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    Transferable Vancomycin resistance in a community-associated mrsa lineagetransferable vancomycin resistance in a community-associated MRSA lineage

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    TY - GEN T1 - Transferable Vancomycin resistance in a community-associated mrsa lineagetransferable vancomycin resistance in a community-associated MRSA lineage UR - http://hdl.handle.net/20.500.12495/3549 PB - Massachusetts Medical Society AB - ER - @misc{20.500.12495_3549, author = {}, title = {Transferable Vancomycin resistance in a community-associated mrsa lineagetransferable vancomycin resistance in a community-associated MRSA lineage}, year = {}, abstract = {}, url = {http://hdl.handle.net/20.500.12495/3549} }RT Generic T1 Transferable Vancomycin resistance in a community-associated mrsa lineagetransferable vancomycin resistance in a community-associated MRSA lineage LK http://hdl.handle.net/20.500.12495/3549 PB Massachusetts Medical Society AB OL Spanish (121)
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    Author
    Rossi, Flávia
    Diaz, Lorena
    Wollam, Aye
    Panesso, Diana 
    Zhou, Yanjiao
    Rincon Núñez, Sandra 
    Narechania, Apurva
    Xing, Galen
    Di Gioia, Thais S R
    Doi, André
    Tran, Truc T
    Reyes, Jinnethe
    Munita, Jose M
    Carvajal Ortiz, Lina Paola 
    Hernandez-Roldan, Alejandra
    Brandão, Denise
    van der Heijden, Inneke Marie
    Murray, Barbara E
    Planet, Paul J
    Weinstock, George M
    Arias, Cesar A
    Published in
    The New England Journal of Medicine, 1533-4406, Vol. 370, 2014 p. 1524-1531
    Published for
    Massachusetts Medical Society
    URI
    http://hdl.handle.net/20.500.12495/3549
    Source's URL
    https://www.nejm.org/doi/full/10.1056/nejmoa1303359
    DOI
    https://doi.org/10.1056/nejmoa1303359

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    Abstract
    We report the case of a patient from Brazil with a bloodstream infection caused by a strain of methicillin-resistant Staphylococcus aureus (MRSA) that was susceptible to vancomycin (designated BR-VSSA) but that acquired the vanA gene cluster during antibiotic therapy and became resistant to vancomycin (designated BR-VRSA). Both strains belong to the sequence type (ST) 8 community-associated genetic lineage that carries the staphylococcal chromosomal cassette mec (SCCmec) type IVa and the S. aureus protein A gene (spa) type t292 and are phylogenetically related to MRSA lineage USA300. A conjugative plasmid of 55,706 bp (pBRZ01) carrying the vanA cluster was identified and readily transferred to other staphylococci. The pBRZ01 plasmid harbors DNA sequences that are typical of the plasmid-associated replication genes rep24 or rep21 described in community-associated MRSA strains from Australia (pWBG745). The presence and dissemination of community-associated MRSA containing vanA could become a serious public health concern.
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    Staphylococcus aureus
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