Postneurosurgical meningitis due to Proteus penneri with selection of a ceftriaxone-resistant isolate: analysis of chromosomal class A beta-lactamase HugA and its LysR-type regulatory protein HugR

Antimicrob Agents Chemother. 2002 Jan;46(1):216-9. doi: 10.1128/AAC.46.1.216-219.2002.

Abstract

We report on a case of a postneurosurgical meningitis due to ceftriaxone-susceptible Proteus penneri, with selection of a ceftriaxone-resistant isolate following treatment with ceftriaxone. The isolates presented identical patterns by pulsed-field gel electrophoresis and produced a single beta-lactamase named HugA with an isoelectric point of 6.7. The ceftriaxone-resistant isolate hyperproduced the beta-lactamase (increase in the level of production, about 90-fold). The sequences of the hugA beta-lactamase gene and its regulator, hugR, were identical in both P. penneri strains and had 85.96% homology with those of Proteus vulgaris. The HugA beta-lactamase belongs to molecular class A, and the transcriptional regulator HugR belongs to the LysR family.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amino Acid Sequence
  • Base Sequence
  • Ceftriaxone / pharmacology
  • Chromosomes, Bacterial
  • DNA, Bacterial / analysis
  • Drug Resistance
  • Humans
  • Meningitis, Bacterial / microbiology*
  • Molecular Sequence Data
  • Postoperative Complications / microbiology*
  • Proteus / drug effects
  • Proteus / enzymology
  • Proteus / genetics*
  • beta-Lactamases / analysis
  • beta-Lactamases / genetics*

Substances

  • DNA, Bacterial
  • Ceftriaxone
  • beta-Lactamases

Associated data

  • GENBANK/AF324468