BACKGROUND Pandrug-resistant (PDR) Klebsiella pneumoniae has been reported sporadically in many countries and remains rare in Brazil. OBJECTIVES This study unravelled the genetic determinants involved with the PDR background of a clinical ST11 K. pneumoniae recovered in the Brazilian Amazon Region, where K. pneumoniae genomic and epidemiological information is scarce. METHODS Kp196 was submitted to the antimicrobial susceptibility test by the disk-diffusion method and minimum inhibitory concentration (MIC) determination. The whole genome sequencing was obtained and the sequence type was determined by core genome multilocus sequence typing (cgMLST). Its intrinsic and acquired resistome was assessed by Comprehensive Antibiotic Resistance Database (CARD) and comparison with wild-type genes. FINDINGS The analyses revealed that Kp196 belonged to the pandemic ST11 and presented the PDR phenotype. Its acquired resistome was composed of a huge set of clinically relevant resistance determinants, including bla CTX-M-15 and bla NDM-1, all found in the vicinity of mobile platforms. Considering its intrinsic resistome, the multidrug resistance, especially to colistin, tigecycline and fluoroquinolones, was multifactorial and attributed to modifications (indels, missense mutations, and gene disruption) in several housekeeping genes (arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK35-36-37). The Kp196 intrinsic resistome was also observed in a ST11 environmental strain, although harbouring distinct acquired resistomes. CONCLUSIONS An accumulation of different resistance mechanisms regarding the intrinsic resistome accounts for a more stable resistome, strongly contributing to the Kp196 PDR phenotype. Pandrugresistant Pandrug resistant (PDR Brazil ST ST1 K Region scarce Kp Kp19 diskdiffusion disk diffusion MIC (MIC determination cgMLST. cgMLST . (cgMLST) CARD (CARD wildtype wild phenotype CTXM15 CTXM CTX M 15 CTX-M-1 NDM1, NDM1 NDM 1, 1 NDM-1 platforms colistin fluoroquinolones indels, indels (indels mutations disruption arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK353637. arnTphoQmgrBramRacrBgyrAparCompK353637 arnTphoQmgrBramRacrBgyrAparCompK arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK35 36 37 arnT phoQ mgrB ramR acrB gyrA parC ompK35 ompK (arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK35-36-37) strain resistomes Kp1 (cgMLST CTXM1 CTX-M- NDM- ompK353637 arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK353637 arnTphoQmgrBramRacrBgyrAparCompK35363 arnTphoQmgrBramRacrBgyrAparCompK35 arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK3 3 ompK3 (arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK35-36-37 CTX-M ompK35363 arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK35363 arnTphoQmgrBramRacrBgyrAparCompK3536 arnTphoQmgrBramRacrBgyrAparCompK3 arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK (arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK35-36-3 ompK3536 arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK3536 arnTphoQmgrBramRacrBgyrAparCompK353 (arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK35-36- ompK353 arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK353 (arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK35-36 (arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK35-3 (arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK35- (arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK35 (arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK3 (arnT/phoQ/mgrB/ramR/acrB/gyrA/parC/ompK

The genus Mycobacterium is highly diverse and ubiquitous in nature, comprehending fast- and slow-growing species with distinct impact in public health. The plasmid-mediated horizontal gene transfer represents one of the major events in bacteria evolution. Here, we report the complete sequence of a 160,489 bp circular plasmid (pCBMA213_2) from an atypical and fast-growing environmental mycobacteria. This is a unique plasmid, in comparison with the characterised mycobacteria plasmids, harboring a type IV-like and ESX-P2 type VII secretion systems. pCBMA213_2 can be further explored for evolutionary and conjugation studies as well as a tool to manipulate DNA within this bacteria genus.

Zymovars analysis also known as multilocus enzyme electrophoresis is applied here to investigate the genetic variation of Vibrio cholerae strains and characterise strains or group of strains of medical and epidemiological interest. Fourteen loci were analyzed in 171 strains of non-O1 non-O139, 32 classical and 61 El Tor from America, Africa, Europe and Asia. The mean genetic diversity was 0.339. It is shown that the same O antigen (both O1 and non-O1) may be present in several geneticaly diverse (different zymovars) strains. Conversely the same zymovar may contain more than one serogroup. It is confirmed that the South American epidemic strain differs from the 7th pandemic El Tor strain in locus LAP (leucyl leucyl aminopeptidase). Here it is shown that this rare allele is present in 1 V. mimicus and 4 non-O1 V. cholerae. Non toxigenic O1 strains from South India epidemic share zymovar 14A with the epidemic El Tor from the 7th pandemic, while another group have diverse zymovars. The sucrose negative epidemic strains isolated in French Guiana and Brazil have the same zymovar of the current American epidemic V. cholerae.