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Perdigão Neto LV, Corscadden L, Martins RCR, Nagano DS, Cunha MPV, Neves PR, Franco LAM, Moura MLN, Rizek CF, Guimarães T, Boszczowski Í, Rossi F, Levin AS, Stabler RA, Costa SF. Simultaneous colonization by Escherichia coli and Klebsiella pneumoniae harboring mcr-1 in Brazil. Infection 2019; 47:661-664. [PMID: 31025216 DOI: 10.1007/s15010-019-01309-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2018] [Accepted: 04/17/2019] [Indexed: 10/27/2022]
Abstract
CASE PRESENTATION We present a case report of a woman, concurrently colonized by polymyxin-resistant E. coli and K. pneumoniae. A Brazilian female patient, in her mid-fifties, was hospitalized with schistosomiasis. During hospitalization, polymyxin-resistant E. coli and K. pneumoniae were isolated from surveillance cultures. METHODS Identification, antimicrobial susceptibility testings, PCR for mcr-1, plasmid transfer by conjugation and whole genome sequencing were performed. RESULTS E. coli ST744 and K. pneumoniae ST101 carrying mcr-1 gene were described. Transconjugant E. coli was positive for mcr-1 and IncX4 by PCR. The plasmid is a 33,304-base pair plasmid, and the mcr-1 gene was the only antimicrobial resistance gene present in the plasmid. CONCLUSIONS This study presents a case report of a hospitalized woman, concurrently colonized by mcr-1-harboring E. coli ST744, a different ST from previously described in Brazil, and a K. pneumoniae ST101.
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Affiliation(s)
- Lauro Vieira Perdigão Neto
- Hospital das Clínicas, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 225, Sala 629, São Paulo, SP, 05403-010, Brazil.
- , Rua Arruda Alvim, 107, #142, São Paulo, SP, 05410-020, Brazil.
| | - Louise Corscadden
- Department of Infectious and Tropical Diseases, School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK
| | - Roberta Cristina Ruedas Martins
- Department of Infectious Diseases and LIM-54, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 470, São Paulo, SP, 05403-000, Brazil
| | - Débora Satie Nagano
- Department of Infectious Diseases and LIM-54, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 470, São Paulo, SP, 05403-000, Brazil
| | - Marcos Paulo Vieira Cunha
- School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Prof. Dr. Orlando Marques de Paiva, 87, São Paulo, SP, 05508-270, Brazil
| | - Patrícia Regina Neves
- Department of Infectious Diseases and LIM-54, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 470, São Paulo, SP, 05403-000, Brazil
| | - Lucas Augusto Moyses Franco
- Hospital das Clínicas, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 225, Sala 629, São Paulo, SP, 05403-010, Brazil
| | - Maria Luísa Nascimento Moura
- Hospital das Clínicas, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 225, Sala 629, São Paulo, SP, 05403-010, Brazil
| | - Camila Fonseca Rizek
- Department of Infectious Diseases and LIM-54, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 470, São Paulo, SP, 05403-000, Brazil
| | - Thais Guimarães
- Hospital das Clínicas, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 225, Sala 629, São Paulo, SP, 05403-010, Brazil
| | - Ícaro Boszczowski
- Hospital das Clínicas, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 225, Sala 629, São Paulo, SP, 05403-010, Brazil
| | - Flávia Rossi
- Microbiology Laboratory, Hospital das Clínicas, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 155, São Paulo, SP, 05403-000, Brazil
| | - Anna S Levin
- Hospital das Clínicas, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 225, Sala 629, São Paulo, SP, 05403-010, Brazil
- Department of Infectious Diseases and LIM-54, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 470, São Paulo, SP, 05403-000, Brazil
| | - Richard A Stabler
- Department of Infectious and Tropical Diseases, School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK
| | - Silvia F Costa
- Department of Infectious Diseases and LIM-54, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 470, São Paulo, SP, 05403-000, Brazil
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