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Journal of Antimicrobial Chemotherapy (2001) 47, 651-654
© 2001 The British Society for Antimicrobial Chemotherapy


Brief report

Decreased susceptibility to azithromycin and erythromycin mediated by a novel mtr(R) promoter mutation in Neisseria gonorrhoeae

Leticia Zarantonellia,*, Graciela Borthagaraya, Eun Hee Leeb,c, Wendy Vealb,c and William M. Shaferb,c

a National Center for Gonococcal Antimicrobial Susceptibility Surveillance, Department of Microbiology, School of Chemistry, Avda Gral Flores 2124, Montevideo 11800, Uruguay; b Department of Microbiology and Immunology, Emory University School of Medicine, Atlanta, GA 30332; c Laboratories of Microbial Pathogenesis, Medical Research Service, VA Medical Center (Atlanta), Decatur, GA 30333, USA

During a screen of Neisseria gonorrhoeae clinical isolates obtained in Uruguay for susceptibility to azithromycin, we noticed that approximately 10% of the strains examined displayed decreased susceptibility to azithromycin and erythromycin due to the mtr(CDE)-encoded efflux pump system, but remained susceptible to Triton X-100. We now report that the mtr(R) promoter region of one of these isolates contains a dinucleotide insertion (TT) that mediates this resistance phenotype.

* Corresponding author. Tel: +598-2-924-4209; Fax: +598-2-924-1906; E-mail: lzaranto{at}bilbo.edu.uy


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