Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Mar;24(3):e149-e151.
doi: 10.1016/S1473-3099(23)00785-5. Epub 2024 Jan 9.

Novel strain of multidrug non-susceptible Neisseria gonorrhoeae in the USA

Affiliations

Novel strain of multidrug non-susceptible Neisseria gonorrhoeae in the USA

Jennifer L Reimche et al. Lancet Infect Dis. 2024 Mar.
No abstract available

PubMed Disclaimer

Conflict of interest statement

We declare no competing interests. This project was partially supported by the Centers for Disease Control and Prevention of the US Department of Health and Human Services (Strengthening HAI/AR Program Capacity Project [CK19–1904] to the Massachusetts Department of Public Health). The funder had no role in study design, data collection, data analysis, data interpretation, or writing of the Correspondence. The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the US Centers for Disease Control and Prevention. Sequence reads are available in the US National Center for Biotechnology Information Sequence Read Archive (project accession PRJNA894547; SRR23332551 and SRR23332552). The corresponding author (JLR) can be contacted for a link to obtain the publicly available isolates from case 1.

Figures

Figure 1.
Figure 1.. MA NG isolates clustered with other NG isolates carrying penA-60.001 forming an emerging global sub-lineage among MLST-8123 isolates.
A core genome phylogeny was created with all publicly available nationally or internationally reported sequences (n=57) from NG isolates with the MLST-8123. Colored bars represent country, year, ceftriaxone minimum inhibitory concentration (MIC), cefixime MIC, azithromycin MIC, and ciprofloxacin MIC. Antimicrobial susceptibility data were not available for some isolates (gray boxes). Case 1 isolates LRRBGS-1327 and LRRBGS-1328 are labeled in dark red and differed by 8 SNPs (see Supplemental Appendix for the explanation for two isolates). The isolates observed in US 2021–2022 surveillance are boxed in blue, and the internationally emerging lineage containing the emerging mosaic penA-60.001 sub-lineage is boxed in red.

References

    1. Picker MA, Knoblock RJ, Hansen H, et al. Notes from the Field: First Case in the United States of Neisseria gonorrhoeae Harboring Emerging Mosaic penA60 Allele, Conferring Reduced Susceptibility to Cefixime and Ceftriaxone. MMWR Morb Mortal Wkly Rep 2020;69(49):1876–1877. DOI: 10.15585/mmwr.mm6949a5. - DOI - PMC - PubMed
    1. Day M, Pitt R, Mody N, et al. Detection of 10 cases of ceftriaxone-resistant Neisseria gonorrhoeae in the United Kingdom, December 2021 to June 2022. Euro Surveill 2022;27(46). DOI: 10.2807/1560-7917.ES.2022.27.46.2200803. - DOI - PMC - PubMed
    1. CDC. Sexually Transmitted Disease Surveillance 2021. US Department of Health and Human Services. 4/November/2023. (https://www.cdc.gov/std/statistics/2021/default.htm).
    1. Golparian D, Unemo M. Antimicrobial resistance prediction in Neisseria gonorrhoeae: current status and future prospects. Expert Rev Mol Diagn 2022;22(1):29–48. (In eng). DOI: 10.1080/14737159.2022.2015329. - DOI - PubMed
    1. Eyre DW, Sanderson ND, Lord E, et al. Gonorrhoea treatment failure caused by a Neisseria gonorrhoeae strain with combined ceftriaxone and high-level azithromycin resistance, England, February 2018. Euro Surveill 2018;23(27). DOI: 10.2807/1560-7917.ES.2018.23.27.1800323. - DOI - PMC - PubMed

MeSH terms

Substances