Genetic Characterization of Extensively Drug-Resistant Shigella sonnei Infections, Spain, 2021–2022
Camille Jacqueline, Guillermo Ruiz Carrascoso, José Gutiérrez-Fernández, Teresa Vicente Rangel, Lidia Goterris, Fernando Vazquez Valdes, Domingo Fernández Vecilla, Matilde Elía López, Maria Rocío Martinez Ruiz, Carmen Aspiroz Sancho, Ramón Perez Tanoira, Elia Sirvent Quílez, Alba de la Rica Martínez, Nieves Gonzalo Jiménez, Cristina García Salguero, Eva González Barbera, Maria Reyes Sánchez Florez, Francisco J. Merino, Begoña Sagardia Redondo, Enrique Rodriguez Guerrero, Claudia Sanz González, and Silvia Herrera-Leon
Author affiliations: European Public Health Microbiology Training Program, European Centre for Disease Prevention and Control, Stockholm, Sweden (C. Jacqueline); Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Spain (C. Jacqueline, S. Herrera-Leon); Servicio de Microbiología Clínica, Hospital Universitario La Paz, Madrid, Spain (G.R. Carrascoso, C.S. González); Universidad de Granada, Granada, Spain (J. Gutiérrez-Fernández); Hospital General Universitario Gregorio Marañon, Madrid, Spain (T.V. Rangel); Hospital Universitario Vall d'Hebron, Barcelona, Spain (L. Goterris); Hospital Universitario Central De Asturias, Oviedo, Spain (F.V. Valdes); Hospital Universitario de Basurto, Bilbao, Spain (D.F. Vecilla); Hospital Universitario de Navarra, Pampona, Spain (M.E. López); Hospital Puerta De Hierro, Majadahonda, Spain (M.R.M. Ruiz); Hospital Royo Villanova, Zaragoza, Spain (C. Aspiroz Sancho); Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain (R.P. Tanoira); Hospital General Universitario de Elche, Alicante, Spain (E.S. Quílez, A.R. Martínez, N.G. Jiménez); Hospital Clínico San Carlos, Madrid, Spain (C.G. Salguero); Hospital Universitario y Politécnico La Fe, Valencia, Spain (E.G. Barbera); C.H.U. Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain (M.R.S. Florez); Hospital Universitario Severo Ochoa, Leganés, Spain (F.J. Merino); Laboratorio De Salud Pública, Palma De Mallorca, Spain (B.S. Redondo); Hospital Universitario Virgen de las Nieves, Granada, Spain (E.R. Guerrero)
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Figure
Figure. Phylogenetic analysis of ST152 isolates showing 2 clusters from an investigation of suspected multidrug-resistant Shigella sonnei in Spain. Red text indicates reference sequences from the United Kingdom; blue text indicates assembly barcodes of ST152 feeding sequences available on Enterobase (https://enterobase.warwick.ac.uk) from 2019 to 2022. Green arrowheads indicate cases associated with MSM; green brackets connect known sexual partners. Orange arrowheads indicate cases in heterosexual persons (female or male); gray arrowheads indicate sexual behavior was unknown. A sequence from another sequence type was used as an outgroup. Numbers on branches indicate bootstrap values >80%. MSM, men who have sex with men; ST, sequence type.
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