American Society for Microbiology, Antimicrobial Agents and Chemotherapy, 10(59), p. 6625-6628, 2015
DOI: 10.1128/aac.01275-15
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ABSTRACT A carbapenem-resistant Enterobacter cloacae strain, WCHECl-14653, causing a fatal bloodstream infection, was characterized by genome sequencing and conjugation experiments. The strain carried two carbapenemase genes, bla NDM-1 and bla KPC-2 , on separate IncF plasmids. The coexistence of bla NDM-1 and bla KPC-2 conferred slightly higher-level carbapenem resistance compared with that of bla NDM-1 or bla KPC-2 alone, and the coexistence of two IncF plasmids may generate new platforms for spreading carbapenemase genes.