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Osteomyelitis due to multiple carbapenemase-producing Gram-negative bacteria: The first case report of a GES-13-producing Pseudomonas aeruginosa isolate in Canada
Authors:Shadi Sepehri  Guillaume Poliquin  Nora Alfattoh  David Boyd  Michael Mulvey  Andrew Denisuik  Sergio Fanella  James Karlowsky  Andrew Walkty
Affiliation:1.Department of Medical Microbiology, University of Manitoba;;2.Department of Pediatrics and Child Health, University of Manitoba;;3.National Microbiology Laboratory;;4.Diagnostic Services Manitoba, Winnipeg, Manitoba
Abstract:A case of osteomyelitis in an infant following a burn injury sustained in Pakistan caused by a GES-13-producing Pseudomonas aeruginosa (the first reported in Canada) and an OXA-48 producing Klebsiella pneumoniae is described. The present case serves to highlight the importance of international travel as a risk factor for infection with carbapenemase-producing bacteria and the challenges in the laboratory detection of these organisms.
Keywords:Carbapenemase   Continuous infusion   GES-13   Multidrug-resistant   OXA-48
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