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The clinical data of the six patients are summarized in Table 1. Most of the patients seen were greater than 50 years of age and had an underlying illness at the time that A. xylosoxidans was isolated. The organism was considered the primary pathogen in most patients requiring therapy. Bacteriology. The characteristics of A. xylosoxidans are listed in Table 2. Our first four isolates were submitted to the New Jersey State Laboratory for identification no further information is available on how the organism was characterized ; . The last three isolates were identified by one of us C.C. ; in our microbiology laboratory. The organism is a motile, gram-negative rod that produces glistening, smooth pinpoint colonies after overnight incubation at 35C, with the biochemical characteristics listed in Table 2. The organism grew well on MacConkey agar and was citrate, oxidase, and catalase positive. Glucose was oxidized slowly, as was xylose, whereas other carbohydrates were not. Tests for urease, lysine decarboxylase, and arginine dihydrolase were negative. The flagellar morphology of the organism was studied with Leifson staining 5 ; and electron microscopy of two isolates. A. xylosoxidans was demonstrated.
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