Development of macrolide resistance by ribosomal protein L4 mutation in Streptococcus pyogenes during miocamycin treatment of an eight-year-old Greek child with tonsillopharyngitis

被引:7
作者
Bozdogan, B [1 ]
Appelbaum, PC
Ednie, L
Grivea, IN
Syrogiannopoulos, GA
机构
[1] Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
[2] Univ Patras, Sch Med, Dept Pediat, GR-26110 Patras, Greece
关键词
Streptococcus pyogenes; macrolide resistance; ribosomal mutation;
D O I
10.1046/j.1469-0691.2003.00670.x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Streptococcus pyogenes isolates with the same pulsed-field patterns were recovered from the throat cultures of a child with tonsillopharyngitis before and after treatment with miocamycin, a 16-membered macrolide. The initial isolate was macrolide-susceptible, but the isolates after the treatment were resistant to 14 and 15-membered macrolides and had two amino acid (65WR66) deletions in ribosomal protein L4.
引用
收藏
页码:966 / 969
页数:4
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