Jekeium

Yjgent yjgent at aol.com
Mon Jul 24 21:12:07 EST 2000


>
>I would like any information about Corynebacterium Jekeium and its
>treatment.

Are you asking as a scientist or a patient? As a patient you may not understand
everything I'm writting here.

C. jk is a recent addition to the list of pathogens. It was long thought to be
a normal skin bacteria but proved to be important in certain superficial wound
infections. It is a very small Gram positive cocco-bacillus that may appear
Strep like (GPC in pairs). It grows to be a small white colony on blood agar
and is catalase postive - which rules out Strep. It is very resistant to most
Gram pos. antibiotics and we use the Kirby-Bauer sensitivity to screen for JK.
Usually we see only sensitivity to Vanco with maybe 1 or 2 other sensitive
zones.
In this case the KB sensitivities can only be used as an aid in identification.
I'm not sure what the current treatment is for this organism and I think most
infections are concidered minor. Septicemia with this organism is known and is
a much more serious infection. I've seen a couple of these when we've isolated
JK from a wound and from the blood.
I would think that serious infections would require an MIC for proper
antibiotic sensitivites. I'm not sure what antibiotics should be tested. Can
any ID people answer this?

John
John Gentile M(ASCP)                   President - Rhode Island Apple Group
yjgent at aol.com
Microbiologists do it with culture.






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