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Genomic identification of the emerging multidrug-resistant Salmonella Virchow monophasic variant causing septic arthritis of the knee joint
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  • Zhenyu Wang,
  • Haiyan Xu,
  • Chao Chu,
  • Yuanyue Tang,
  • Qiuchun Li,
  • Xinan Jiao
Zhenyu Wang
Yangzhou University

Corresponding Author:[email protected]

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Haiyan Xu
Center for Disease Control and Prevention, Nantong, Jiangsu, China
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Chao Chu
Yangzhou University
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Yuanyue Tang
Yangzhou University
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Qiuchun Li
Yangzhou University
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Xinan Jiao
Yangzhou University
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Abstract

In this study, a 4-year-old girl presented with a case of septic arthritis and fever. Salmonella was isolated from her knee effusion and feces; isolates were confirmed to be a novel S. Virchow monophasic variant (Salmonella 6,7,14:r:-) based on core genome MLST (cgMLST), CRISPR typing combined with analysis of the fljAB operon. Whole-genome sequencing analysis revealed that replacement of the fljAB operon by a 4.8 kb cassette from E. coli caused the nonexpression of phase-2 flagellar antigen in S. Virchow monophasic variant. Additionally, the acquisition of Salmonella genomic island 2 (SGI2) with an antimicrobial resistance gene cassette enabled the isolates to be multidrug-resistant (MDR) to chloramphenicol, tetracycline, trimethoprim, and sulfamethoxazole. The emerging of MDR S. Virchow monophasic variant causing human infection should be concerned in the national Salmonella surveillance system.