• Medientyp: E-Artikel
  • Titel: Urinary Catheter Colonization by Multidrug-ResistantCedecea neteriin Patient with Benign Prostatic Hyperplasia
  • Beteiligte: Ginn, Peter S.; Tart, Serina B.; Sharkady, Stephen M.; Thompson, Dorothea K.
  • Erschienen: Hindawi Limited, 2018
  • Erschienen in: Case Reports in Infectious Diseases
  • Sprache: Englisch
  • DOI: 10.1155/2018/7520527
  • ISSN: 2090-6625; 2090-6633
  • Schlagwörter: Linguistics and Language ; Anthropology ; History ; Language and Linguistics ; Cultural Studies
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  • Beschreibung: <jats:p><jats:italic>Cedecea neteri</jats:italic>, a member of the<jats:italic>Enterobacteriaceae</jats:italic>family, has only been identified as a human pathogen in a few previous clinical cases, thus complicating assessment of this organism’s pathogenicity and medical relevance. Documented infections attributed to<jats:italic>C. neteri</jats:italic>primarily involved bacteremia in severely immunocompromised patients. We report a rare case of urinary catheter colonization by a multidrug-resistant<jats:italic>C. neteri</jats:italic>strain in a patient of advanced age with benign prostatic hyperplasia and other chronic comorbidities. This<jats:italic>C. neteri</jats:italic>isolate was resistant or intermediate to second-generation cephalosporins, penicillins, and certain<jats:italic>β</jats:italic>-lactamase inhibitor/<jats:italic>β</jats:italic>-lactam combinations. Analysis of whole genome sequence information for a representative<jats:italic>C. neteri</jats:italic>strain indicated the presence of multiple open reading frames with sequence similarity to<jats:italic>β</jats:italic>-lactamases, including a chromosome-encoded AmpC<jats:italic>β</jats:italic>-lactamase and metallo-<jats:italic>β</jats:italic>-lactamases, consistent with the resistance phenotype of this bacterium. The presence of an AmpR homolog suggests that the<jats:italic>C. neteri</jats:italic><jats:italic>ampC</jats:italic>may be inducible in response to<jats:italic>β</jats:italic>-lactam exposure. Molecular insights into antibiotic resistance traits of this emerging opportunistic pathogen will be important for administering adequate antibiotic treatment to ensure favorable patient outcomes.</jats:p>
  • Zugangsstatus: Freier Zugang