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Molecular characterization of quinolone-resistant Neisseria gonorrhoeae in Hong Kong
Authors:Kam Kai Man  Kam Shirley Sin Yee  Cheung Danny Tze Leung  Tung Viola Wai Na  Au Wai Fun  Cheung May May
Affiliation:Sexually Transmitted Diseases Laboratory, Public Health Laboratory Centre, Pathology Service, Department of Health, Kowloon, Hong Kong, China. kmkam@dh-gov.hk
Abstract:In Hong Kong, ParC changes among high-level quinolone-resistant Neisseria gonorrhoeae (QRNG) isolates at Ser-87-->Arg were associated with a higher level of resistance than a Ser-87-->Ile alteration. Two previously undescribed mutations in clinical isolates occurring in gyrA, conferring Ala-92-->Pro and Asp-95-->Tyr changes, were detected. Nine different outer membrane lipoprotein (Lip) repeat classes-11 to 19 repeats-were identified, with repeat lengths of 16 and 17 the most common, indicating considerable strain diversity.
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