Research Article

Genetic Evolution of Mycobacterium abscessus Conferring Clarithromycin Resistance during Long-Term Antibiotic Therapy

Table 2

Microbiological characteristics of 6 paired M. abscessus isolates.

VariablePatient 1Patient 2Patient 3
G142G179A38A243G139A317

AMI (amikacin)>64 (R)>64 (R)2 (S)8 (S)4 (S)8 (S)
SXT (sulfonamides)>8 (R)>8 (R)>8 (R)>8 (R)>8 (R)>8 (R)
MXF (moxifloxacin)8 (R)8 (R)>8 (R)>8 (R)8 (R)8 (R)
FOX (cefoxitin)64 (I)128 (R)64 (I)128 (R)128 (R)>128 (R)
DOX (doxycycline)>16 (R)>16 (R)>16 (R)>16 (R)8 (R)16 (R)
TGC (tigecycline)0.12 (S)0.12 (S)0.12 (S)0.5 (S)0.5 (S)4 (R)
LZD (linezolid)4 (S)8 (S)16 (I)32 (R)16 (I)32 (R)
IMI (imipenem)16 (I)16 (I)32 (R)64 (R)8 (I)64 (R)
TOB (tobramycin)>16 (R)>16 (R)4 (I)8 (R)4 (I)>16 (R)
CLA (clarithromycin, D3)2 (S)>64 (R)2 (S)64 (R)0.06 (S)16 (R)
CLA (clarithromycin, D14)32 (R)>64 (R)16 (R)>64 (R)16 (R)>64 (R)
GenotypeAAAAC3042TC3042T
rrl mutationNoneNoneNoneNoneNoneNone
MorphotypeRoughRoughRoughRoughRoughRough

S: susceptible; I: intermediate; R: resistant; D3, MIC at day 3; D14, MIC at day 14.