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Multidrug-resistant Neisseria gonorrhoeae isolate SE690: mosaic penA-60.001 gene causing ceftriaxone resistance internationally has spread to the more antimicrobial- susceptible genomic lineage, Sweden, September 2022
Örebro University, School of Medical Sciences. WHO Collaborating Centre for Gonorrhoea and Other STIs, National Reference Laboratory for STIs, Department of Laboratory Medicine.ORCID iD: 0000-0002-0688-2521
Department of Clinical Microbiology, Karolinska University Hospital, Huddinge, Sweden.
Department of Venerology at Karolinska University Hospital, Stockholm, Sweden.
Örebro University, School of Medical Sciences. Örebro University Hospital. WHO Collaborating Centre for Gonorrhoea and Other STIs, National Reference Laboratory for STIs, Department of Laboratory Medicine.
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2023 (English)In: Eurosurveillance, ISSN 1025-496X, E-ISSN 1560-7917, Vol. 28, no 10, article id 2300125Article in journal (Refereed) Published
Abstract [en]

We report a ceftriaxone-resistant, multidrug-resist-ant urogenital Neisseria gonorrhoeae in a female sex worker in Sweden, September 2022, who was treated with ceftriaxone i g, but did not return for test-of-cure. Whole genome sequencing of isolate SE690 identified MLST ST8i30, NG-STAR CCi885 (new NG-STAR ST4859) and mosaic penA-6o.oo1. The latter, causing ceftriax-one resistance in the internationally spreading FC428 clone, has now also spread to the more antimicrobial -susceptible genomic lineage B, showing that strains across the gonococcal phylogeny can develop ceftri-axone resistance.
Place, publisher, year, edition, pages
European Centre for Disease Prevention and Control , 2023. Vol. 28, no 10, article id 2300125
National Category
Infectious Medicine
Identifiers
URN: urn:nbn:se:oru:diva-105633DOI: 10.2807/1560-7917.ES.2023.28.10.2300125ISI: 000953542500002PubMedID: 36892469Scopus ID: 2-s2.0-85150001286OAI: oai:DiVA.org:oru-105633DiVA, id: diva2:1752286
Note

Funding agencies:

Örebro County Council Research Committee

Foundation for Medical Research at Örebro University Hospital, Örebro, Sweden

Available from: 2023-04-21 Created: 2023-04-21 Last updated: 2023-04-21Bibliographically approved

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Golparian, DanielJacobsson, SusanneUnemo, Magnus

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