Runyon classification: Difference between revisions

Jump to navigation Jump to search
m (Changes made per Mahshid's request)
 
(3 intermediate revisions by one other user not shown)
Line 8: Line 8:
==Overview==
==Overview==


The '''Runyon classification''' of [[nontuberculous mycobacteria]] based on the rate of growth, production of yellow pigment and whether this pigment was produced in the dark or only after exposure to light.<ref name="pmid2275850">{{cite journal |author=Rogall T, Wolters J, Flohr T, Böttger EC |title=Towards a phylogeny and definition of species at the molecular level within the genus Mycobacterium |journal=International journal of systematic bacteriology |volume=40 |issue=4 |pages=323–30 |date=October 1990 |pmid=2275850 |doi= 10.1099/00207713-40-4-323|url=}}</ref> It was introduced by Ernest Runyon in 1959.<ref name="pmid13612432">{{cite journal |author=Runyon EH |title=Anonymous mycobacteria in pulmonary disease |journal=The Medical clinics of North America |volume=43 |issue=1 |pages=273–90 |date=January 1959 |pmid=13612432 |doi= |url=}}</ref> On these bases, the [[nontuberculous mycobacteria]] are divided into four Runyon groups and the first three groups (Runyon I, II, and III) are classified as [[slowly growing mycobacteria]].
The '''Runyon classification''' of [[nontuberculous mycobacteria]] based on the rate of growth, production of yellow pigment and whether this pigment was produced in the dark or only after exposure to light.<ref name="pmid2275850">{{cite journal |author=Rogall T, Wolters J, Flohr T, Böttger EC |title=Towards a phylogeny and definition of species at the molecular level within the genus Mycobacterium |journal=International journal of systematic bacteriology |volume=40 |issue=4 |pages=323–30 |date=October 1990 |pmid=2275850 |doi= 10.1099/00207713-40-4-323|url=}}</ref> It was introduced by Ernest Runyon in 1959.<ref name="pmid13612432">{{cite journal |author=Runyon EH |title=Anonymous mycobacteria in pulmonary disease |journal=The Medical clinics of North America |volume=43 |issue=1 |pages=273–90 |date=January 1959 |pmid=13612432 |doi= |url=}}</ref> On these bases, the [[nontuberculous mycobacteria]] are divided into four Runyon groups. The first three groups (Runyon I, II, and III) are classified as [[slowly growing mycobacteria]].


==Runyon I:  Photochromogens==
==Runyon I:  Photochromogens==


Runyon I organisms (photochromogens) are slow growing, and produce a yellow-orange pigment when exposed to light.  
Runyon I organisms are slow growing, and produce a yellow-orange pigment when exposed to light.  


* [[Mycobacterium intermedium]]
* [[Mycobacterium intermedium]]
* [[Mycobacterium simiae]]
* [[Mycobacterium simiae]]
* [[Mycobacterium szulgai]]: photochromogenic when grown at 24 degrees and scotochromogenic at 37 degrees
* [[Mycobacterium szulgai]] (photochromogenic when grown at 24 degrees and scotochromogenic at 37 degrees)
 


'''Yellow and smooth'''
'''Yellow and smooth'''
Line 28: Line 27:
==Runyon II: Scotochromogens==
==Runyon II: Scotochromogens==


Runyon II organisms (scotochromogens) are slow-growing and produce a yellow-orange pigment regardless of whether they are grown in the dark or the light.   
Runyon II organisms are slow-growing and produce a yellow-orange pigment regardless of whether they are grown in the dark or the light.   


* [[Mycobacterium scrofulaceum]]
* [[Mycobacterium scrofulaceum]]
* [[Mycobacterium szulgai]] (photochromogenic when grown at 24 degrees and scotochromogenic at 37 degrees)


* [[Mycobacterium szulgai]]
'''Yellow'''


'''Yellow'''
* [[Mycobacterium conspicuum]]
* [[Mycobacterium conspicuum]]
* [[Mycobacterium botniense]]
* [[Mycobacterium botniense]]
Line 57: Line 56:
==Runyon III: Nonchromogens==
==Runyon III: Nonchromogens==


Runyon III organisms (nonchromogens) are slow-growing and never produce pigment, regardless of culture conditions.
Runyon III organisms are slow-growing and never produce pigment, regardless of culture conditions.


