title: Abdominal abscess due to NDM-1-producing Klebsiella pneumoniae in Spain.
abstract: We describe a clinical case of an abdominal abscess due to NDM-1-producing Klebsiella pneumoniae in a 35-year-old Spanish patient after hospitalization in India for perforated appendicitis and peritonitis. The strain belonged to the MLST type 231 and had multiple additional antibiotic resistance genes such as bla(CTX-M-15), armA methylase, aac(6')-Ib-cr, dfrA12, sul1 and qnrB and lack of porin genes ompK35 and ompK36. The patient was cured after abscess drainage.
authors.affiliation: Spanish Network in Infectious Pathology (REIPI), Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.|Antibiotic Laboratory, Bacteriology, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.
authors.forename: Jesús
authors.initials: J
authors.lastname: Oteo
authors.affiliation: Microbiology Department, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Diego
authors.initials: D
authors.lastname: Domingo-García
authors.affiliation: Antibiotic Laboratory, Bacteriology, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.
authors.forename: Sara
authors.initials: S
authors.lastname: Fernández-Romero
authors.affiliation: Antibiotic Laboratory, Bacteriology, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.
authors.forename: David
authors.initials: D
authors.lastname: Saez
authors.affiliation: Microbiology Department, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Alba
authors.initials: A
authors.lastname: Guiu
authors.affiliation: Antibiotic Laboratory, Bacteriology, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.
authors.forename: Oscar
authors.initials: O
authors.lastname: Cuevas
authors.affiliation: Microbiology Department, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Lopez-Brea
authors.affiliation: Consejo Superior de Investigaciones Científicas, Madrid, Spain.|Spanish Network in Infectious Pathology (REIPI), Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.|Antibiotic Laboratory, Bacteriology, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.
authors.forename: José
authors.initials: J
authors.lastname: Campos
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis* / Q000382:microbiology* / Q000473:pathology / Q000628:therapy; D000328:Adult; D001064:Appendicitis / Q000150:complications; D004322:Drainage; D024901:Drug Resistance, Multiple, Bacterial; D005798:Genes, Bacterial; D005838:Genotype; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis* / Q000382:microbiology* / Q000473:pathology / Q000628:therapy; D007711:Klebsiella pneumoniae / Q000145:classification / Q000201:enzymology* / Q000235:genetics / Q000302:isolation & purification*; D008297:Male; D058885:Multilocus Sequence Typing; D013030:Spain; D001618:beta-Lactamases / Q000378:metabolism*
chemical_list: D001618:beta-Lactamases; C552864:beta-lactamase NDM-1