Antibiotic resistance and resistance mechanism of Corynebacterium kroppenstedtii isolated from patients with mastadenitis

Eur J Clin Microbiol Infect Dis. 2023 Apr;42(4):525-528. doi: 10.1007/s10096-023-04558-0. Epub 2023 Feb 27.

Abstract

To investigate the antibiotic resistance and resistance mechanism of Corynebacterium kroppenstedtii (C. kroppenstedtii) isolated from patients with mastadenitis. Ninety C. kroppenstedtii clinical isolates were obtained from clinical specimens in 2018-2019. Species identification was performed using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. Antimicrobial susceptibility testing was performed by the broth microdilution method. The resistance genes were detected using PCR and DNA sequencing. The results of antimicrobial susceptibility testing indicated that the resistance rates of C. kroppenstedtii to erythromycin and clindamycin, ciprofloxacin, tetracycline, and trimethoprim-sulfamethoxazole were 88.9%, 88.9%, 67.8%, 62.2%, and 46.6%, respectively. None of the C. kroppenstedtii isolates was resistant to rifampicin, linezolid, vancomycin, or gentamicin. The gene of erm(X) was detected in all clindamycin and erythromycin-resistant strains. The gene of sul(1) and tet(W) were detected among all trimethoprim sulfamethoxazole-resistant strains and tetracycline-resistant strains, respectively. Furthermore, 1 or 2 amino acid mutations (mainly single mutation) were observed in the gyrA gene among ciprofloxacin-resistant strains.

Keywords: Antimicrobial resistance; C. kroppenstedtii; erm(X); gyrA; sul(1); tet(W).

MeSH terms

  • Anti-Bacterial Agents* / pharmacology
  • Anti-Bacterial Agents* / therapeutic use
  • Ciprofloxacin / pharmacology
  • Clindamycin*
  • Drug Resistance, Bacterial
  • Drug Resistance, Microbial
  • Erythromycin
  • Humans
  • Microbial Sensitivity Tests
  • Tetracycline
  • Trimethoprim, Sulfamethoxazole Drug Combination

Substances

  • Clindamycin
  • Anti-Bacterial Agents
  • Erythromycin
  • Tetracycline
  • Ciprofloxacin
  • Trimethoprim, Sulfamethoxazole Drug Combination

Supplementary concepts

  • Corynebacterium kroppenstedtii