First Description of Colistin and Tigecycline-Resistant <i>Acinetobacter baumannii</i> Producing KPC-3 Carbapenemase in Portugal

Herein, we describe a case report of carbapenem-resistant <i>Acinetobacter baumannii</i> and <i>Klebsiella pneumoniae</i> isolates that were identified from the same patient at a Tertiary University Hospital Centre in Portugal. Antimicrobial susceptibility and the molecular c...

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Bibliographic Details
Main Authors: Cátia Caneiras, Filipa Calisto, Gabriela Jorge da Silva, Luis Lito, José Melo-Cristino, Aida Duarte
Format: Article
Language:English
Published: MDPI AG 2018-11-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/7/4/96
Description
Summary:Herein, we describe a case report of carbapenem-resistant <i>Acinetobacter baumannii</i> and <i>Klebsiella pneumoniae</i> isolates that were identified from the same patient at a Tertiary University Hospital Centre in Portugal. Antimicrobial susceptibility and the molecular characterization of resistance and virulence determinants were performed. PCR screening identified the presence of the resistance genes <i>bla</i><sub>KPC-3</sub>, <i>bla</i><sub>TEM-1</sub> and <i>bla</i><sub>SHV-1</sub> in both isolates. The KPC-3 <i>K. pneumoniae</i> isolate belonged to the ST-14 high risk clone and accumulated an uncommon resistance and virulence profile additional to a horizontal dissemination capacity. In conclusion, the molecular screening led to the first identification of the <i>A. baumannii</i> KPC-3 producer in Portugal with a full antimicrobial resistance profile including tigecycline and colistin.
ISSN:2079-6382