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Journal of Clinical Microbiology, September 2006, p. 3465-3467, Vol. 44, No. 9
0095-1137/06/$08.00+0     doi:10.1128/JCM.00316-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Two Cases of Infections Due to Multidrug-Resistant Bacteroides fragilis Group Strains

Department of Microbiology, Laikon General Hospital, 11527 Athens, Greece,¹ First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laikon General Hospital, 11527 Athens, Greece,² Intensive Care Unit, Laikon General Hospital, 11527 Athens, Greece,³ Department of Microbiology, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece⁴

Received 13 February 2006/ Returned for modification 4 April 2006/ Accepted 19 June 2006

Bacteroides fragilis group strains are still considered susceptible to most antimicrobial agents used for the treatment of infections caused by anaerobic organisms. We describe two cases of infections due to isolates simultaneously resistant to clindamycin, tetracycline, cefoxitin, piperacillin-tazobactam, and imipenem and, in one of the two cases, to metronidazole. Such infections, although still rare, do exist and tend to complicate treatment.