Acta clinica Croatica, Vol. 56. No. 1., 2017.
Ostalo
https://doi.org/10.20471/acc.2017.56.01.23
Klebsiella Pneumoniaeoxa-48 in a Urology Patient: Case Report
Ines Jajić
; Department of Microbiology, Parasitology and Hospital Infections, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ana Benčić
; School of Medicine, University of Zagreb
Marko Siroglavić
; Department of Transfusion Medicine, Zagreb University Hospital Center, Zagreb, Croatia
Gernot Zarfel
; Institute for Microbiology, Hygiene and Environmental Medicine, University of Graz, Graz, Austria
Boris Ružić
; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ivan Pezelj
; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Branka Bedenić
; Department of Microbiology, School of Medicine, University of Zagreb; Clinical Department of Clinical and Molecular Microbiology, Zagreb University Hospital Center, Zagreb, Croatia
Sažetak
We present an isolate of Klebsiella pneumoniaeOXA-48 isolated in a 68-year-old man who underwent radical prostatectomy due to prostate cancer. Th e antibiotic susceptibility testing to a wide range of antibiotics was performed by disk diffusion method and determination of minimal inhibitory concentrations. Th e isolate was classified as multidrug-resistant. It showed intermediate susceptibility to imipenem and meropenem, resistance to ertapenem, and sensitivity only to colistin, amikacin, and trimethoprim-sulfamethoxazole. Th e isolate was positive for ESBLs, negative for AmpC. Polymerase chain reaction and sequencing revealed blaOXA-48, blaCTX-M-15 and blaSHV-11. The plasmid encoding OXA-48 ß-lactamase did not belong to any known PCR-based replicon typing. According to genotyping, the isolate belonged to ST37.
Ključne riječi
Klebsiella pneumoniae – isolation and purification; Klebsiella infections; Prostatectomy – complications; Case reports
Hrčak ID:
184451
URI
Datum izdavanja:
1.3.2017.
Posjeta: 3.388 *