Escherichia coli: Development of Carbapenem Resistance During Therapy
Author(s) -
Tao Hong,
Ellen Smith Moland,
Baha Abdalhamid,
Nancy D. Hanson,
J. Wang,
Caroline E. Sloan,
Dušan Fabián,
Achmad Farajallah,
Jerome F. Levine,
Kenneth S. Thomson
Publication year - 2005
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/429822
Subject(s) - meropenem , imipenem , carbapenem , microbiology and biotechnology , escherichia coli , medicine , beta lactamase , enterobacteriaceae , antibiotics , antibiotic resistance , biology , gene , genetics
A 76-year-old woman had recurrent urosepsis due to extended-spectrum beta -lactamase-positive Escherichia coli. Imipenem resistance was detected after long-term imipenem-meropenem therapy. The carbapenem-hydrolyzing enzyme gene was identified as blaKPC-3. To our knowledge, this is the first documented case in which carbapenem-resistant E. coli emerged during therapy with imipenem and meropenem, and the first identification of the carbapenem-hydrolyzing enzyme in E. coli isolates.
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