American Society for Microbiology, Antimicrobial Agents and Chemotherapy, 4(60), p. 2519-2523, 2016
DOI: 10.1128/aac.03053-15
Full text: Unavailable
ABSTRACT Here, we report two Enterobacter cloacae sequence type 231 isolates coproducing KPC-3 and NDM-1 that have caused lethal infections in a tertiary hospital in China. The bla NDM-1 -harboring plasmids carry IncA/C 2 and IncR replicons, showing a mosaic plasmid structure, and the bla NDM-1 is harbored on a novel class I integron-like element. bla KPC-3 is located on a Tn 3 -Δ bla TEM-1 - bla KPC-3 -ΔTn 1722 element, flanked by two 9-bp direct-repeat sequences and harbored on an IncX6 plasmid.