First Description of Macrolide-Resistant Mycoplasma pneumoniae in Adults with Community-Acquired Pneumonia in Italy
Table 1
Findings of the 15 patients living in the Puglia region of Italy whose swab, sputum, or BAL samples were positive for M. pneumoniae in January 2013 to April 2015.
Patient no.
Age, years (sex)
Sample type
Hospitalized
Susceptibility to macrolides (SNP)
MLVA type
MLVA profile
P1 gene type
1
65 (F)
BAL
yes
wt
-
-
1
2
80 (M)
sputum
no
wt
-
-
2
3
87 (F)
sputum
no
wt
-
-
-
4
44 (M)
BAL
yes
wt
J
(3/4/5/7/2)
1
5
32 (M)
NPS
no
R (A2063G)
NC
(3/0/6/6/2)
2
6
62 (M)
NPS
no
wt
NC
(0/0/5/6/2)
2
7
61 (F)
NPS
no
wt
A
(1/4/5/7/2)
1
8
20 (M)
sputum
yes
wt
NC
(5/0/5/6/2)
2
9
49 (M)
NPS
no
wt
NC
(7/0/6/5/2)
2
10
37 (F)
BAL
yes
R (A2063G)
Z
(7/4/5/7/2)
1
11
37 (F)
NPS
no
wt
-
-
1
12
18 (M)
NPS
yes
wt
-
-
1
13
52 (M)
NPS
no
wt
-
-
2
14
23 (F)
sputum
no
wt
NC
(3/0/6/7/2)
1
15
31 (F)
NPS
no
R (A2064G)
-
-
2
Bronchoalveolar Lavage. Nasopharyngeal swab. Not classifiable using the scheme proposed by Degrangè et al. (2009). MLVA: multiple-locus variable-number tandem repeat analysis; R: resistant; SNP: single nucleotide polymorphism; wt: wild type.