Whole genomic sequence of Salmonella Paratyphi B isolated from a hematology patient in the northern region of Brazil
DOI:
https://doi.org/10.53660/PRW-2084-3820Palavras-chave:
Salmonella, Resistance Gene, RamR, Efflux Pump, Antimicrobial AgentResumo
Salmonella Typhi is a zoonotic pathogen responsible for a life-threatening bloodstream infection that is common in places with limited sanitation and hygiene. This study aimed to characterize the resistance genes and sequence type (ST) of Salmonella Paratyphi isolated from a patient with acute myeloid leukemia (AML) undergoing treatment at Fundação HEMOAM, in the north of Brazil. Phenotypic identification and antimicrobial susceptibility testing were performed using the VITEK-2 system. The genomic DNA was sequenced in Illumina® equipment. Resistance genes were identified through the Genome Annotation Service. The microbiological examination of the blood culture identified S. Paratyphi B. Regarding resistance genes, aminoglycoside acetyltransferase [aac(6')-Iaa] mutations in the Gly133Glu position of GyrA and Ile249Met of ParC were identified. Multilocus sequence typing detected the ST 313 sequence type. Salmonella Paratyphi B isolated from the acute myeloid leukemia patient showed cross-resistance with other antibiotics such as quinolones and tetracyclines, which resulted from mutations in the quinolone resistance-determining region and efflux pump systems.
Downloads
Referências
ABD EL-AZIZ NK, TARTOR YH, GHARIEB RMA, et al. Extensive Drug-Resistant Salmonella enterica Isolated from Poultry and Humans: Prevalence and Molecular Determinants Behind the Co-resistance to Ciprofloxacin and Tigecycline. Front Microbiol. 2021; 12738784.
ACHEAMPONG G, OWUSU M, OWUSU-OFORI A, et al. Chromosomal and plasmid-mediated fluoroquinolone resistance in human Salmonella enterica infection in Ghana. BMC Infect Dis. 2019; 19:898.
AKINYEMI KO, FAKOREDE CO, LINDE J, et al. Whole genome sequencing of Salmonella enterica serovars isolated from humans, animals, and the environment in Lagos, Nigeria. BMC Microbiol. 2023; 23:164.
ALENAZY R. Antibiotic resistance in Salmonella: Targeting multidrug resistance by understanding efflux pumps, regulators and the inhibitors. Vol. 34, Journal of King Saud University - Science. 2022; 34:102275.
ARGIMÓN S, NAGARAJ G, SHAMANNA V, et al. Circulation of Third-Generation Cephalosporin Resistant Salmonella Typhi in Mumbai, India. Clinical Infectious Diseases. 2022;74(12):2234–7.
ASHTON PM, OWEN SV, KAINDAA L, et al. Public health surveillance in the UK revolutionises our understanding of the invasive Salmonella Typhimurium epidemic in Africa. Genome Medicine. 2017; 9(92): 2-13.
BAUCHERON S, MONCHAUX I, LE HELLO S, et al. Lack of efflux mediated quinolone resistance in Salmonella enterica serovars Typhi and Paratyphi A. Front Microbiol. 2014; 5:12.
BRANCHU P, BAWN M, KINGSLEY R A. Genome Variation and Molecular Epidemiology of Salmonella enterica Serovar Typhimurium Pathovariants. Infection and Immunity.2018; 86(8):e00079-18.
BUCKNER MMC, BLAIR JMA, LA RAGIONE RM, et al. Beyond antimicrobial resistance: Evidence for a distinct role of the AcrD efflux pump in Salmonella biology. mBio. 2016; 7(6): E01916-16.
CHEN W, FANG T, ZHOU X, et al. IncHI2 plasmids are predominant in antibiotic-resistant Salmonella isolates. Front Microbiol. 2016; 7: 1566.
ERDEM I, YILDIRIM I, SAFAK B, et al. A 5-year surveillance of healthcare-associated infections in a university hospital: A retrospective analysis. SAGE Open Med. 2022; 10:1-7.
EUCAST (European Committee on Antimicrobial Susceptibility Testing). Clinical Breakpoint tables. 2023. v.13.0. Available from: http://www.eucast.org . (accessed Oct 5,2023).
FERRARI RG, GALIANA A, CREMADES R. Expression of the marA, soxS, acrB and ramA genes related to the AcrAB/TolC efflux pump in Salmonella enterica strains with and without quinolone resistance-determining regions gyrA gene mutations. Brazilian Journal of Infectious Diseases. 2013; 17(2):1125-130.
