Simultaneous gut colonization by Klebsiella grimontii and Escherichia coli co-possessing the blaKPC-3-carrying pQil plasmid

Eur J Clin Microbiol Infect Dis. 2022 Jul;41(7):1087-1091. doi: 10.1007/s10096-022-04462-z. Epub 2022 May 28.

Abstract

Only two plasmid-mediated carbapenemases (KPC-2 and VIM-1) are reported in Klebsiella grimontii. Here, we report two blaKPC-3-positive isolates that were identified as K. oxytoca and E. coli by MALDI-TOF MS in the same rectal swab. Whole-genome sequencing indicated that K. oxytoca was actually K. grimontii of ST391, whereas E. coli was of ST10. In both, blaKPC-3 was carried by a pQil conjugative plasmid. The core-genome analysis identified additional blaKPC-positive K. grimontii strains from public databases, most of which were misidentified as K. oxytoca. Since K. grimontii represents an emerging reservoir of resistance traits, routine tools should improve their ability to detect this species.

Keywords: Carbapenemase; Conjugation; K. grimontii; K. oxytoca; KPC; Plasmid; pQil.

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Bacterial Proteins / genetics
  • Escherichia coli / genetics
  • Escherichia coli Infections*
  • Humans
  • Klebsiella Infections* / microbiology
  • Klebsiella oxytoca
  • Klebsiella* / genetics
  • Microbial Sensitivity Tests
  • Plasmids / genetics
  • beta-Lactamases / genetics

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • beta-Lactamases

Supplementary concepts

  • Klebsiella grimontii