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Enterococcus faecium 10/96A from Brazil was resistant to vancomycin (MIC, 256 microg/ml) but gave no amplification products with primers specific for known van genotypes. A 2,368-bp fragment of a van cluster contained one open reading frame encoding a peptide with 83% amino acid identity to VanH(D), and a second encoding a D-alanine-D-lactate ligase with 83 to 85% identity to VanD. The divergent glycopeptide resistance phenotype was designated VanD4.

antimicrobial agents and chemotherapy

Characterization of a Divergent <i>vanD</i> -Type Resistance Element from the First Glycopeptide-Resistant Strain of <i>Enterococcus faecium</i> Isolated in Brazil

Characterization of a Divergent vanD -Type Resistance Element from the First Glycopeptide-Resistant Strain of Enterococcus faecium Isolated in Brazil