TY - JOUR A1 - Eickel, Vera A1 - Kahl, Barbara A1 - Reinisch, Beatrice A1 - Dübbers, Angelika A1 - Küster, Peter A1 - Brandt, Claudia A1 - Spellerberg, Barbara T1 - Emergence of respiratory Streptococcus agalactiae isolates in cystic fibrosis patients T2 - PLoS One N2 - Streptococcus agalactiae is a well-known pathogen for neonates and immunocompromized adults. Beyond the neonatal period, S. agalactiae is rarely found in the respiratory tract. During 2002–2008 we noticed S. agalactiae in respiratory secretions of 30/185 (16%) of cystic fibrosis (CF) patients. The median age of these patients was 3–6 years older than the median age CF patients not harboring S. agalactiae. To analyze, if the S. agalactiae isolates from CF patients were clonal, further characterization of the strains was achieved by capsular serotyping, surface protein determination and multilocus sequence typing (MLST). We found a variety of sequence types (ST) among the isolates, which did not substantially differ from the MLST patterns of colonizing strains from Germany. However serotype III, which is often seen in colonizing strains and invasive infections was rare among CF patients. The emergence of S. agalactiae in the respiratory tract of CF patients may represent the adaptation to a novel host environment, supported by the altered surfactant composition in older CF patients. Y1 - 2009 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/22613 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30-114586 SN - 1932-6203 N1 - Copyright: © 2009 Eickel et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. VL - 4 IS - (2): e4650 ER -