Case Report

Use of Next Generation Sequencing and Synergy Susceptibility Testing in Diagnosis and Treatment of Carbapenem-Resistant Klebsiella pneumoniae Blood Stream Infection

Table 1

The top five drug resistant and virulence genes of this strain Klebsiella pneumoniae.

Gene namesProteinPercentageDepth

Drug resistance gene
KPC-2Carbapenem-hydrolyzing class A beta-lactamase, KPC-2100230
aadA2ANT(3″)-Ia family aminoglycoside nucleotidyltransferase100220
CTX-M-24Class A extended-spectrum beta-lactamase, CTX-M-24100180
QnrS1Quinolone resistance pentapeptide repeat protein, QnrS1100180
dfrA12Trimethoprim-resistant dihydrofolate reductase, DfrA12100180
Virulence gene
blaMethylmalonic aciduria type A protein1001400
fepAFerrienterobactin receptor100810
mrkDFimbria adhesin protein100810
iutAPutative ferric siderophore receptor100650
manBMannosidase, beta A, lysosomal-like100590

Annotation of drug resistance gene: KPC-2, carbapenem-hydrolyzing class A; aadA2, aminoglycoside resistance; CTX-M-24, beta-lactamase class A; QnrS1, quinolone resistance pentapeptide repeat protein; dfrA12, dihydrofolate reductase (trimethoprim resistance protein).