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Extensively drug-resistant (XDR) Neisseria gonorrhoeae causing possible gonorrhoea treatment failure with ceftriaxone plus azithromycin in Austria, April 2022
Austrian Agency for Health and Food Safety, Vienna, Austria.
Austrian Agency for Health and Food Safety, Vienna, Austria.
Örebro University, School of Medical Sciences. WHO Collaborating Centre for Gonorrhoea and Other STIs, National Reference Laboratory for STIs.ORCID iD: 0000-0002-0688-2521
Austrian Agency for Health and Food Safety, Vienna, Austria.
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2022 (English)In: Eurosurveillance, ISSN 1025-496X, E-ISSN 1560-7917, Vol. 27, no 24Article in journal (Refereed) Published
Abstract [en]

We describe a gonorrhoea case with ceftriaxone plus high-level azithromycin resistance. In April 2022, an Austrian heterosexual male was diagnosed with gonorrhoea after sexual intercourse with a female sex worker in Cambodia. Recommended treatment with ceftriaxone (1 g) plus azithromycin (1.5 g) possibly failed. Worryingly, this is the second strain in an Asian Neisseria gonorrhoeae genomic sublineage including high-level azithromycin-resistant strains that developed ceftriaxone resistance by acquisition of mosaic penA-60.001. Enhanced resistance surveillance and actions are imperative to prevent spread.

Place, publisher, year, edition, pages
European Centre for Disease Prevention and Control , 2022. Vol. 27, no 24
Keywords [en]
Neisseria gonorrhoeae, XDR, ceftriaxone resistance, extensively drug-resistant, high-level azithromycin resistance
National Category
Infectious Medicine
Identifiers
URN: urn:nbn:se:oru:diva-99649DOI: 10.2807/1560-7917.ES.2022.27.24.2200455ISI: 000815142300003PubMedID: 35713023Scopus ID: 2-s2.0-85132285154OAI: oai:DiVA.org:oru-99649DiVA, id: diva2:1673017
Note

Funding agencies:

Örebro County Council Research Committee

Foundation for Medical Research at Örebro University Hospital, Sweden

Available from: 2022-06-20 Created: 2022-06-20 Last updated: 2022-09-15Bibliographically approved

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Golparian, DanielJacobsson, SusanneUnemo, Magnus

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