Clinical Isolate of Vancomycin-Heterointermediate Staphylococcus aureus Susceptible to Methicillin and In Vitro Selection of a Vancomycin-Resistant Derivative

Author:

Bobin-Dubreux Sophie1,Reverdy Marie-Elisabeth1,Nervi Chantal1,Rougier Martine1,Bolmström Anne2,Vandenesch François1,Etienne Jerome1

Affiliation:

1. Laboratoire de Microbiologie, EA 1655, Hôpital Edouard Herriot, 69437 Lyon cedex 03, France,1 and

2. AB BIODISK, S-169 56 Solna, Sweden2

Abstract

ABSTRACT A Staphylococcus aureus strain with low-level heteroresistance to vancomycin (designated MER) but susceptible to methicillin was isolated from an outpatient with conjunctivitis who did not receive any glycopeptide antibiotics. Incubation of the parent strain, MER, with increasing concentrations of vancomycin led to rapid selection of a stable progeny homogeneously resistant to vancomycin. Electron micrographs of strain MER showed enhanced cell wall thickness and abnormal septations typically seen with methicillin-resistant S. aureus having intermediate susceptibility to vancomycin.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference11 articles.

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