FURQUIM IRV, CAMPOS BF, SITTA MJZ, et al. Deaths by Salmonella in the period between 2013 and 2017 according to data available in Datasus. Brazilian Journal of Development.2021; 7(5): 48323-48332.
GARCÍA C, LEJON V, HORNA G, et al. Intermediate susceptibility to ciprofloxacin among Salmonella enterica serovar Typhi isolates in Lima, Peru. J Clin Microbiol. 2014;52(3):968–70.
HANCUH M, WALLDORF J, MINTA AA et al. Typhoid Fever Surveillance, Incidence Estimates, and Progress Toward Typhoid Conjugate Vaccine Introduction — Worldwide, 2018–2022. Morbidity and Mortality Weekly Report. 2023; 72(7):171-176.
LYU N, FENG Y, PAN Y, et al. Genomic Characterization of Salmonella enterica Isolates from Retail Meat in Beijing, China. Front Microbiol. 2021;12: 636332.
MARTINS IM, SERIBELLI AA, MACHADO RIBEIRO TR, et al. Invasive non-typhoidal Salmonella (iNTS) aminoglycoside resistant ST313 isolates feature unique pathogenic mechanisms to reach the bloodstream. Infection, Genetics and Evolution. 2023; 116:105519.
NIKIEMA MEM, NGAZOA SK, KY/BA A, ET AL. Characterization of virulence factors of Salmonella isolated from human stools and street food in urban areas of Burkina Faso. BMC Microbiology. 2021; 21(338):2-12.
PARK HR, KIM DM, YUN NR, et al. Identifying the mechanism underlying treatment failure for Salmonella Paratyphi A infection using next-generation sequencing - A case report. BMC Infect Dis. 2019; 19:191.
PULFORD C V, PEREZ-SEPULVEDA BM, CANALS R, et al. Stepwise evolution of Salmonella Typhimurium ST313 causing bloodstream infection in Africa. Nat Microbiol. 2021; 6:327–338.
QIAN H, CHENG S, LIU G, et al. Discovery of seven novel mutations of gyrB, parC and parE in Salmonella Typhi and Paratyphi strains from Jiangsu Province of China. Sci Rep. 2020; 10:7359.
RAMACHANDRAN G, PERKINS DJ, SCHMIDLEIN PJ, et al. Invasive Salmonella Typhimurium ST313 with Naturally Attenuated Flagellin Elicits Reduced Inflammation and Replicates within Macrophages. PLoS Negl Trop Dis. 2015;9(1):e3394
ROBERTSON J, SCHONFELD J, BESSONOV K, et al. A global survey of Salmonella plasmids and their associations with antimicrobial resistance. Microbial Genomics. 2023; 9: 001002.
RODRIGUES GL, PANZENHAGEN P, FERRARI RG, et al. Frequency of Antimicrobial Resistance Genes in Salmonella from Brazil by in silico Whole-Genome Sequencing Analysis: An Overview of the Last Four Decades. Front Microbiol. 2020; 11:1864.
SERIBELLI AA, GONZALES JC, DE ALMEIDA F, et al. Phylogenetic analysis revealed that Salmonella Typhimurium ST313 isolated from humans and food in Brazil presented a high genomic similarity. Brazilian Journal of Microbiology. 2020; 51:53-64.
VAN PUYVELDE S, PICKARD D, VANDELANNOOTE K, et al. An African Salmonella Typhimurium ST313 sublineage with extensive drug-resistance and signatures of host adaptation. Nat Commun. 2019; 10:4280.
VELHNER M. Mechanisms of resistance to quinolones and epidemiological significance of Salmonella spp. Acta Veterinaria. 2016: 66(2):147-159.
YUSOF NY, NORAZZMAN NII, ZAIDI NFM, et al. Prevalence of Antimicrobial Resistance Genes in Salmonella Typhi: A Systematic Review and Meta-Analysis. Tropical Medicine and Infectious Disease. 2022; 7:271.
ZHANG WH, ZHANG CZ, LIU ZJ, et al. In Vitro Development of Ciprofloxacin Resistance of Salmonella enterica Serovars Typhimurium, Enteritidis, and Indiana Isolates from Food Animals. Microbial Drug Resistance. 2016; 00(00):1-8.
ZHENG J, TIAN F, CUI S, et al. Differential gene expression by ramA in ciprofloxacin-resistant Salmonella Typhimurium. PLoS One. 2011;6(7): e22161.