KPC and VIM producing Enterobacter cloacae strain from a hospital in northeastern Venezuela

Invest Clin. 2015 Jun;56(2):182-7.

Abstract

An 83-year-old male patient is admitted to the central hospital in Cumana, Venezuela with severe urinary infection, history of hospitalizaions and prolonged antimicrobial treatments. A strain of Enterobacter cloacae was isolated showing resistance to multiple types of antibiotics (only sensitive to gentamicin), with phenotype of serine- and metallo-carbapenemases. Both, bla(VIM-2) and bla(KPC) genes were detected in the isolate. This is the first report of an Enterobacteriaceae species producing both KPC carbapenemase and VIM metallo carbapenemase in Venezuela. This finding has a great clinical and epidemiological impact in the region, because of the feasibility of transferring these genes, through mobile elements to other strains of Enterobacter and to other infection-causing species of bacteria.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Anti-Bacterial Agents / pharmacology
  • Drug Resistance, Multiple, Bacterial
  • Enterobacter cloacae / genetics
  • Enterobacter cloacae / isolation & purification*
  • Enterobacteriaceae Infections / drug therapy
  • Enterobacteriaceae Infections / genetics*
  • Enterobacteriaceae Infections / microbiology
  • Humans
  • Male
  • Urinary Tract Infections / drug therapy
  • Urinary Tract Infections / microbiology
  • Venezuela
  • beta-Lactamases / genetics*

Substances

  • Anti-Bacterial Agents
  • beta-lactamase bla(vim-2)
  • beta-Lactamases
  • beta-lactamase KPC-3, Enterobacter cloacae