{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T06:36:45Z","timestamp":1788590205838,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,1,31]],"date-time":"2019-01-31T00:00:00Z","timestamp":1548892800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81400493"],"award-info":[{"award-number":["81400493"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["2017MSXM074"],"award-info":[{"award-number":["2017MSXM074"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Scientific Research Project of Chongqing Health Commission","award":["81400493"],"award-info":[{"award-number":["81400493"]}]},{"name":"Scientific Research Project of Chongqing Health Commission","award":["2017MSXM074"],"award-info":[{"award-number":["2017MSXM074"]}]},{"name":"Institutions of Higher Education in Chongqing in 2016","award":["81400493"],"award-info":[{"award-number":["81400493"]}]},{"name":"Institutions of Higher Education in Chongqing in 2016","award":["2017MSXM074"],"award-info":[{"award-number":["2017MSXM074"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2019,1,31]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>.<jats:italic>Kluyvera ascorbata<\/jats:italic>infection is rare, but it has been extensively studied because of its potential to cause a wide range of infections and its ability to transfer the gene encoding for CTX-M-type extended spectrum<jats:italic>\u03b2<\/jats:italic>-lactamases (ESBLs) to other Enterobacteriaceae.<jats:italic>Case Presentation<\/jats:italic>. The authors report a case of a 61-year-old Chinese male with a persistent postoperative infection caused by a multidrug-resistant ESBL-producing<jats:italic>K. ascorbata<\/jats:italic>. Following antimicrobial susceptibility testing, he was aggressively treated with gentamicin and levofloxacin with a favorable outcome.<jats:italic>Conclusion<\/jats:italic>. To our knowledge, this is the first case report of a persistent postoperative infection caused by a multidrug-resistant<jats:italic>K. ascorbata<\/jats:italic>in the oral and maxillofacial region. The authors suggest that<jats:italic>K. ascorbata<\/jats:italic>infection warrants prompt identification and aggressive antibiotic management, given that ESBL-producing<jats:italic>K. ascorbata<\/jats:italic>is resistant to penicillins and first-generation to third-generation cephalosporins.<\/jats:p>","DOI":"10.1155\/2019\/2180567","type":"journal-article","created":{"date-parts":[[2019,1,31]],"date-time":"2019-01-31T23:30:18Z","timestamp":1548977418000},"page":"1-4","source":"Crossref","is-referenced-by-count":6,"title":["A Case of a Persistent Postoperative Infection Caused by Multidrug-Resistant<i>Kluyvera ascorbata<\/i>in the Oral and Maxillofacial Region"],"prefix":"10.1155","volume":"2019","author":[{"given":"Si-Hai","family":"Zou","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Chongqing Medical University, Chongqing 401147, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu-Ying","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Chongqing Medical University, Chongqing 401147, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Chongqing Medical University, Chongqing 401147, China"},{"name":"Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing 401147, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8841-5053","authenticated-orcid":true,"given":"Fu-Gui","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Chongqing Medical University, Chongqing 401147, China"},{"name":"Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing 401147, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1128\/JCM.13.5.919-933.1981","volume":"13","year":"1981","journal-title":"Journal of Clinical Microbiology"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1309\/61xp4ktljywm5h35"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/5745708"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1097\/01.inf.0000164702.21798.22"},{"issue":"1","key":"5","first-page":"48","volume":"18","year":"2000","journal-title":"Enfermedades Infecciosas y Microbiolog\u00eda Cl\u00ednica"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/3848963"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.5152\/tpa.2015.923"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.4103\/0255-0857.158585"},{"issue":"6","key":"9","first-page":"1451","volume":"60","year":"2008","journal-title":"Minerva Pediatrica"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/12.3.39"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3062.2006.00198.x"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/s0213-005x(02)72819-x"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.1998.tb00370.x"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5876-7-14"},{"key":"15","first-page":"226","volume":"26","year":"2013","journal-title":"Revista Espan\u0303ola de Quimioterapia"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1007\/s10156-010-0067-3"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1111\/ped.13267"},{"issue":"4","key":"18","first-page":"355","volume":"147","year":"2011","journal-title":"Gaceta Me\u0301dica de Me\u0301xico"},{"issue":"12","key":"19","first-page":"479","volume":"108","year":"1997","journal-title":"Medicina Cli\u0301nica"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.01165-16"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1007\/s00284-015-0925-4"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1128\/aac.01431-08"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1111\/j.1574-6968.2008.01359.x"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1128\/aac.46.9.3045-3049.2002"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1128\/aac.50.4.1282-1286.2006"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-4-197"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1128\/aac.00457-07"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijantimicag.2006.09.015"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1080\/00365540410021180-1"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/2180567.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/2180567.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/2180567.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,26]],"date-time":"2020-11-26T00:02:05Z","timestamp":1606348925000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criid\/2019\/2180567\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,31]]},"references-count":29,"alternative-id":["2180567","2180567"],"URL":"https:\/\/doi.org\/10.1155\/2019\/2180567","relation":{},"ISSN":["2090-6625","2090-6633"],"issn-type":[{"value":"2090-6625","type":"print"},{"value":"2090-6633","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,31]]}}}