Persistent Urinary Tract Infection in Association with Community-Acquired NDM-5 Escherichia coli Clonal Group Following COVID-19 Infection-Beijing Municipality,China,2023

Summary What is already known about this topic?The hospital-acquired infections caused by New Delhi metallo-beta-lactamase(NDM)-producing strains are typically attributed to a single clonal lineage.What is added by this report?In this study,we encountered a unique case of community-acquired NDM-5 Escherichia coli urinary tract infection(UTI)following coronavirus disease 2019(COVID-19).The UTI persisted for a duration of at least 45 days.Genomic analyses revealed the presence of two NDM-5 strains,both sharing an identical chromosomal background but distinct,homologous,and recombined plasmids.