Patients with cystic fibrosis (CF) may be colonized with unusual gram-negative bacilli whose identification is difficult and clinical impact unclear.
Taxonomy
Family: Rhodospirillaceae
Relationship
I.limosus belongs to the α-proteobacteria (class), and is therefore not closely related to B.cepacia complex or P. aeruginosa
Natural habitat
The natural reservoir is yet to be discovered, but its relationship with other non-fermentative rods suggests ecological resources
Clinical significance
I. limosus is able to stay for several months in the respiratory tract of CF-patients
Just as with the P. aeruginosa is an abundant production of mucus from I. limosus favorable for a persistent chronic infection.
However, the pathogenic role of I. limosus is unclear.
Gram negative rods,
1.5-2.0 x 3.5 µm.
Obligate Aerobic
The strain grows slowly, 1st isolate after 3-5 days, can therefore be missed.
BA: colonies are very mucoid and milky white and not pigmented
McConkey: they grow poorly or not at all
BBAØ: no growth
James Versalovic et al.(2011) Manual of Clinical Microbiology 10th Edition
Karen C. Carrol et al (2019) Manual of Clinical Microbiology, 12th Edition