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Volume 17, Number 1—January 2011

Letter

Empyema caused by MRSA ST398 with Atypical Resistance Profile, Spain

Carmen Lozano, Carmen Aspiroz, Ana Isabel Ezpeleta, Elena Gómez-Sanz, Myriam Zarazaga, and Carmen TorresComments to Author 
Author affiliations: Author affiliations: Universidad de La Rioja, Logroño, Spain (C. Lozano, E. Gómez-Sanz, M. Zarazaga, C. Torres); Hospital Royo Villanova, Zaragoza, Spain (C. Aspiroz, A.I. Ezpeleta)

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Table

Characteristics of methicillin-resistant Staphylococcus aureus strains recovered from humans and animals, Spain, 2009*

Strain Origin SCCmec type MLST/spa type agr PFGE Antimicrobial resistance phenotype Resistance genes detected Amino acid change
GrlA GyrA
C2355 Patient,
pleural fluid V ST398/t011 I A1 OXA-CLI-TET-CIP-LEV mecA, tetK, tetM, vga(A) S80F S84L
C2354 Patient,
bronchial aspirate V ST398/t011 I A2 OXA-CLI-TET-CIP-LEV mecA, tetK, tetM, vga(A) S80F S84L
C2634 Patient,
nasal swab V ST398/t011 I A1 OXA-CLI-TET-CIP-LEV mecA, tetK, tetM, vga(A) S80F S84L
C2664 Son,
nasal swab V ST398/t011 I A1 OXA-CLI-TET-CIP-LEV mecA, tetK, tetM, vga(A) S80F S84L
C2669 Pig 1,
nasal swab V ST398/t011 I A1 OXA-CLI-TET-CIP-LEV mecA, tetK, tetM, vga(A) S80F S84L
C2670 Pig 2,
nasal swab V ST398/t011 I A1 OXA-CLI-TET-CIP-LEV mecA, tetK, tetM, vga(A) S80F S84L
C2694 Pig 3,
nasal swab V ST398/t011 I A1 OXA-CLI-TET-CIP-LEV mecA, tetK, tetM, vga(A) S80F S84L
C2695 Pig 4,
nasal swab V ST398/t011 I A1 OXA-CLI-TET-CIP-LEV mecA, tetK, tetM, vga(A) S80F S84L
C2697 Pig 5,
nasal swab V ST398/t011 I A3 OXA-CLI-TET-CIP-LEV mecA, tetK, tetM, vga(A) S80F S84L
C2698 Pig 6,
nasal swab V ST398/t011 I A1 OXA-CLI-TET-CIP-LEV mecA, tetK, tetM, vga(A) S80F S84L
C2700 Pig 7,
nasal swab V ST398/t011 I A3 OXA-CLI-TET-CIP-LEV mecA, tetK, tetM, vga(A) S80F S84L
C2704 Pig 8,
nasal swab V ST398/t011 I A1 OXA-CLI-TET-CIP-LEV mecA, tetK, tetM, vga(A) S80F S84L
C2706 Pig 9,
nasal swab V ST398/t1451 I A1 OXA-CLI-TET-CIP-LEV mecA, tetK, tetM, vga(A) S80F S84L

*All strains were susceptible to fusidic acid, fosfomycin, gentamicin, tobramycin, mupirocin, trimethoprim-sulfamethoxazole, vancomycin, teicoplanin, quinupristin/dalfopristin, and tigecycline. SCC, staphylococcal cassette chromosome; MLST, multilocus sequence typing; PFGE, pulsed-field gel electrophoresis; ST, sequence type; OXA, oxacillin; CLI, clindamycin; TET, tetracycline; CIP, ciprofloxacin; LEV, levofloxacin.

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