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Annals of Clinical & Laboratory Science 34:214-217 (2004)
© 2004 Association of Clinical Scientists

Case Report

Bacteremia Due to Salmonella enterica Serotype Montevideo Producing Plasmid-Mediated AmpC ß-Lactamase (DHA-1)

Ja-Young Kim1, Yeon-Joon Park1, Seung-Ok Lee1, Wonkeun Song2, Seok Hoon Jeong3, Young A Yoo4 and Kyo-Young Lee1
1 Department of Clinical Pathology, College of Medicine, The Catholic University of Korea, Seoul; 2 Department of Laboratory Medicine, Hallym University, Seoul; 3 Kosin University College of Medicine, Busan; and 4 Seoul Metropolitan Government Research Institute of Public Health and Environment, Seoul, Korea

Address correspondence to Yeon-Joon Park, M.D., Department of Clinical Pathology, College of Medicine, The Catholic University of Korea, Kangnam St.Mary‘s Hospital, 505 Banpodong, Seocho-ku, Seoul, 137-701, Korea; tel 82 2 590 1604; fax 82 2 536 1594; e-mail: yjpk{at}catholic.ac.kr.

Abstract

A Salmonella enterica Serotype Montevideo is described that harbors DHA-1, a plasmid-mediated AmpC ß-lactamase. The organism was isolated from blood and stool specimens of a 3-yr-old girl. The isolate was multi-drug resistant, including cefoxitin, gentamicin, piperacillin, cefuroxime, ceftazidime, and cefotaxime, and an antagonism was observed between cefoxitin and oxyiminocephalosporins. The resistance to ceftazidime and cefotaxime was transferred by conjugation to the recipient E. coli J53. To our knowledge, this is the first description of Salmonella enterica Serotype Montevideo harboring DHA-1.

Keywords: Salmonella enterica Serotype Montevideo, DHA-1, multi-drug resistance




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