{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T06:15:37Z","timestamp":1782627337427,"version":"3.54.5"},"reference-count":0,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2004,12,1]],"date-time":"2004-12-01T00:00:00Z","timestamp":1101859200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microbial Drug Resistance"],"published-print":{"date-parts":[[2004,12]]},"abstract":"<jats:p>\n                    A 68-year-old diabetic woman suffered from mycotic aneurysm due to\n                    <jats:italic toggle=\"yes\">Klebsiella pneumoniae<\/jats:italic>\n                    over her abdominal\naorta; she received surgical intervention, followed by treatment with first-generation cephalosporins\nfor 6 months. She was hospitalized again 11 months later because of another episode of mycotic aneurysm\ncaused by\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    on her thoracic aorta. Fingerprinting generated by pulsed-field gel electrophoresis\nand infrequent-restriction-site polymerase indicated\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    isolates of the identical clonal strain were\nresponsible for these two mycotic-aneurysm episodes. Unfortunately, nosocomial pneumonia developed at the\nsecond hospitalization; blood and purposefully sampled feces specimen cultures both grew CTX-M-24-producing\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    , which were of the same strain and genetically nonrelated to the\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    strain\ncausing mycotic aneurysms earlier. This is the first report on infection due to CTX-M-24-producing\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    .\nIt is unclear whether the prolonged use of first-generation cephalosporins in this case selected a strain\nof enteric organism possessing the ESBL in question, which was capable of passing this ESBL plasmid to the\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    strain causing the nosocomial infection. This report suggests that further observation is needed\nbefore one can draw a conclusion on the possibility of the selection of ESBL enteric organism by extensive\nexposure to first-generation cephalosporins.\n                  <\/jats:p>","DOI":"10.1089\/mdr.2004.10.359","type":"journal-article","created":{"date-parts":[[2005,1,13]],"date-time":"2005-01-13T10:16:37Z","timestamp":1105611397000},"page":"359-363","source":"Crossref","is-referenced-by-count":12,"title":["Recurrent\n                    <i>Klebsiella pneumoniae<\/i>\n                    Mycotic Aneurysm in a Diabetic Patient and Emergence of an Extended-Spectrum \u03b2-Lactamase (CTX-M-24)-Containing\n                    <i>Klebsiella pneumoniae<\/i>\n                    Strain after Prolonged Treatment with First-Generation Cephalosporins for Mycotic Aneurysm"],"prefix":"10.1177","volume":"10","author":[{"given":"Chen-Hsiang","family":"Lee","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin-Hui","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Clinical Pathology, Chang Gung Memorial Hospital, Lin Kou Medical Center, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ju-Hsin","family":"Chia","sequence":"additional","affiliation":[{"name":"Department of Clinical Pathology, Chang Gung Memorial Hospital, Lin Kou Medical Center, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuei-Ton","family":"Tsai","sequence":"additional","affiliation":[{"name":"Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsu-Lan","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Clinical Pathology, Chang Gung Memorial Hospital, Lin Kou Medical Center, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jien-Wei","family":"Liu","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2004,12]]},"container-title":["Microbial Drug Resistance"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/mdr.2004.10.359","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/mdr.2004.10.359","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:22:54Z","timestamp":1777666974000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.1089\/mdr.2004.10.359"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,12]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2004,12]]}},"alternative-id":["10.1089\/mdr.2004.10.359"],"URL":"https:\/\/doi.org\/10.1089\/mdr.2004.10.359","relation":{},"ISSN":["1076-6294","1931-8448"],"issn-type":[{"value":"1076-6294","type":"print"},{"value":"1931-8448","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,12]]}}}