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Journal of Clinical Microbiology, November 2009, p. 3780-3782, Vol. 47, No. 11
0095-1137/09/$08.00+0     doi:10.1128/JCM.01361-09
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Transmission of an Extended-Spectrum-Beta-Lactamase-Producing Escherichia coli (Sequence Type ST131) Strain between a Father and Daughter Resulting in Septic Shock and Emphysematous Pyelonephritis {triangledown}

Peter T. Ender,1* Deepakraj Gajanana,2 Brian Johnston,3 Connie Clabots,3 Frank J. Tamarkin,4 and James R. Johnson3

Section of Infectious Diseases, St. Luke's Hospital and Health Network, Bethlehem, Pennsylvania,1 Department of Internal Medicine, St. Luke's Hospital and Health Network, Bethlehem, Pennsylvania,2 VA Medical Center, Minneapolis, Minnesota, and Department of Medicine, University of Minnesota, Minneapolis, Minnesota,3 Section of Urology, St. Luke's Hospital and Health Network, Bethlehem, Pennsylvania4

Received 12 July 2009/ Returned for modification 12 August 2009/ Accepted 2 September 2009

Probable transmission of an extended-spectrum-beta-lactamase-producing Escherichia coli strain (sequence type ST131) between a father and daughter was documented. The father developed severe, recurrent pyelonephritis with multiple small abscesses; the daughter later developed septic shock, bacteremia, and extensive emphysematous pyelonephritis. This multidrug-resistant E. coli clone appears to be highly pathogenic and transmissible.

* Corresponding author. Mailing address: St. Luke's Hospital, 801 Ostrum Street, Bethlehem, PA 18015. Phone: (610) 954-4000. Fax: (610) 954-2444. E-mail: enderp{at}hotmail.com

{triangledown} Published ahead of print on 9 September 2009.

Journal of Clinical Microbiology, November 2009, p. 3780-3782, Vol. 47, No. 11
0095-1137/09/$08.00+0     doi:10.1128/JCM.01361-09
Copyright © 2009, American Society for Microbiology. All Rights Reserved.





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