First clinical case of VIM-1-producing Leclercia adecarboxylata: A case report and literature review

Leclercia adecarboxylata is a recently acknowledged emerging pathogen. It member of the Enterobacterals family, formerly thought to be genus Escherichia. Isolation was reported from various animal and environmental specimens. However, it rarely causes infection in humans, true frequency unknown or underestimated. showed an ascending resistance grade pan-sensitive Carbapenem-resistant due its ability produce harbour hydrolysing enzymes that challenge daily clinical practices. In our report, isolate misidentified as Citrobacter koseri by Analytical Profile Index for (API E), Pantoea species Vitek 2 but confirmed matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) 16S ribosomal RNA analysis adecarboxylata. Conventional PCR revealed presence two populations genes, VIM-1 OXA-48. Herein, report first emergence producing rectal swab 63-year-old non-immunocompromised female with acute intracerebral haemorrhage.