Casin Isabelle, Breuil Jacques, Darchis Jean Pierre, Guelpa Claire, Collatz Ekkehard
Hõpital Saint-Louis, Université Paris VII, Paris, France.
Emerg Infect Dis. 2003 Nov;9(11):1455-7. doi: 10.3201/eid0911.030317.
We report two cases of infection with clonally unrelated, high-level ciprofloxacin-resistant, b-lactamase-producing strains of Salmonella enterica Typhimurium. Resistance was caused by four topoisomerase mutations, in GyrA, GyrB, and ParC and increased drug efflux. Ciprofloxacin treatment failed in one case. In the second case, reduced susceptibility to third-generation cephalosporins occurred after initial treatment with these drugs and may explain the treatment failure with ceftriaxone.
我们报告了两例感染鼠伤寒沙门氏菌的病例,这两例感染由克隆无关、对环丙沙星高度耐药且产β-内酰胺酶的菌株引起。耐药性是由GyrA、GyrB和ParC中的四个拓扑异构酶突变以及药物外排增加导致的。环丙沙星治疗在其中一例中失败。在第二例中,最初使用第三代头孢菌素治疗后出现了对这些药物的敏感性降低,这可能解释了头孢曲松治疗失败的原因。