KPC and VIM producing Enterobacter cloacae strain from a hospital in northeastern Venezuela

• Dianny Martínez Hospital Universitario “Antonio Patricio de Alcalᔝ. Cumaná- Venezuela.
• Daniel Marcano Instituto Nacional de Higiene Rafael Rangel, Ministerio del Poder Popular para la Salud.Caracas-Venezuela.
• Nurys Salgado Instituto Nacional de Higiene Rafael Rangel, Ministerio del Poder Popular para la Salud.Caracas-Venezuela.
• Nirvia Cuaical Instituto Nacional de Higiene Rafael Rangel, Ministerio del Poder Popular para la Salud.Caracas-Venezuela.
• Lucy Rodriguez Hospital Universitario “Antonio Patricio de Alcalᔝ. Cumaná- Venezuela.
• Luisa Caña Hospital Universitario “Antonio Patricio de Alcalᔝ. Cumaná- Venezuela.
• Belkis Medina Hospital Universitario “Antonio Patricio de Alcalᔝ. Cumaná- Venezuela.
• Militza Guzman Universidad de Oriente-Venezuela
• Marcos De Donato Universidad de Oriente-Venezuela.

Palabras clave: Enterobacter, resistance, KPC, VIM, carbapenemases

Resumen

An 83-year-old male patient is admitted to the central hospital in Cumaná, Venezuela with severe urinary infection, history of hospitalizations and prolonged antimicrobial treatments. A strain of Enterobacter cloacae was isolated showing resistance to multiple types of antibiotics (onlysensitive to gentamicin), with phenotype of serine- and metallocarbapenemases. Both, blaVIM-2 and bla genes were detected in the isolate. This is the first report of an Enterobacteriaceae species producing both KPC carbapenemase and VIM metallo carbapenemase in Venezuela. This finding has a great clinical and epidemiological impact in the region, because of the feasibility of transferring these genes, through mobile elements to other KPC strains of Enterobacter and to other infection-causing species of bacteria.