Postneurosurgical Meningitis Due to Proteus penneri with Selection of a Ceftriaxone-Resistant Isolate: Analysis of Chromosomal Class A β-Lactamase HugA and its LysR-Type Regulatory Protein HugR

Author:

Liassine Nadia1,Madec Stéphanie2,Ninet Béatrice1,Metral Catherine1,Fouchereau-Peron Martine3,Labia Roger2,Auckenthaler Raymond1

Affiliation:

1. Central Laboratory of Bacteriology, University Hospital, Geneva, Switzerland

2. Centre National de la Recherche Scientifique, Unité FRE 2125, Quimper

3. Centre de Biologie Marine, Unité FRE 2125, Concarneau, France

Abstract

ABSTRACT We report on a case of a postneurosurgical meningitis due to ceftriaxone-susceptible Proteus penneri , with selection of a ceftriaxone-resistant isolate following treatment with ceftriaxone. The isolates presented identical patterns by pulsed-field gel electrophoresis and produced a single β-lactamase named HugA with an isoelectric point of 6.7. The ceftriaxone-resistant isolate hyperproduced the β-lactamase (increase in the level of production, about 90-fold). The sequences of the hugA β-lactamase gene and its regulator, hugR , were identical in both P. penneri strains and had 85.96% homology with those of Proteus vulgaris . The HugA β-lactamase belongs to molecular class A, and the transcriptional regulator HugR belongs to the LysR family.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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