Emergence of Linezolid-Resistant Mutants in a Susceptible-Cell Population of Methicillin-Resistant Staphylococcus aureus

Author:

Ikeda-Dantsuji Yurika1,Hanaki Hideaki1,Nakae Taiji1,Takesue Yoshio2,Tomono Kazunori3,Honda Junichi4,Yanagihara Katsunori5,Mikamo Hiroshige6,Fukuchi Kunihiko7,Kaku Mitsuo8,Kohno Shigeru9,Niki Yoshihito10

Affiliation:

1. Laboratory for Antimicrobial Agents, Kitasato University, Tokyo

2. Department of Infection Control and Prevention, Hyogo College of Medicine, Hyogo

3. Department of Clinical Infectious Disease, Osaka University School of Medicine, Osaka

4. Department of Infection Control, St. Mary's Hospital, Fukuoka

5. Department of Laboratory Medicine, Nagasaki University School of Medicine, Nagasaki

6. Department of Infection Control and Prevention, Aichi Medical University, Aichi

7. Department of Laboratory Medicine, Showa University School of Medicine, Tokyo

8. Department of Infection Control and Laboratory Diagnostics, Internal Medicine, Tohoku University Graduate School of Medicine, Miyagi

9. Second Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki

10. Department of Clinical Infectious Disease, Showa University School of Medicine, Tokyo, Japan

Abstract

ABSTRACT Methicillin-resistant Staphylococcus aureus with a MIC of linezolid of 4 μg/ml, isolated from a patient who had undergone unsuccessful linezolid therapy, yielded linezolid-resistant mutants in blood agar at 48 h of incubation. The resistant clones showed a MIC of linezolid ranging from 8 to 64 μg/ml and accumulated the T2500A mutation(s) of the rRNA genes. Emergence of these resistant clones appears to be facilitated by a cryptic mutation or mutations associated with chloramphenicol resistance.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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