors of species

Citation: Janda J, Abbott S. 2006. The Genera Klebsiella and Raoultella, p 115-136. In The Enterobacteria, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817541.ch9

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