Primary peritonitis due to Streptococcus pyogenes with reduced susceptibility to fluoroquinolones

Diagn Microbiol Infect Dis. 2008 Dec;62(4):447-9. doi: 10.1016/j.diagmicrobio.2008.08.001. Epub 2008 Oct 7.

Abstract

We report the 1st case of primary peritonitis caused by Streptococcus pyogenes with a reduced susceptibility to fluoroquinolones in a healthy woman, leading to a clinical and microbiological treatment failure. DNA sequencing of parC and gyrA revealed the association of the following 3 substitutions in ParC: Ser80Pro, Asp91Asn, and Ser140Pro.

MeSH terms

  • Adult
  • Anti-Bacterial Agents / pharmacology*
  • Drug Resistance, Multiple, Bacterial*
  • Female
  • Fluoroquinolones / pharmacology*
  • Humans
  • Peritonitis / drug therapy
  • Peritonitis / microbiology*
  • Streptococcal Infections / drug therapy
  • Streptococcal Infections / microbiology*
  • Streptococcus pyogenes / drug effects*

Substances

  • Anti-Bacterial Agents
  • Fluoroquinolones