{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T22:30:07Z","timestamp":1791412207085,"version":"4.3.3"},"reference-count":38,"publisher":"American Society for Microbiology","issue":"10","license":[{"start":{"date-parts":[[2017,10,1]],"date-time":"2017-10-01T00:00:00Z","timestamp":1506816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"funder":[{"name":"IHU Mediterranee Infection"},{"name":"A*MIDEX project","award":["ANR-11-IDEX-0001-02"],"award-info":[{"award-number":["ANR-11-IDEX-0001-02"]}]}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["J Clin Microbiol"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n          <jats:p>\n            <jats:named-content content-type=\"genus-species\">Kingella kingae<\/jats:named-content>\n            is an important invasive pathogen in early childhood. The organism elaborates an RTX toxin presumably restricted to this species. Consequently, real-time quantitative PCR (qPCR) assays targeting the RTX locus have been developed in recent years and are gaining increasing use for the molecular diagnosis of\n            <jats:named-content content-type=\"genus-species\">K. kingae<\/jats:named-content>\n            infections. However, the present study shows that\n            <jats:named-content content-type=\"genus-species\">Kingella negevensis<\/jats:named-content>\n            , a\n            <jats:named-content content-type=\"genus-species\">Kingella<\/jats:named-content>\n            species newly identified in young children, harbors an identical\n            <jats:named-content content-type=\"genus-species\">Kingella<\/jats:named-content>\n            RTX locus, raising the question of whether\n            <jats:named-content content-type=\"genus-species\">K. negevensis<\/jats:named-content>\n            can be misidentified as\n            <jats:named-content content-type=\"genus-species\">K. kingae<\/jats:named-content>\n            by clinical microbiology laboratories.\n            <jats:named-content content-type=\"genus-species\">In silico<\/jats:named-content>\n            comparison of\n            <jats:named-content content-type=\"genus-species\">Kingella<\/jats:named-content>\n            sp. RTX and\n            <jats:italic>groEL<\/jats:italic>\n            genes and\n            <jats:italic>in vitro<\/jats:italic>\n            studies provided evidence that targeting the\n            <jats:italic>rtxA<\/jats:italic>\n            and\n            <jats:italic>rtxB<\/jats:italic>\n            genes could not differentiate between strains of\n            <jats:named-content content-type=\"genus-species\">K. kingae<\/jats:named-content>\n            and\n            <jats:named-content content-type=\"genus-species\">K. negevensis<\/jats:named-content>\n            , whereas targeting the\n            <jats:italic>groEL<\/jats:italic>\n            gene could. This prompted the design of a highly specific and sensitive qPCR assay targeting\n            <jats:named-content content-type=\"genus-species\">K. negevensis groEL<\/jats:named-content>\n            (\n            <jats:italic>kngroEL<\/jats:italic>\n            ). Ninety-nine culture-negative osteoarticular specimens from 99 children younger than 4 years of age were tested with a conventional 16S rRNA gene-based broad-range PCR assay and\n            <jats:named-content content-type=\"genus-species\">Kingella<\/jats:named-content>\n            -specific\n            <jats:italic>rtxB<\/jats:italic>\n            ,\n            <jats:named-content content-type=\"genus-species\">K. kingae<\/jats:named-content>\n            -specific\n            <jats:italic>groEL<\/jats:italic>\n            (\n            <jats:italic>kkgroEL<\/jats:italic>\n            ), and\n            <jats:italic>kngroEL<\/jats:italic>\n            qPCR assays. Forty-two specimens were\n            <jats:italic>rtxB<\/jats:italic>\n            positive, including 41 that were also\n            <jats:italic>kkgroEL<\/jats:italic>\n            positive and 1 (the remaining one) that was\n            <jats:italic>kngroEL<\/jats:italic>\n            positive. Thus, this study discloses an invasive infection caused by\n            <jats:named-content content-type=\"genus-species\">K. negevensis<\/jats:named-content>\n            in humans and demonstrates that targeting the RTX locus cannot be used for the formal diagnosis of\n            <jats:named-content content-type=\"genus-species\">K. kingae<\/jats:named-content>\n            infections. These findings stress the need for further studies on the epidemiology of asymptomatic carriage and invasive infections caused by\n            <jats:named-content content-type=\"genus-species\">K. negevensis<\/jats:named-content>\n            in humans.\n          <\/jats:p>","DOI":"10.1128\/jcm.00736-17","type":"journal-article","created":{"date-parts":[[2017,8,10]],"date-time":"2017-08-10T00:40:15Z","timestamp":1502325615000},"page":"3113-3122","update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":29,"title":["Molecular Tests That Target the RTX Locus Do Not Distinguish between Kingella kingae and the Recently Described Kingella negevensis Species"],"prefix":"10.1128","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7695-3551","authenticated-orcid":false,"given":"Nawal","family":"El Houmami","sequence":"first","affiliation":[{"name":"Aix-Marseille Universit\u00e9, Research Unit on Infectious and Emerging Tropical Diseases (URMITE), UM63, CNRS 7278, IRD 198, Inserm 1095, Institut Hospitalo-Universitaire M\u00e9diterran\u00e9e Infection, Assistance Publique-H\u00f4pitaux de Marseille, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janek","family":"Bzdrenga","sequence":"additional","affiliation":[{"name":"Aix-Marseille Universit\u00e9, Research Unit on Infectious and Emerging Tropical Diseases (URMITE), UM63, CNRS 7278, IRD 198, Inserm 1095, Institut Hospitalo-Universitaire M\u00e9diterran\u00e9e Infection, Assistance Publique-H\u00f4pitaux de Marseille, Marseille, France"},{"name":"Universit\u00e9 Grenoble Alpes, CEA, CNRS, IBS, F-38000, Grenoble, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume Andr\u00e9","family":"Durand","sequence":"additional","affiliation":[{"name":"Aix-Marseille Universit\u00e9, Research Unit on Infectious and Emerging Tropical Diseases (URMITE), UM63, CNRS 7278, IRD 198, Inserm 1095, Institut 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