Streptococcus pyogenes pbp2x Mutation Confers Reduced Susceptibility to β-Lactam Antibiotics.

Vannice, Kirsten S; Ricaldi, Jessica; Nanduri, Srinivas; Fang, Ferric C; Lynch, John B; Bryson-Cahn, Chloe; Wright, Theodore; Duchin, Jeff et al. · Clin Infect Dis · 2020

basic_science · Level V

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Abstract

Two near-identical clinical Streptococcus pyogenes isolates of emm subtype emm43.4 with a pbp2x missense mutation (T553K) were detected. Minimum inhibitory concentrations (MICs) for ampicillin and amoxicillin were 8-fold higher, and the MIC for cefotaxime was 3-fold higher than for near-isogenic control isolates, consistent with a first step in developing β-lactam resistance.

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