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Clinical and bacteriological findings in seven cases of urinary tract infection with cysteine-requiring strains of Klebsiella are described. The organisms were isolated from patients with long-standing urinary tract abnormalities and grew as small (c. 1 mm) colonies on MacConkey agar. The organisms failed to grow in a minimal medium supplemented with sodium sulphate but grew when the medium was supplemented with cysteine sulphinic acid, sodium sulphide or L-cysteine. The smallest amount of cysteine required for optimal growth in a chemically defined medium was 20 mg/L. Cysteine-requiring strains of Escherichia coli had previously been shown to require a similar amount of cysteine and to be unable to reduce sulphate to sulphite; this suggests a common influence in the selection of cysteine auxotrophs in vivo. However, the amino acid inhibited the growth of E. coli at concentrations which only slightly altered growth of the Klebsiella strains. Problems with the isolation, identification and sensitivity testing of cysteine-requiring Klebsiella were also observed and methods by which these may be minimised are suggested.

Characteristics of cysteine-requiring strains of Klebsiella isolated from urinary tract infections