Abstract
We describe a clinical case of an abdominal abscess due to NDM-1-producing Klebsiella pneumoniae in a 35-year-old Spanish patient after hospitalization in India for perforated appendicitis and peritonitis. The strain belonged to the MLST type 231 and had multiple additional antibiotic resistance genes such as bla(CTX-M-15), armA methylase, aac(6')-Ib-cr, dfrA12, sul1 and qnrB and lack of porin genes ompK35 and ompK36. The patient was cured after abscess drainage.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Abdominal Abscess / diagnosis*
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Abdominal Abscess / microbiology*
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Abdominal Abscess / pathology
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Abdominal Abscess / therapy
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Adult
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Appendicitis / complications
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Drainage
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Drug Resistance, Multiple, Bacterial
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Genes, Bacterial
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Genotype
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Humans
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Klebsiella Infections / diagnosis*
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Klebsiella Infections / microbiology*
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Klebsiella Infections / pathology
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Klebsiella Infections / therapy
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Klebsiella pneumoniae / classification
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Klebsiella pneumoniae / enzymology*
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Klebsiella pneumoniae / genetics
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Klebsiella pneumoniae / isolation & purification*
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Male
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Multilocus Sequence Typing
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Spain
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beta-Lactamases / metabolism*
Substances
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beta-Lactamases
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beta-lactamase NDM-1