Publications by authors named "Carlos H Camargo"

Background: Infections by carbapenem-resistant Pseudomonas aeruginosa (CRPA) have been associated with high morbidity and mortality among solid organ recipients.

Objectives: To delineate the epidemiological and molecular characteristics of a recurrent outbreak of imipenem (IMP)-producing P. aeruginosa (CRPA) among kidney transplant (KT) recipient METHODS: We described a recurring CRPA outbreak in a KT ward, divided into two periods: before unit closure (Feb 2019-2020) and after reopening (Aug 2020-Dec 2023).

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  • Antimicrobial resistance is a major public health issue globally, particularly with non-typhoidal Salmonella, which the study investigates through 2,511 isolates collected from 2016 to 2023.
  • The study identified 10 common serotypes, with Heidelberg, Typhimurium, and Enteritidis being the most prevalent, and found significant antimicrobial resistance, especially among the Heidelberg and Mbandaka serotypes from nonhuman sources.
  • Resistance to several drugs was widespread, although Salmonella Typhi remained mostly susceptible, emphasizing the need for ongoing surveillance and effective public health monitoring.
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Background: The Burkholderia cepacia complex comprises a group of bacteria with a growing threat as a contaminant of nonsterile solutions. We describe an outbreak of a Burkholderia cepacia complex involving patients at intensive care unit related to a no-rinse bathing solution (NRBS).

Methods: We carried out patients, environmental and laboratory investigation performing analyses of cases, pulsed-field-gel electrophoresis and whole genome sequence (WGS) of isolates.

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Although diphtheria is a vaccine-preventable disease, numerous cases are still reported around the world, as well as outbreaks in countries, including European ones. Species of the Corynebacterium diphtheriae complex are potentially toxigenic and, therefore, must be considered given the possible consequences, such as the circulation of clones and transmission of antimicrobial resistance and virulence genes. Recently, Corynebacterium rouxii was characterized and included among the valid species of the complex.

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Cases of diphtheria, even in immunized individuals, are still reported in several parts of the world, including in Brazil. New outbreaks occur in Europe and other continents. In this context, studies on Corynebacterium diphtheriae infections are highly relevant, both for a better understanding of the pathogenesis of the disease and for controlling the circulation of clones and antimicrobial resistance genes.

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  • Public health is increasingly challenged by pathogenic microorganisms with new antimicrobial resistance, making identification difficult for emerging pathogens like NDM-1-producing strains.
  • A study documents Brazil's first case of a new ST418 strain, initially misidentified, which was accurately identified through ANI analyses and whole-genome sequencing.
  • The study found that the resistance gene was located on a 112 kb IncFIB plasmid, emphasizing the need for public health vigilance as this species may spread significant resistance genes.
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Antimicrobial resistance (AMR) poses an imminent threat to global public health, driven in part by the widespread use of antimicrobials in both humans and animals. Within the dairy cattle industry, Gram-negative coliforms such as and stand out as major causative agents of clinical mastitis. These same bacterial species are frequently associated with severe infections in humans, including bloodstream and urinary tract infections, and contribute significantly to the alarming surge in antimicrobial-resistant bacterial infections worldwide.

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Chagas disease is a Neglected Tropical Disease with limited and ineffective therapy. In a search for new anti-trypanosomal compounds, we investigated the potential of the metabolites from the bacteria living in the corals and sediments of the southeastern Brazilian coast. Three corals, , , and sediments yielded 11 bacterial strains that were fully identified by MALDI-ToF/MS or gene sequencing, resulting in six genera-, , , , and To conduct this study, EtOAc extracts were prepared and tested against The crude extracts showed IC values ranging from 15 to 51 μg/mL against the trypomastigotes.

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Until 2015, polymyxin resistance was primarily attributed to chromosomal mutations. However, with the first report of mobile colistin resistance () in commensal from food animals in China, the landscape has changed. To evaluate the presence of polymyxin resistance in spp.

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We present a case of skin lesion caused by nontoxigenic Corynebacterium diphtheriae. Genomic taxonomy analyses corroborated the preliminary identification provided by mass spectrometry. The strain showed a susceptible phenotype with increased exposure to penicillin, the first drug of choice for the treatment.

