Biomedical subjects
Publications and source records attributed to K A Bettelheim.
Brucella sinus biotype 1 was isolated from the blood of a 55 year old Tongan woman patient in Auckland Hospital. Problems in identification of this organism are described and discussed
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Recent New Zealand and Australian isolates of Salmonella typhimurium phage type 179 were studied for relatedness by colony incompatibility. This established that all but one strain of the New Zealand groups probably formed a clone despite carrying a variety of plasmids. The Australian strains showed a far greater diversity. This study demonstrates the epidemiological usefulness of the colony incompatibility reactions.
Strains of Escherichia coli isolated from adult females with symptomatic urinary tract infection were found to possess the following properties significantly more frequently than faecal strains: (i) high K-antigen titre: (ii) haemolysin; (iii) type 1 pili; (iv) mannose-resistant haemagglutination; (v) fermentation of dulcitol and salicin; (vi) O serotype 2, 6 and 75; (vii) H serotype 1. E. coli isolated form urine specimens containing significant numbers of antibody-coated bacteria were richer in these seven properties than strains from urines without detectable antibody coated bacteria. The O and H serotypes of E. coli obtained from patients with urinary tract infection in two New Zealand cities were compared with those reported in the world literature and found to be similar.
A study of stool Escherichia coli in 60 children with gastroenteritis and 18 control children was carried out in Auckland, New Zealand in 1977. Toxigenic strains, heat labile and heat stable, predominated in the stools of only three children, all of whom had concomitant rotavirus. Classical enteropathogenic E. coli (EPEC) were found in patients and controls. Only one patient had many EPEC in the stool (086.H2), they were variably toxigenic and rotavirus was also present. No toxigenic serotype was isolated. Two potential pathogens were sometimes found. Overall there was no evidence for a substantial causative role for disease producing E. coli in these children.
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Escherichia coli strains isolated from Christchurch women with symptomatic and asymptomatic bacteriuria were serotyped for both their "O" and "H" antigens with a complete set of antisera. Although the "O" types found in this survey conformed in general with the prevalence of "O" types observed in other parts of the world some differences were also noted. The serotypes associated with symptomatic infection showed differences with those from asymptomatic patients.
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Legionella pneumophila was demonstrated by serological immunocytological and histological techniques in a Wellington man who died of a severe pneumonia. This is the first demonstration of disease produced by this organism in New Zealand.
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Fifteen strains of Escherichia coli which had been collected in previous studies from animals and meat were studied. They belonged to serotypes considered enterotoxigenic and were examined for the production of the heat-labile and heat-stable enterotoxins. Only one of these strains (O8.Hnt) isolated from a cowpat in Cheshire produced heat-labile enterotoxin. Another strain (O8.H9) isolated from a cowpat in another part of Cheshire gave results suggesting production of small amounts of the heat-stable enterotoxin. The ecological aspects of these results are discussed.
Strains of Escherichia coli, isolated during an outbreak of infantile gastroenteritis in one ward were serotyped and tested for incompatibility against each other on semisolid agar. Serotypes commonly isolated in various parts of the world from various habitats showed a greater incompatibility than more rarely isolated serotypes, suggesting that the former may have a selective advantage and be more able to displace other serotypes in a given habitat.
Antibiotic resistant strains of Escherichia coli were isolated from the domestic sewage of Palmerston North. The ability of these strains to transfer the drug resistance markers to two different recipient E. coli strains was assessed. The 'O' and 'H' serotypes of all strains were determined and attempts at correlation with the drug resistance studies were made. Some typically 'human' serotypes were found as well as a number of rarely described ones. No correlation between serotype and resistance pattern was observed.
The New Zealand National Serum Bank is a collection of human sera consisting predominantly of specimens taken from healthy New Zealand blood donors. The studies presented here were designed to assess the antibody levels in two urban centres to Brucella abortus, Toxoplasma gondii and several Leptospiral serogroups including all those found in New Zealand. In none of the sera could complement fixing leptospiral antibodies be detected. There was evidence of low level immunity to both Toxoplasma gondii and Brucella abortus.
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In a study on the serotypes of Escherichia coli which are present in the faeces of students travelling from many parts of the world to Dublin, a great variety of types was found. It was not possible to relate certain types to the various parts of the world where the students came from. There was no decrease in variety of serotypes after the students had been in Dublin for a few months and no distinctive 'Dublin' types were acquired. Serological variation of the E. coli was suggested as partially explaining some of the variety of the serotypes found. Although eight students developed diarrhoea without an aetiological agent being isolated after arrival in Dublin, no distinct pattern of E. coli could be related to this.
The sources from which different "OH" serotypes of Escherichia coli have been isolated are listed in a series of tables. It is considered that these tables should provide a basis for obtaining a greater understanding of the ecology of E. coli.
Sera from 30 patients with inflammatory bowel disease (IBD) (16 with Crohn's disease (CD) and 14 with ulcerative colitis (UC) were assayed for the presence of antibodies against 159 Escherichia coli O-antigens and compared with sera from 16 matched control subjects. The majority of patients with IBD had agglutinating antibodies to a higher number of Escherichia coli O-antigens and in higher titres than the control group. The number of positive agglutinins was O-33 mean 13.8 in CD, O-26 mean 7.9 for UC, and O-7 mean 1.5 in controls. Eight patients with IBD and arthropathy had antibodies to fewer O-antigens (O-7 mean 3.2). The antibodies were in the IgG and IgM, in titres corresponding to original values. No specific O-serotypes were associated with IBD. Common serotypes, R-plasmid carrying serotypes, and those associated with shigella-like adult diarrhoea were detected. O14 was detected only in five patients and O119 in none. There was no correlation between the number of Escherichia coli agglutinins and the site and severity of the disease or type of therapy. It is suggested that the presence of the high numbers of Escherichia coli antibodies is secondary to the disease process and is unlikely to be causally involved in the pathogenesis of the disease, but may play a role in the perpetuation of the disease and in the extraintestinal complications.