Abstract

Staphylococcus aureus strains without catalase activity are rare, challenging to identify with conventional biochemical methods, and, despite a supposed decreased pathogenicity, can still cause disease. The first whole-genome sequence of a catalase-negative S. aureus isolate causing severe recurrent invasive infection with two novel missense mutations in the katA gene is reported here.

Highlights

  • Catalase protects bacteria from hydrogen peroxide and is used in the phenotypic identification of Staphylococcus aureus [1, 2]

  • CN-MSSA was isolated from blood, the aortic valve, and knee synovial fluid; the bacterium grew well in air at 35°C in 24 h, with golden-pigmented, betahemolytic colonies which were tube- and slide-coagulase positive [9]

  • Five days after completing the antibiotic course, the patient presented with relapsed CN-MSSA bacteremia, development of an aortic root abscess, and new mitral and tricuspid valve vegetations

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Summary

Introduction

Catalase protects bacteria from hydrogen peroxide and is used in the phenotypic identification of Staphylococcus aureus [1, 2]. Despite a potential role in pathogenicity, catalase-negative isolates can cause infections [3,4,5]. Sequencing of the katA gene has revealed multiple mutations/deletions responsible for this phenotype [6,7,8], but no whole-genome sequence has been performed on catalase-negative isolates of this important pathogen. A catalase-negative (3% H2O2), methicillin-susceptible S. aureus subsp.

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