Population Genomics of Legionella longbeachae and Hidden Complexities of Infection Source Attribution

Emerg Infect Dis. 2017 May;23(5):750-757. doi: 10.3201/eid2305.161165.

Abstract

Legionella longbeachae is the primary cause of legionellosis in Australasia and Southeast Asia and an emerging pathogen in Europe and the United States; however, our understanding of the population diversity of L. longbeachae from patient and environmental sources is limited. We analyzed the genomes of 64 L. longbeachae isolates, of which 29 were from a cluster of legionellosis cases linked to commercial growing media in Scotland in 2013 and 35 were non-outbreak-associated isolates from Scotland and other countries. We identified extensive genetic diversity across the L. longbeachae species, associated with intraspecies and interspecies gene flow, and a wide geographic distribution of closely related genotypes. Of note, we observed a highly diverse pool of L. longbeachae genotypes within compost samples that precluded the genetic establishment of an infection source. These data represent a view of the genomic diversity of L. longbeachae that will inform strategies for investigating future outbreaks.

Keywords: Legionella longbeachae; bacteria; environmental genotypes; epidemiology; genomic diversity; legionella; legionellosis; outbreaks; pathogenic genotypes; phylogeny; plasmids; recombination; source attribution.

MeSH terms

  • Australia / epidemiology
  • Cluster Analysis
  • Computational Biology / methods
  • Gene Flow
  • Genetic Variation
  • Genome, Bacterial*
  • Genomics* / methods
  • High-Throughput Nucleotide Sequencing
  • Humans
  • Legionella longbeachae / classification
  • Legionella longbeachae / genetics*
  • Legionellosis / epidemiology
  • Legionellosis / microbiology*
  • New Zealand / epidemiology
  • Phylogeny
  • Plasmids / genetics
  • RNA, Bacterial
  • RNA, Ribosomal, 16S
  • Recombination, Genetic
  • Scotland / epidemiology
  • Serogroup
  • United States / epidemiology

Substances

  • RNA, Bacterial
  • RNA, Ribosomal, 16S