Resistance to Multiple Fluoroquinolones in a Clinical Isolate of Streptococcus pyogenes : Identification of gyrA and parC and Specification of Point Mutations Associated with Resistance

Author:

Yan S. Steve1,Fox Melissa L.2,Holland Steven M.2,Stock Frida1,Gill Vee J.1,Fedorko Daniel P.1

Affiliation:

1. Microbiology Service, CPD, Clinical Center,1 and

2. the Laboratory of Host Defenses, National Institute of Allergy and Infectious Diseases,2 National Institutes of Health, Bethesda, Maryland 20892-1508

Abstract

ABSTRACT A strain of Streptococcus pyogenes resistant to multiple fluoroquinolones was isolated from the blood of an immunocompromised patient. Resistance to fluoroquinolones in S. pyogenes has not been previously studied. Compared to 10 sensitive strains of S. pyogenes , the fluoroquinolone-resistant clinical isolate of S. pyogenes presented point mutations in gyrA , predicting that serine-81 was changed to phenylalanine and that methionine-99 was changed to leucine, and in parC , predicting that serine-79 was changed to tyrosine. The mechanism of fluoroquinolone resistance in this isolate of S. pyogenes appears to be analogous to previously reported mechanisms for Streptococcus pneumoniae .

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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