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. 2012 Jun;56(6):3432-4.
doi: 10.1128/AAC.00230-12. Epub 2012 Mar 26.

NDM-1-producing Klebsiella pneumoniae resistant to colistin in a French community patient without history of foreign travel

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NDM-1-producing Klebsiella pneumoniae resistant to colistin in a French community patient without history of foreign travel

Corinne Arpin et al. Antimicrob Agents Chemother. 2012 Jun.

Abstract

A carbapenem-resistant Klebsiella pneumoniae strain, Kp5196, was responsible for an uncomplicated cystitis in a patient living at home and without history of foreign travel. This isolate produced the metallocarbapenemase NDM-1 and was resistant to all antibiotics except tetracyclines and colistin. The K. pneumoniae strain belonged to sequence type ST15, and bla(NDM-1) was carried by a nontypeable conjugative plasmid. Two months later, a similar ST15 isolate, Kp5241, was present in the patient but was additionally colistin resistant.

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Figures

Fig 1
Fig 1
XbaI patterns of K. pneumoniae strains after pulsed-field gel electrophoresis analysis. Lanes 1 and 2, Kp5196 and Kp5241, respectively. Lane 3, Kp10197 (Belgian strain of ST15, NDM-1-producing K. pneumoniae) (3). Lane 4, K. pneumoniae ATCC 13883. Lanes 5 and 6, Kp5233 (OXA-48-producing K. pneumoniae, ST unknown), and Kp5069 (ST14 K. pneumoniae), respectively; two unrelated strains used as controls. Lanes M, lambda DNA ladder (Bio-Rad).

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