'''Rough'''
'''Rough'''
Line 90: Line 89:
==Runyon IV: Rapid Growers==
==Runyon IV: Rapid Growers==


Runyon IV organisms are rapid growing for mycobacteria (colonies in 5 days).  They do not produce pigment. The group includes [[Mycobacterium fortuitum]], [[Mycobacterium peregrinum]], [[Mycobacterium abscessus]], [[Mycobacterium chelonae]], and [[Mycobacterium thermoresistibile]].
Runyon IV organisms are rapid growing for mycobacteria (colonies in 5 days).  They do not produce pigment. Some rapidly growing mycobacteria are considered "late-pigmenting".<ref>{{cite journal | pmid = 12364376 | pmc=126856 | volume=15 | issue=4 | title=Clinical and taxonomic status of pathogenic nonpigmented or late-pigmenting rapidly growing mycobacteria |date=October 2002 | journal=Clin. Microbiol. Rev. | pages=716–46 | author=Brown-Elliott BA, Wallace RJ | doi=10.1128/cmr.15.4.716-746.2002}}</ref>


Some rapidly growing mycobacteria are considered "late-pigmenting".<ref>{{cite journal | pmid = 12364376 | pmc=126856 | volume=15 | issue=4 | title=Clinical and taxonomic status of pathogenic nonpigmented or late-pigmenting rapidly growing mycobacteria |date=October 2002 | journal=Clin. Microbiol. Rev. | pages=716–46 | author=Brown-Elliott BA, Wallace RJ | doi=10.1128/cmr.15.4.716-746.2002}}</ref>
* [[Mycobacterium abscessus]]
* [[Mycobacterium chelonae]]
* [[Mycobacterium fortuitum]]
* [[Mycobacterium peregrinum]]
* [[Mycobacterium thermoresistibile]]


==References==
==References==


{{reflist|2}}
{{reflist|2}}
[[Category:Infectious disease]]
[[Category:Mycobacteria]]

Latest revision as of 18:40, 18 September 2017

WikiDoc Resources for Runyon classification

Articles

Most recent articles on Runyon classification

Most cited articles on Runyon classification

Review articles on Runyon classification

Articles on Runyon classification in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Runyon classification

Images of Runyon classification

Photos of Runyon classification

Podcasts & MP3s on Runyon classification

Videos on Runyon classification

Evidence Based Medicine

Cochrane Collaboration on Runyon classification

Bandolier on Runyon classification

TRIP on Runyon classification

Clinical Trials

Ongoing Trials on Runyon classification at Clinical Trials.gov

Trial results on Runyon classification

Clinical Trials on Runyon classification at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Runyon classification

NICE Guidance on Runyon classification

NHS PRODIGY Guidance

FDA on Runyon classification

CDC on Runyon classification

Books

Books on Runyon classification

News

Runyon classification in the news

Be alerted to news on Runyon classification

News trends on Runyon classification

Commentary

Blogs on Runyon classification

Definitions

Definitions of Runyon classification

Patient Resources / Community

Patient resources on Runyon classification

Discussion groups on Runyon classification

Patient Handouts on Runyon classification

Directions to Hospitals Treating Runyon classification

Risk calculators and risk factors for Runyon classification

Healthcare Provider Resources

Symptoms of Runyon classification

Causes & Risk Factors for Runyon classification

Diagnostic studies for Runyon classification

Treatment of Runyon classification

Continuing Medical Education (CME)

CME Programs on Runyon classification

International

Runyon classification en Espanol

Runyon classification en Francais

Business

Runyon classification in the Marketplace

Patents on Runyon classification

Experimental / Informatics

List of terms related to Runyon classification

Template:Seealso

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The Runyon classification of nontuberculous mycobacteria based on the rate of growth, production of yellow pigment and whether this pigment was produced in the dark or only after exposure to light.[1] It was introduced by Ernest Runyon in 1959.[2] On these bases, the nontuberculous mycobacteria are divided into four Runyon groups. The first three groups (Runyon I, II, and III) are classified as slowly growing mycobacteria.

Runyon I: Photochromogens

Runyon I organisms are slow growing, and produce a yellow-orange pigment when exposed to light.

Yellow and smooth

Yellow and rough

Runyon II: Scotochromogens

Runyon II organisms are slow-growing and produce a yellow-orange pigment regardless of whether they are grown in the dark or the light.

Yellow

Yellow-Orange

Rose-Pink

Runyon III: Nonchromogens

Runyon III organisms are slow-growing and never produce pigment, regardless of culture conditions.

Rough

Smooth

Smooth to rough

Small and Transparent

Runyon IV: Rapid Growers

Runyon IV organisms are rapid growing for mycobacteria (colonies in 5 days). They do not produce pigment. Some rapidly growing mycobacteria are considered "late-pigmenting".[3]

References

  1. Rogall T, Wolters J, Flohr T, Böttger EC (October 1990). "Towards a phylogeny and definition of species at the molecular level within the genus Mycobacterium". International journal of systematic bacteriology. 40 (4): 323–30. doi:10.1099/00207713-40-4-323. PMID 2275850.
  2. Runyon EH (January 1959). "Anonymous mycobacteria in pulmonary disease". The Medical clinics of North America. 43 (1): 273–90. PMID 13612432.
  3. Brown-Elliott BA, Wallace RJ (October 2002). "Clinical and taxonomic status of pathogenic nonpigmented or late-pigmenting rapidly growing mycobacteria". Clin. Microbiol. Rev. 15 (4): 716–46. doi:10.1128/cmr.15.4.716-746.2002. PMC 126856. PMID 12364376.