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Case Reports
. 2004 Aug;42(8):3831-3.
doi: 10.1128/JCM.42.8.3831-3833.2004.

In vivo acquisition of high-level resistance to imipenem in Escherichia coli

Affiliations
Case Reports

In vivo acquisition of high-level resistance to imipenem in Escherichia coli

Laurent Poirel et al. J Clin Microbiol. 2004 Aug.

Abstract

Four clonally related Escherichia coli strains were isolated successively from bile duct of a girl suffering from sclerosing cholangitis. One of them, selected after an imipenem-containing regimen, was resistant to carbapenems and to broad-spectrum cephalosporins due to a plasmid-mediated cephalosporinase, CMY-2, and the lack of outer membrane proteins OmpF and OmpC.

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Figures

FIG. 1.
FIG. 1.
OMP profiles of E. coli strains. OMPs were profiled by sodium dodecyl sulfate-polyacrylamide gel electrophoresis. Lanes 1 to 4 correspond to E. coli clinical isolates 1 to 4, respectively, and E. coli JM109 is a reference strain. E. coli isolates JF703 and JF701, expressing, respectively, OmpC or OmpF alone, are from reference . The molecular mass marker (M) and corresponding sizes (in kilodaltons) are indicated on the left. Horizontal arrows on the right indicate positions of the OMPs OmpC, OmpF, and OmpA.

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