Recurrent pyelonephritis due to NDM-1 metallo-beta-lactamase producing Pseudomonas aeruginosa in a patient returning from Serbia, France, 2012

C Flateau; F Janvier; H Delacour; S Males; C Ficko; D Andriamanantena; K Jeannot; A Mérens; C Rapp

doi:10.2807/ese.17.45.20311-en

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Recurrent pyelonephritis due to NDM-1 metallo-beta-lactamase producing Pseudomonas aeruginosa in a patient returning from Serbia, France, 2012
C Flateau¹ , F Janvier² , H Delacour² , S Males³ , C Ficko¹ , D Andriamanantena¹ , K Jeannot⁴ , A Mérens² , C Rapp¹
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Affiliations: ¹ Service des maladies infectieuses et tropicales, Hôpital d’instruction des armées Bégin, Saint-Mandé, France ² Service de microbiologie-hygiène, Hôpital d’instruction des armées Bégin, Saint-Mandé, France ³ Service de médecine et maladies infectieuses, Hôpital Henri Duffaut, Avignon, France ⁴ Centre National de la Résistance aux Antibiotiques, Laboratoire de Bactériologie, Hôpital Jean Minjoz, Besançon, France

Correspondence:
C Flateau
claraflateau yahoo.fr
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Citation style for this article: Flateau C, Janvier F, Delacour H, Males S, Ficko C, Andriamanantena D, Jeannot K, Mérens A, Rapp C. Recurrent pyelonephritis due to NDM-1 metallo-beta-lactamase producing Pseudomonas aeruginosa in a patient returning from Serbia, France, 2012. Euro Surveill. 2012;17(45):pii=20311. https://doi.org/10.2807/ese.17.45.20311-en Received: 29 Oct 2012

Abstract

We describe the first isolation in France of a New-Delhi metallo-beta-lactamase-1 (NDM-1) producing Pseudomonas aeruginosa. In March 2012, a patient with history of prior hospitalisation in Serbia was diagnosed in France with acute pyelonephritis due to NDM-1 producing P. aeruginosa. Clinical and microbiological cure was obtained under appropriate antibiotic treatment. Two months later, she presented with a recurrence due to the same bacteria, with a favourable evolution. During both hospitalisations, contact isolation precautions were implemented and no cross-transmission was observed.