Molecular Analysis of the Simultaneous Production of Two SHV-Type Extended-Spectrum Beta-Lactamases in a Clinical Isolate of Enterobacter cloacae by Using Single-Nucleotide Polymorphism Genotyping

Author:

Szabó Dóra12,Melan Melissa A.3,Hujer Andrea M.4,Bonomo Robert A.4,Hujer Kristine M.4,Bethel Christopher R.4,Kristóf Katalin1,Paterson David L.2

Affiliation:

1. Institute of Medical Microbiology, Semmelweis University, Budapest, Hungary

2. Division of Infectious Diseases, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213

3. Department of Pathology, Division of Molecular Diagnostics, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213

4. Research Service, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, Ohio 44106

Abstract

ABSTRACT Bacteria that simultaneously produce multiple extended-spectrum beta-lactamases are frequently isolated. We report an Enterobacter cloacae isolate, ES24, producing four different beta-lactamases (AmpC type beta-lactamase, TEM-1, SHV-7, and a novel extended-spectrum beta-lactamase, SHV-30). Direct sequencing of bla SHV gene products gave a “double peak” at position 703, suggesting the presence of more than one allele. Using fluorescence resonance energy transfer real-time PCR to detect single-nucleotide polymorphisms, we were able to distinguish two different bla SHV genes in a single isolate. This may prove to be a useful technique in surveys of beta-lactamase production in contemporary clinical isolates.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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