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Antonie Van Leeuwenhoek ; 112(6): 961-964, 2019 Jun.
Article in English | MEDLINE | ID: mdl-30663019

ABSTRACT

We present a post-operative infection caused by a methicillin-resistant Staphylococcus aureus strain, previously isolated in the preoperative screening, in a patient submitted to femoral osteosynthesis, successfully treated with oral ciprofloxacin. The isolate exhibited in vitro resistance to ciprofloxacin, Staphylococcal Cassette Chromosome mec type IV, it was negative for the lukS-PV Panton-Valentine leucocidin gene and belonged to ST2594 in multilocus sequence typing analysis. Whole genome sequencing revealed a genome size of 2,818,289 base pairs. The annotated genomes of ST2594 and N315 strains were compared, looking for genes related to virulence and resistance. The lack of the tst, sec, sel genes, associated with a mutation in the clfA gene, may partially explain the low morbity in this case.


Subject(s)
Methicillin-Resistant Staphylococcus aureus/isolation & purification , Postoperative Complications/microbiology , Staphylococcal Infections/microbiology , Aged, 80 and over , Anti-Bacterial Agents/pharmacology , Bacterial Proteins/genetics , Ciprofloxacin/pharmacology , Drug Resistance, Bacterial , Female , Genome, Bacterial , Groin/microbiology , Humans , Methicillin-Resistant Staphylococcus aureus/classification , Methicillin-Resistant Staphylococcus aureus/drug effects , Methicillin-Resistant Staphylococcus aureus/genetics , Microbial Sensitivity Tests , Postoperative Complications/drug therapy , Preoperative Period , Staphylococcal Infections/drug therapy , Virulence Factors/genetics , Whole Genome Sequencing
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