Evidence map›Paper›PMID 20554819›Full record

ArticleJournal of clinical microbiology2010

Clinical and molecular characteristics of infections with CO2-dependent small-colony variants of Staphylococcus aureus.

Carmen Gómez-González, Joshi Acosta, Jennifer Villa, Laura Barrado, Francisca Sanz, M Angeles Orellana, Joaquín R Otero, Fernando Chaves

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal of clinical microbiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 47 citations in OpenAlex.

  1. Review
  2. Detection and Impact ofPathogens (Basel, Switzerland) · 2025
    Article
  3. Article
  4. Bacterial Adaptive Memory in Methicillin-ResistantPathogens (Basel, Switzerland) · 2024
    Article
  5. Review
  6. Review
  7. Antibiotics (Basel, Switzerland) · 2023
    Article
  8. Subpopulations in Strains ofAntibiotics (Basel, Switzerland) · 2023
    Review
  9. FunctionalJournal of bacteriology · 2022
    Article
  10. The road to success of coagulase-negative staphylococci: clinical significance of small colony variants and their pathogenic role in persistent infections.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Review
  11. Novel Research Models forFrontiers in microbiology · 2020
    Review
  12. Persistence ofFrontiers in microbiology · 2020
    Review
  13. Article
  14. Activity of Antibiotics against Staphylococcus aureus in anAntimicrobial agents and chemotherapy · 2019
    Article
  15. Antimicrobial Treatment ofFrontiers in pharmacology · 2019
    Review
  16. Article
  17. Article
  18. A Methyl 4-Oxo-4-phenylbut-2-enoate withACS infectious diseases · 2016
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Carmen Gómez-GonzálezServicio de Microbiología, Hospital Universitario 12 de Octubre, Avenida de Córdoba sn, Madrid 28041, Spain.
Joshi Acosta
Jennifer Villa
Laura Barrado
Francisca Sanz
M Angeles Orellana
Joaquín R Otero
Fernando Chaves
Hospital Universitario 12 De Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Most Staphylococcus aureus small-colony variants (SCVs) are auxotrophs for menadione, hemin, or thymidine but rarely for CO(2). We conducted a prospective investigation of all clinical cases of CO(2)-dependent S. aureus during a 3-year period. We found 14 CO(2)-dependent isolates of S. aureus from 14 patients that fulfilled all requirements to be considered SCVs, 9 of which were methicillin resistant. The clinical presentations included four cases of catheter-related bacteremia, one complicated by endocarditis; two deep infections (mediastinitis and spondylodiscitis); four wound infections; two respiratory infections; and two cases of nasal colonization. Pulsed-field gel electrophoresis typing showed that the 14 isolates were distributed into 4 types corresponding to sequence types ST125-agr group II (agrII), ST30-agrIII, ST34-agrIII, and ST45-agrI. An array hybridization technique performed on the 14 CO(2)-dependent isolates and 20 S. aureus isolates with normal phenotype and representing the same sequence types showed that all possessed the enterotoxin gene cluster egc, as well as the genes for alpha-hemolysin and delta-hemolysin; biofilm genes icaA, icaC, and icaD; several microbial surface components recognizing adhesive matrix molecules (MSCRAMM) genes (clfA, clfB, ebh, eno, fib, ebpS, sdrC, and vw); and the isaB gene. Our study confirms the importance of CO(2)-dependent SCVs of S. aureus as significant pathogens. Clinical microbiologists should be aware of this kind of auxotrophy because recovery and identification are challenging and not routine. Further studies are necessary to determine the incidence of CO(2) auxotrophs of S. aureus, the factors that select these strains in the host, and the genetic basis of this type of auxotrophy.

Indexed as

AgedBacteremiaBacterial Typing TechniquesCarbon DioxideCarrier StateCatheter-Related InfectionsDiscitisDNA FingerprintingElectrophoresis, Gel, Pulsed-FieldEndocarditis, BacterialGenotypeHumansMaleMediastinitisMicroarray AnalysisMiddle AgedCarbon DioxideVirulence Factors

Identifiers

PMID20554819
PMCPMC2916581
OpenAlexW2157196326

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.