Division of Infectious Diseases, Department of Medicine, Maine Medical Center, Portland, Maine, USA.
J Clin Microbiol. 2011 Sep;49(9):3406-8. doi: 10.1128/JCM.00993-11. Epub 2011 Jul 13.
A middle-aged woman developed fatal urosepsis due to a multidrug-resistant Escherichia coli strain representing sequence type ST131, a recently emerged, disseminated, multidrug-resistant extraintestinal pathogen, after presumably having acquired it from her extensively antibiotic-exposed sister with chronic recurrent cystitis. Susceptibility results (reported on day 4) showed resistance to the initially selected regimen.
一名中年女性因一株携带 ST131 序列型的多药耐药型大肠杆菌而发生致命性尿路脓毒血症,该菌为新近出现的、广泛传播的、多重耐药的肠外病原体,推测该女性从其患有慢性复发性膀胱炎且广泛使用抗生素的姐姐处获得。药敏试验结果(第 4 天报告)显示最初选择的治疗方案耐药。