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CASE REPORT
Year : 2014  |  Volume : 34  |  Issue : 1  |  Page : 44-48

Chronological emergence of a class a carbapenemase-producing Enterobacter aerogenes in Taiwan


1 Department of Pathology, Kaohsiung Armed Forced General Hospital, Kaohsiung; Division of Clinical Pathology, Department of Pathology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan, Republic of China
2 Division of Clinical Pathology, Department of Pathology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan, Republic of China
3 Division of Clinical Pathology, Department of Pathology, Tri-Service General Hospital and National Defense Medical Center; Graduate Institute of Pathology, National Defense Medical Center, Taipei, Taiwan, Republic of China

Correspondence Address:
Tzong-Shi Chiueh
Division of Clinical Pathology, Department of Pathology, Tri-Service General Hospital, No. 325, Sec. 2, Cheng-Kung Road, Taipei 114, Taiwan
Republic of China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1011-4564.129394

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This study reports the case of a 77-year-old, long-term, bedridden patient, with a nosocomial wound infection caused by a multidrug-resistant strain of Enterobacter aerogenes (E. aerogense). The isolate produced an Ambler-class A carbapenemase, which was demonstrated by the Modified Hodge test (MHT) and a confirmatory inhibition test. However, no known carbapenemase genes were discovered in this isolate by polymerase chain reactions (PCRs) with specific primers. New carbapenemase or other resistant mechanisms could be explored from the isolate of carbapenem-resistant E. aerogense, according to the revised criteria (CLSI, 2012).


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