JMI Laboratories, North Liberty, Iowa, USA.
J Clin Microbiol. 2013 Aug;51(8):2728-31. doi: 10.1128/JCM.00757-13. Epub 2013 May 22.
This study describes a clinical case of a 71-year-old male with a history of ischemic cardiomyopathy after left ventricular assist device (LVAD) endocarditis caused by methicillin-resistant Staphylococcus epidermidis (MRSE) and a rare linezolid-resistant Streptococcus sanguinis strain (MIC, 32 μg/ml). The patient received courses of several antimicrobial agents, including linezolid for 79 days. The S. sanguinis strain had mutations in the 23S rRNA (T2211C, T2406C, G2576T, C2610T) and an amino acid substitution (N56D) in L22 and exhibited cross-resistance to ribosome-targeting agents.
本研究描述了一例临床病例,一名 71 岁男性患有左心室辅助装置 (LVAD) 心内膜炎后缺血性心肌病,病因是耐甲氧西林表皮葡萄球菌 (MRSE) 和一种罕见的利奈唑胺耐药的血链球菌株 (MIC,32μg/ml)。该患者接受了多种抗菌药物治疗,包括利奈唑胺治疗 79 天。血链球菌株在 23S rRNA 中发生突变 (T2211C、T2406C、G2576T、C2610T) 和 L22 中的氨基酸取代 (N56D),并表现出对核糖体靶向药物的交叉耐药性。