First report of Shigella sonnei carrying a blaCTX-M-15 sexually transmitted among men who have sex with men.

IF 5.4 2区 医学 Q1 INFECTIOUS DISEASES Infection Pub Date : 2025-02-01 Epub Date: 2024-07-10 DOI:10.1007/s15010-024-02341-7
Domingo Fernández Vecilla, Mikel Joseba Urrutikoetxea Gutiérrez, María Carmen Nieto Toboso, Kristina Zugazaga Inchaurza, Estíbaliz Ugalde Zárraga, Beatriz Ruiz Estévez, José Luis Díaz de Tuesta Del Arco
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Abstract

Epidemiology of shigellosis has drastically changed in recent years due to globalization and sexual risk behaviors. Here, through whole-genome sequencing, we characterized two ESBL-producing Shigella sonnei strains (ShSoBUH1 and ShSoBUH2) carrying a blaCTX-M-15 among men who have sex with men (MSM), who had not recently traveled and presented sexual risk behaviors. Both strains harbored IncB/O/K/Z and IncFII plasmids, which carry aadA1, aadA5, sul1, sul2, dfrA1, dfrA17, mph(A), erm(B), tet(B), qacE and blaCTX-M-15 genes conferring resistance to 2nd and 3rd generation cephalosporins, cotrimoxazole, erythromycin, azithromycin and quinolones. IncFII plasmids containing blaCTX-M-15 from ShSoBUH1 and ShSoBUH2 presented 99,8-99,9% similarity with plasmids from another five CTX-M-15 S. sonnei strains detected in Belgium and Switzerland. A single-nucleotide polymorphism (SNP) analysis determined that the study strains differed by 361 SNPs, belonging to different clusters. To the best of our knowledge, this is the first report describing two extensively drug-resistant (XDR) CTX-M-15 S. sonnei strains in MSM.

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首次报告携带 blaCTX-M-15 的子内志贺氏菌在男男性行为者中通过性传播。
近年来,由于全球化和性风险行为,志贺氏杆菌病的流行病学发生了巨大变化。在这里,我们通过全基因组测序,鉴定了两株产ESBL的子代志贺菌(ShSoBUH1和ShSoBUH2),它们携带blaCTX-M-15,感染者为近期未出过远门且有性危险行为的男男性行为者(MSM)。这两种菌株都携带 IncB/O/K/Z 和 IncFII 质粒,这些质粒携带 aadA1、aadA5、sul1、sul2、dfrA1、dfrA17、mph(A)、erm(B)、tet(B)、qacE 和 blaCTX-M-15 基因,可产生对第二代和第三代头孢菌素、复方新诺明、红霉素、阿奇霉素和喹诺酮类药物的耐药性。ShSoBUH1 和 ShSoBUH2 中含有 blaCTX-M-15 的 IncFII 质粒与比利时和瑞士检测到的另外五株 CTX-M-15 S. sonnei 菌株的质粒相似度为 99.8%-99.9%。单核苷酸多态性(SNP)分析表明,研究菌株有 361 个 SNPs 不同,属于不同的群组。据我们所知,这是第一份描述 MSM 中两株广泛耐药(XDR)CTX-M-15 S. sonnei 菌株的报告。
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来源期刊
Infection
Infection 医学-传染病学
CiteScore
12.50
自引率
1.30%
发文量
224
审稿时长
6-12 weeks
期刊介绍: Infection is a journal dedicated to serving as a global forum for the presentation and discussion of clinically relevant information on infectious diseases. Its primary goal is to engage readers and contributors from various regions around the world in the exchange of knowledge about the etiology, pathogenesis, diagnosis, and treatment of infectious diseases, both in outpatient and inpatient settings. The journal covers a wide range of topics, including: Etiology: The study of the causes of infectious diseases. Pathogenesis: The process by which an infectious agent causes disease. Diagnosis: The methods and techniques used to identify infectious diseases. Treatment: The medical interventions and strategies employed to treat infectious diseases. Public Health: Issues of local, regional, or international significance related to infectious diseases, including prevention, control, and management strategies. Hospital Epidemiology: The study of the spread of infectious diseases within healthcare settings and the measures to prevent nosocomial infections. In addition to these, Infection also includes a specialized "Images" section, which focuses on high-quality visual content, such as images, photographs, and microscopic slides, accompanied by brief abstracts. This section is designed to highlight the clinical and diagnostic value of visual aids in the field of infectious diseases, as many conditions present with characteristic clinical signs that can be diagnosed through inspection, and imaging and microscopy are crucial for accurate diagnosis. The journal's comprehensive approach ensures that it remains a valuable resource for healthcare professionals and researchers in the field of infectious diseases.
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