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  • Over the last ten years, New Delhi metallo-beta-lactamase (NDM) has spread in Brazil among various Enterobacterales species, not just Klebsiella.
  • The study involved analyzing 32 clinical isolates from 11 different species, with a focus on their antibiotic resistance profiles, revealing the presence of key resistance genes such as bla and mcr-1.
  • The findings highlight the urgent need for improved detection and control measures in hospitals to prevent the further spread of these resistant bacteria.
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  • * The research involved various methods like antimicrobial susceptibility testing, whole genome sequencing, and conjugation assays to understand the strain's resistance mechanisms and plasmid characteristics.
  • * The findings reveal that strain 195_20 is resistant to multiple antibiotics and carries three significant plasmids related to its resistance genes, highlighting the risk of transmission of these resistant pathogens from animals to humans.
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  • Carbapenem-resistant Klebsiella pneumoniae (CRKP) is a significant global health threat due to its widespread resistance to multiple antimicrobial agents, necessitating the exploration of new treatment options.
  • In a study of 97 isolates from Brazilian hospitals, the majority were found to be extensively drug-resistant, with the most effective treatments being meropenem-vaborbactam, cefiderocol, and ceftazidime-avibactam.
  • The results highlight a critical need for proper antimicrobial stewardship to protect the effectiveness of remaining treatment options, especially since only ceftazidime-avibactam is currently available in Brazil.
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Diphtheria is an infectious disease potentially fatal that constitutes a threat to global health security, with possible local and systemic manifestations that result mainly from the production of diphtheria toxin (DT). In the present work, we report a case of infection by Corynebacterium diphtheriae in a cutaneous lesion of a fully immunized individual and provided an analysis of the complete genome of the isolate. The clinical isolate was first identified by MALDI-TOF Mass Spectrometry.

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  • Bacillus anthracis, the bacteria causing anthrax, poses risks to both human and animal health, particularly in agricultural areas around the world.
  • The study identifies a specific lineage of B. anthracis from 1960s Brazil, confirming its classification and antimicrobial susceptibility through advanced sequencing technologies and various tests.
  • Findings indicate that while the isolate IAL52 is susceptible to several antibiotics, it is resistant to ciprofloxacin, highlighting the importance of understanding different bacterial strains for effective treatment and tracking of this zoonotic disease.
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, an opportunistic pathogen causing infections in immunocompromised patients, usually shows pronounced antimicrobial resistance. In recent years, the frequency of carbapenemases in has decreased, which allows use of new beta-lactams/combinations in antimicrobial therapy. Therefore, the in vitro evaluation of these drugs in contemporary isolates is warranted.

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The emergence of Community-associated methicillin-resistant (CA-MRSA) infections among indigenous populations has been reported. Usually, indigenous communities live in extreme poverty and are at risk of acquiring infections. In Brazil, healthcare inequality is observed in this population.

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The study aimed to evaluate the genetic diversity of Staphylococcus aureus causing subclinical mastitis (SM) isolated from dairy cows and to assess the effect of the infection status (transient vs. persistent) on the milk and component yield. A total of six dairy farms in São Paulo state were used for the selection of cows with SM caused by S.

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  • * Whole genome sequencing and antimicrobial susceptibility tests reveal that the isolate (288_18) is resistant to several antibiotics and carries a 67 kb transferable plasmid with the bla gene.
  • * The findings stress the need for improved surveillance to control the spread of antibiotic resistance, particularly in clinically relevant strains like Salmonella Agona.
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  • Invasive meningococcal disease (IMD) is on the rise, especially post-COVID-19, due to decreased vaccination rates and relaxed health measures.
  • Researchers analyzed six Neisseria meningitidis serogroup X isolates from Brazil over three decades using whole-genome sequencing, discovering a major lineage.
  • The study highlights the presence of the ST2888 lineage in Brazil and emphasizes the need for continuous monitoring to prevent non-vaccine preventable IMD cases.
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  • Mammary pathogenic Escherichia coli (MPEC) is a key environmental pathogen causing clinical mastitis in cows, affecting both animal health and the dairy industry economically.
  • A study of 110 MPEC isolates from mastitis-affected cows showed distinct virulence factors, adherence patterns, and varying levels of antimicrobial resistance, particularly highlighting the presence of extended spectrum beta-lactamase (ESBL) producers.
  • The genetic diversity found in MPEC isolates suggests that there is no uniform genetic profile for classification, indicating complex pathogenicity and a significant public health risk due to antibiotic resistance.
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  • NDM-producing Enterobacterales have been found throughout Brazil since their first report in 2013, with a significant study focusing on São Paulo hospitals identifying 135 isolates over the last decade.
  • The study utilized various methods including antimicrobial susceptibility testing, pulsed-field gel electrophoresis, and whole genome sequencing to characterize these bacterial isolates, revealing a high activity of polymyxin B against 88.9% of them.
  • A wide diversity of pulsotypes and sequence types was observed, with Clonal Group 258 being the most common, indicating both clonal and non-clonal expansion of NDM-producing bacteria in Brazil linked to different plasmids.
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Salmonellosis ranks among the most frequently reported zoonosis worldwide and is often associated with foodborne outbreaks. Since the 1950s, the distribution of Salmonella serotypes in Sao Paulo State, Brazil, has been documented and periodically reported. In this study, we updated the data on the distribution of Salmonella serotypes received in our reference laboratory, isolated from human infections and nonhuman sources, from 2004 to 2020.

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Invasive meningococcal disease persists as a fulminant disorder worldwide. Although cases caused by Neisseria meningitidis serogroup X (MenX) occur infrequently, outbreaks have been reported in countries in Africa in recent decades. We report 2 cases of MenX invasive meningococcal disease in São Paulo, Brazil, in 2021 and 2022, during the COVID-19 pandemic.

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