title: The characteristics of Klebsiella pneumoniae that produce KPC-2 imported from Greece.
abstract: We report a case of lower urinary tract infection due to KPC-2-producing K. pneumoniae (KpCG02) in an elderly patient who had recently been hospitalized in Greece. The patient was treated successfully on an outpatient basis by removing the Foley catheter and with a prophylactic dose of gentamicin. KpCG02, which belonged to ST258, contained repFII plasmids that tested positive for the vagCD addiction system and the uge, wabG, urea, mrkD, and fimH virulence factors. This case reemphasizes the need for vigilance screening for carbapenem-resistant Gram negatives in patients with a history of travel to endemic areas, such as Greece.
authors: Division of Microbiology, Calgary Laboratory Services, University of Calgary, Calgary, AB, Canada.
authors: Wilson W
authors: WW
authors: Chan
authors: Gisele
authors: G
authors: Peirano
authors: Daniel J
authors: DJ
authors: Smyth
authors: Johann D D
authors: JD
authors: Pitout
mesh_terms: D018829:Adhesins, Bacterial / Q000235:genetics; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000494:pharmacology; D001426:Bacterial Proteins / Q000235:genetics; D015780:Carbapenems / Q000494:pharmacology; D024901:Drug Resistance, Multiple, Bacterial; D036781:Fimbriae Proteins / Q000235:genetics; D005839:Gentamicins / Q000494:pharmacology; D006115:Greece; D006801:Humans; D007710:Klebsiella Infections / Q000188:drug therapy / Q000652:urine*; D007711:Klebsiella pneumoniae / Q000187:drug effects / Q000235:genetics / Q000302:isolation & purification*; D008297:Male; D008826:Microbial Sensitivity Tests; D014195:Travel; D037521:Virulence Factors / Q000235:genetics; D001618:beta-Lactamases / Q000235:genetics
chemical_list: D018829:Adhesins, Bacterial; D000900:Anti-Bacterial Agents; D001426:Bacterial Proteins; D015780:Carbapenems; D005839:Gentamicins; C058768:Klebsiella pneumoniae type 3 fimbrial adhesin; D037521:Virulence Factors; D036781:Fimbriae Proteins; D001618:beta-Lactamases; C531581:carbapenemase-2, Klebsiella pneumoniae