title: Osteomyelitis due to multiple carbapenemase-producing Gram-negative bacteria: The first case report of a GES-13-producing Pseudomonas aeruginosa isolate in Canada.
abstract: A case of osteomyelitis in an infant following a burn injury sustained in Pakistan caused by a GES-13-producing Pseudomonas aeruginosa (the first reported in Canada) and an OXA-48 producing Klebsiella pneumoniae is described. The present case serves to highlight the importance of international travel as a risk factor for infection with carbapenemase-producing bacteria and the challenges in the laboratory detection of these organisms.
authors.affiliation: Department of Medical Microbiology, University of Manitoba;
authors.forename: Shadi
authors.initials: S
authors.lastname: Sepehri
authors.affiliation: Department of Medical Microbiology, University of Manitoba; ; Department of Pediatrics and Child Health, University of Manitoba; ; National Microbiology Laboratory;
authors.forename: Guillaume
authors.initials: G
authors.lastname: Poliquin
authors.affiliation: Department of Pediatrics and Child Health, University of Manitoba;
authors.forename: Nora
authors.initials: N
authors.lastname: Alfattoh
authors.affiliation: National Microbiology Laboratory;
authors.forename: David
authors.initials: D
authors.lastname: Boyd
authors.affiliation: Department of Medical Microbiology, University of Manitoba; ; National Microbiology Laboratory;
authors.forename: Michael
authors.initials: M
authors.lastname: Mulvey
authors.affiliation: Department of Medical Microbiology, University of Manitoba;
authors.forename: Andrew
authors.initials: A
authors.lastname: Denisuik
authors.affiliation: Department of Medical Microbiology, University of Manitoba; ; Department of Pediatrics and Child Health, University of Manitoba;
authors.forename: Sergio
authors.initials: S
authors.lastname: Fanella
authors.affiliation: Department of Medical Microbiology, University of Manitoba; ; Diagnostic Services Manitoba, Winnipeg, Manitoba.
authors.forename: James
authors.initials: J
authors.lastname: Karlowsky
authors.affiliation: Department of Medical Microbiology, University of Manitoba; ; Diagnostic Services Manitoba, Winnipeg, Manitoba.
authors.forename: Andrew
authors.initials: A
authors.lastname: Walkty
keywords: Carbapenemase; Continuous infusion; GES-13; Multidrug-resistant; OXA-48