Possible misinterpretation of penicillin susceptibility in Staphylococcus aureus blood isolate due to in vitro loss of the blaZ gene
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Possible misinterpretation of penicillin susceptibility in Staphylococcus aureus blood isolate due to in vitro loss of the blaZ gene. / Eriksen, Helle Brander; Petersen, Andreas; Pedersen, Michael; Overballe-Petersen, Søren; Larsen, Anders Rhod; Holzknecht, Barbara Juliane.
In: European Journal of Clinical Microbiology and Infectious Diseases, Vol. 41, No. 1, 2022, p. 163-167.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Possible misinterpretation of penicillin susceptibility in Staphylococcus aureus blood isolate due to in vitro loss of the blaZ gene
AU - Eriksen, Helle Brander
AU - Petersen, Andreas
AU - Pedersen, Michael
AU - Overballe-Petersen, Søren
AU - Larsen, Anders Rhod
AU - Holzknecht, Barbara Juliane
N1 - Publisher Copyright: © 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2022
Y1 - 2022
N2 - We describe a case of recurrent catheter-related blood stream infections (BSI) with Staphylococcusaureus, in which the first isolate tested susceptible to penicillin, while subsequent isolates were resistant. Phenotypic susceptibility correlated with the absence/presence of the blaZ gene. The in vitro stability of penicillin resistance was investigated by subculturing single colonies. In two out of five colonies, phenotypical resistance was lost after a single subculture, which correlated with loss of the blaZ gene. This in vitro phenomenon probably resulted in a very major error in the microbiology report of the first BSI, where penicillin had been recommended as treatment.
AB - We describe a case of recurrent catheter-related blood stream infections (BSI) with Staphylococcusaureus, in which the first isolate tested susceptible to penicillin, while subsequent isolates were resistant. Phenotypic susceptibility correlated with the absence/presence of the blaZ gene. The in vitro stability of penicillin resistance was investigated by subculturing single colonies. In two out of five colonies, phenotypical resistance was lost after a single subculture, which correlated with loss of the blaZ gene. This in vitro phenomenon probably resulted in a very major error in the microbiology report of the first BSI, where penicillin had been recommended as treatment.
KW - blaZ
KW - In vitro susceptibility testing
KW - PSSA PRSA
KW - Staphylococcus aureus
U2 - 10.1007/s10096-021-04344-w
DO - 10.1007/s10096-021-04344-w
M3 - Journal article
C2 - 34529167
AN - SCOPUS:85115057061
VL - 41
SP - 163
EP - 167
JO - European Journal of Clinical Microbiology & Infectious Diseases
JF - European Journal of Clinical Microbiology & Infectious Diseases
SN - 0934-9723
IS - 1
ER -
ID: 313705552