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Antimicrobial Agents and Chemotherapy, November 2008, p. 4191-4193, Vol. 52, No. 11
0066-4804/08/$08.00+0     doi:10.1128/AAC.00518-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Interspecies Recombination Occurs Frequently in Quinolone Resistance-Determining Regions of Clinical Isolates of Streptococcus pyogenes{triangledown}

Christoph B. Duesberg,1 Surbhi Malhotra-Kumar,2 Herman Goossens,2 Lesley McGee,3 Keith P. Klugman,3,4 Tobias Welte,1 and Mathias W. R. Pletz1*

Department of Respiratory Medicine, Hannover Medical School, Hannover, Germany,1 Department of Medical Microbiology, Vaccine & Infectious Disease Institute, Universiteit Antwerpen, Antwerp, Belgium,2 Hubert Department of Global Health, Rollins School of Public Health, Atlanta, Georgia,3 Division of Infectious Diseases, School of Medicine, Emory University, Atlanta, Georgia4

Received 22 April 2008/ Returned for modification 5 June 2008/ Accepted 21 August 2008

Fluoroquinolone resistance in Streptococcus pyogenes has been reported only anecdotally, but a recent Belgian surveillance study found a rate of nonsusceptibility of 5.4%. From an analysis of these isolates, we show that interspecies horizontal gene transfer within the parC quinolone resistance-determining region is a frequent phenomenon that might contribute to fluoroquinolone resistance.


* Corresponding author. Mailing address: Department of Respiratory Medicine, Hannover Medical School, Carl-Neuberg-Str. 1, Hannover 30625, Germany. Phone: 49 511 532 3661. Fax: 49 511 532 9674 3353. E-mail: pletz.mathias{at}mh-hannover.de

{triangledown} Published ahead of print on 2 September 2008.


Antimicrobial Agents and Chemotherapy, November 2008, p. 4191-4193, Vol. 52, No. 11
0066-4804/08/$08.00+0     doi:10.1128/AAC.00518-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.




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