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Antimicrobial Agents and Chemotherapy, August 1999, p. 2069-2073, Vol. 43, No. 8
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

TEM-24 Produced by Four Different Species of Enterobacteriaceae, Including Providencia rettgeri, in a Single Patient

Helene Marchandin,1,* Christian Carriere,1 Danielle Sirot,2 Helene Jean- Pierre,1 and Helene Darbas1

Service de Bactériologie, Hôpital Arnaud de Villeneuve, 34295 Montpellier Cedex 5,1 and Service de Bactériologie, Faculté de Médecine et Pharmacie, 63001 Clermont Ferrand Cedex,2 France

Received 23 December 1998/Returned for modification 12 April 1999/Accepted 29 May 1999

Four species of members of the family Enterobacteriaceae harboring extended-spectrum beta -lactamase (ESBL) were recovered in a single patient hospitalized in an intensive care unit. Among these isolates, we describe for the first time an ESBL-producing Providencia rettgeri strain. Bacteria from the same species were shown to be genetically related by pulsed-field gel electrophoresis analysis. These strains produced the same TEM derivative ESBL, characterized as TEM-24. This enzyme had the peculiarity of being encoded by a large conjugative plasmid of 180 kb, never previously described for such an ESBL.

* Corresponding author. Mailing address: Laboratoire de Bactériologie, Hôpital Arnaud de Villeneuve, 371, Avenue du Doyen Gaston Giraud, 34295 Montpellier Cedex 5, France. Phone: 33 4 67 33 58 86. Fax: 33 4 67 33 58 93. E-mail: h=marchandin{at}chu-montpellier.fr.

Antimicrobial Agents and Chemotherapy, August 1999, p. 2069-2073, Vol. 43, No. 8
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.


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