title: The medical diagnostic approaches with phylogenetic analysis for rare Brucella spp. diagnosis in Taiwan.
abstract: Brucellosis is a bacterial zoonotic disease which can be easy to misdiagnose in clinical microbiology laboratories. In the present study, we have tried to improve the current clinical method for detecting Brucella spp. and its antibiotic characteristics. Our method begins with detecting the clinical isolate through traditional biochemical methods and automatic identification systems. Then, we move on to editing the sequence for BLAST allows us to compare 16s rRNA sequences with sequences from other species, allowing the gene level to be determined. Next, the phylogenetic analysis of multiple genetic loci is able to determine the evolutionary relationships between our bacteria strain and those from other locations. Finally, an anti-microbial susceptibility test hones in on the level of antibacterial activity that the bacteria displays. Employing these four steps in concert is extremely effective in identifying rare bacteria. Thus, when attempting to determine the identity of rare bacteria such as Brucella, utilizing these four steps from our research should be highly effective and ultimately prevent further identification errors and misdiagnoses. The standards we have suggested to identify rare bacteria strains is applicable not only to Brucella, but also to other rarely encountered bacteria.
authors.affiliation: Department of Laboratory Medicine, China Medical University Hospital, 404, Taichung, Taiwan.
authors.forename: Ni
authors.initials: N
authors.lastname: Tien
authors.forename: Yun-Ju
authors.initials: YJ
authors.lastname: Sung
authors.forename: Yi-Chih
authors.initials: YC
authors.lastname: Chang
authors.forename: Bang-Jau
authors.initials: BJ
authors.lastname: You
authors.forename: Michelle
authors.initials: M
authors.lastname: Liang
authors.forename: Yun-Ping
authors.initials: YP
authors.lastname: Lim
authors.forename: Wen-Yu
authors.initials: WY
authors.lastname: Ho
authors.forename: Hsiu-Shen
authors.initials: HS
authors.lastname: Lin
authors.forename: Mao-Wang
authors.initials: MW
authors.lastname: Ho
authors.forename: Chen-Mao
authors.initials: CM
authors.lastname: Ho
authors.forename: Chao-Chin
authors.initials: CC
authors.lastname: Chang
authors.forename: Yu-Ching
authors.initials: YC
authors.lastname: Lan