%0 Journal Article %A Takeuchi, Dan %A Akeda, Yukihiro %A Yoshida, Hisao %A Hagiya, Hideharu %A Yamamoto, Norihisa %A Nishi, Isao %A Yoshioka, Nori %A Sugawara, Yo %A Sakamoto, Noriko %A Shanmugakani, Rathina Kumar %A Deguchi, Matsuo %A Tomono, Kazunori %A Hamada, Shigeyuki %T Genomic reorganization by IS26 in a blaNDM-5-bearing FII plasmid of Klebsiella pneumoniae isolated from a patient in Japan %D 2018 %J Journal of Medical Microbiology, %V 67 %N 9 %P 1221-1224 %@ 1473-5644 %R https://doi.org/10.1099/jmm.0.000817 %K blaNDM-5 %K IS26 %K IncFII plasmid %K genomic reorganization %I Microbiology Society, %X An NDM-5-producing Klebsiella pneumoniae ST147 strain was isolated from a Japanese patient who had not travelled abroad in at least 5 years. Whole-genome sequencing revealed a genomic rearrangement in an FII plasmid harbouring bla NDM-5 due to the replicative transposition of IS26. A hypothetical structure was proposed for its ancestral plasmid, and comparative genomic analysis of the plasmid suggested the dissemination of structurally similar plasmids harbouring bla NDM-5 in Asian and Middle Eastern countries. %U https://www.microbiologyresearch.org/content/journal/jmm/10.1099/jmm.0.000817