Emergence of an NDM-5-producing clinical Escherichia coli isolate in Egypt

Summary The first occurrence of New Delhi metallo-β-lactamase 5 (NDM-5), carried on an IncI1-Iγ-type plasmid of >93kb in a multidrug-resistant Escherichia coli strain in Kafr El-Sheikh, Egypt, is reported. The strain was isolated from a wound pus swab from a patient diagnosed with a fracture of the right femur. This E. coli strain was found to belong to sequence type (ST) 5018 and also to carry other resistance genes, including bla CTX-M-15 , bla CMY-42 , bla OXA-1 , and aac(6′)-Ib-cr .