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A colistin-resistantEscherichia coli strain was recovered from a patient with a diabetic foot infection in Brazil. Whole-genome analysis revealed that theE. coli isolate belonged to the widespread sequence type (ST) 101 and harbored themcr-1 gene on an IncX4 plasmid that was highly similar tomcr-1 -bearing IncX4 plasmids that were recently identified inEnterobacteriaceae from food, animal, and human samples recovered on different continents. These results suggest that self-transmissible IncX4-type plasmids may represent promiscuous plasmids contributing to the intercontinental spread of themcr-1 gene.

antimicrobial agents and chemotherapy

First Report of the Globally Disseminated IncX4 Plasmid Carrying the <i>mcr-1</i> Gene in a Colistin-Resistant Escherichia coli Sequence Type 101 Isolate from a Human Infection in Brazil

First Report of the Globally Disseminated IncX4 Plasmid Carrying the mcr-1 Gene in a Colistin-Resistant Escherichia coli Sequence Type 101 Isolate from a Human Infection in Brazil