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De Omnibus Dubitandum - Lux Veritas

Saturday, February 1, 2014

CRE and TRSV: A Tale of Two Infections

By Michael D. Shaw January 27, 2014
With winter hard upon us here in the Northern Hemisphere, our thoughts often turn to colds and flu—those usually temporary, if miserable afflictions. While we humans are only too aware of our frailty against microscopic invaders, we sometimes forget that they can still be lethal. Likewise, we sometimes lose sight of the fact that lethal infections can also affect our smallest animal friends, such as the honeybee.
Which brings us to two very different lethal infections: CRE (carbapenem-resistant Enterobacteriaceae) and TRSV (tobacco ringspot virus).
First, let’s unpack the term “CRE.” So-called beta-lactam antibiotics (and this includes many common ones such as penicillin and its derivatives) all contain a structure referred to as a beta-lactam ring in their molecule. They kill the bugs by inhibiting synthesis of the cell wall. However, some bacteria produce the enzyme beta-lactamase, which breaks down the ring, and therefore the antibiotic itself. Interestingly, the enzyme has been around since the dawn of time, and is not specifically an adaptation to the antibiotics.
Now, carbapenems are a type of antibiotic that can foil the beta-lactamase enzyme, owing to a carbon atom being substituted for a sulfur atom in the ring. Enterobacteriacae is a family of bacteria that includes Escherichia coli and Klebsiella pneumoniae. For several years, carbapenems have been used as the antibiotic of last resort for infections of Enterobacteriacae…..To Read More….

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