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A blaVIM-1 positive Aeromonas hydrophila strain in a near-drowning patient: evidence for interspecies plasmid transfer within the patient

    Thijs Bosch

    *Author for correspondence: Tel.: +31 (0)30 274 2105;

    E-mail Address: Thijs.bosch@rivm.nl

    Centre for Infectious Diseases Control, National Institute for Public Health & the Environment (RIVM), Bilthoven, The Netherlands

    ,
    Rogier Schade

    Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Medical Microbiology & Infection Control, Amsterdam, The Netherlands

    ,
    Fabian Landman

    Centre for Infectious Diseases Control, National Institute for Public Health & the Environment (RIVM), Bilthoven, The Netherlands

    ,
    Leo Schouls

    Centre for Infectious Diseases Control, National Institute for Public Health & the Environment (RIVM), Bilthoven, The Netherlands

    &
    Karin van Dijk

    Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Medical Microbiology & Infection Control, Amsterdam, The Netherlands

    Published Online:https://doi.org/10.2217/fmb-2019-0091

    Aim: To show that a strain of Aeromonas hydrophila became resistant to carbapenems by interspecies transfer of a plasmid using long-read sequencing. Material & methods: Whole genome sequencing of the four isolates was done using Illumina Hiseq, while the plasmid was reconstructed using the MinION sequencer. The resistome was identified with ResFinder. Results: Whole genome sequencing and long-read sequencing showed that all isolates carried a blaVIM-1 gene located on a 165 kb incA/C plasmid. ResFinder confirmed that the resistome of the plasmid, comprising 13 resistance genes, was identical within all isolates. Discussion: Long-read sequencing using the MinION successfully reconstructed a plasmid that was identical in all isolates, providing evidence for horizontal gene transfer of this blaVIM-1 gene carrying plasmid within the patient.

    Papers of special note have been highlighted as: •• of considerable interest

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