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Two paediatric cases of skin and soft-tissue infections due to clindamycin-resistant Staphylococcus aureus carrying a plasmid-encoded vga(A) allelic variant for a putative efflux pump
Authors:Qin Xuan  Poon Brian  Kwong Justin  Niles Denver  Schmidt Byron Z  Rajagopal Lakshmi  Gantt Soren
Affiliation:a Microbiology Laboratory, A9601, Seattle Children''s Hospital, 4800 Sand Point Way, NE, Seattle, WA 98105, USA
b Department of Laboratory Medicine, University of Washington School of Medicine, Seattle, WA, USA
c Seattle Children''s Hospital Research Institute, Seattle Children''s Hospital, Seattle, WA, USA
d Department of Pediatrics, Division of Infectious Diseases, University of Washington School of Medicine, Seattle, WA, USA
Abstract:Two clinical Staphylococcus aureus isolates were investigated due to their unusual antimicrobial susceptibility pattern, i.e. erythromycin-susceptible but clindamycin-resistant. These isolates harboured identical copies of a plasmid-borne vga(A)LC gene not previously described in S. aureus. The native plasmids carrying vga(A)LC were transferable to a susceptible laboratory strain of S. aureus in vitro, in which they conferred resistance patterns similar to the parent isolates.
Keywords:Staphylococcus aureus   Clindamycin   Efflux pump
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