4.7 Article

Characterization of Multiple NDM-1-Producing Enterobacteriaceae Isolates from the Same Patient

Journal

ANTIMICROBIAL AGENTS AND CHEMOTHERAPY
Volume 59, Issue 6, Pages 3648-3651

Publisher

AMER SOC MICROBIOLOGY
DOI: 10.1128/AAC.04862-14

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A male patient was admitted to a community hospital in Ontario, Canada, with an infected sacral ulcer after returning from India, where he was hospitalized. Carbapenem-resistant Escherichia coli (isolated from blood cultures), Enterobacter cloacae, and Providencia stuartii (from urine samples), all positive for bla(NDM-1), were recovered. Comparative NDM-1 plasmid analysis suggests both lateral plasmid transfer and independent acquisition of the bla(NDM-1) gene in these clinical isolates.

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