Increase in Quinolone Resistance in a Haemophilus influenzae Strain Isolated from a Patient with Recurrent Respiratory Infections Treated with Ofloxacin
Author(s) -
Jordi Vilà,
Joaquı́m Ruiz,
F Sánchez,
Ferrán Navarro,
Beatriz Mirelis,
M. Teresa Jiménez de Anta,
Guillem Prats
Publication year - 1999
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.43.1.161
Subject(s) - ofloxacin , ciprofloxacin , haemophilus influenzae , quinolone , microbiology and biotechnology , haemophilus , pasteurellaceae , respiratory tract infections , drug resistance , antibacterial agent , medicine , virology , respiratory system , antibiotics , biology , bacteria , genetics
The increase in the level of quinolone resistance of Haemophilus influenzae clinical isolates during ofloxacin therapy of a patient with recurrent respiratory infections was investigated. The first isolate (MIC of ciprofloxacin of 2 microg/ml) and the second isolate (MIC of 32 microg/ml) belonged to the same clone, as shown by pulsed-field gel electrophoresis, and the increase in the resistance level was associated with a substitution in Ser-84 to Arg in the ParC protein. These results emphasize the potential risk of development of quinolone-resistant H. influenzae during fluoroquinolone therapy in patients with recurrent respiratory infection.
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