{"title":"Emergence of Klebsiella pneumoniae Carbapenemase-Producing K. pneumoniae with Penicillin-Binding Protein 3 Insertions, Taiwan, 2021.","authors":"Tengfei Long, Arianne Lovey, Lillie Sanborn, Yanan Zhao, Zackery P Bulman, Yi-Tsung Lin, Liang Chen","doi":"10.3201/eid3206.260478","DOIUrl":"https://doi.org/10.3201/eid3206.260478","url":null,"abstract":"<p><p>Carbapenem-resistant Enterobacterales (CRE) are a major global health threat with limited treatment options. Aztreonam/avibactam is a promising therapy against metallo-β-lactamase (MBL)-producing and other CRE, but emerging resistance threatens its effectiveness. Insertions in penicillin-binding protein 3 (PBP3), which are well described in Escherichia coli, are linked to reduced aztreonam/avibactam susceptibility but remain poorly characterized in Klebsiella pneumoniae. We report clinical K. pneumoniae carbapenemase-producing K. pneumoniae sequence type 11 isolates carrying a novel PBP3 YRIT insertion, conferring reduced susceptibility to aztreonam/avibactam and ceftazidime/avibactam. Functional and genetic studies suggest that the PBP3 insertion impairs β-lactam binding and, in combination with bla<sub>KPC-2</sub> and other β-lactamases, contributes to reduced susceptibility. Those findings demonstrate the emergence of a PBP3 insertion in a high-risk K. pneumoniae clone, underscoring the expansion of this resistance mechanism and the critical need for genomic surveillance and novel therapeutics to identify and treat such infections.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"32 6","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abin Abraham, Rebecca L Linn, Dustin D Flannery, Scott M Gordon
{"title":"Placental Vascular Pathology Associated with Congenital Lymphocytic Choriomeningitis Virus Infection, Philadelphia, Pennsylvania, USA.","authors":"Abin Abraham, Rebecca L Linn, Dustin D Flannery, Scott M Gordon","doi":"10.3201/eid3206.260165","DOIUrl":"https://doi.org/10.3201/eid3206.260165","url":null,"abstract":"<p><p>Congenital lymphocytic choriomeningitis virus (LCMV) infection is associated with major neurologic malformations and fetal demise. We report 2 cases of probable congenital LCMV infection and chorioretinitis, cerebral ventriculomegaly, and placental histopathology in Philadelphia, Pennsylvania, USA. Clinicians who suspect congenital LCMV infection should screen for chorioretinitis, LCMV antibodies, and evidence of placental pathology.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"32 6","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kenrie P Y Hui,John C W Ho,Ka-Chun Ng,Richard J Webby,Malik Peiris,John M Nicholls,Michael C W Chan
{"title":"Tropism and Replication Competence of Cattle Influenza A(H5N1) Genotype B3.13 Virus in Human Bronchus and Lung Tissue.","authors":"Kenrie P Y Hui,John C W Ho,Ka-Chun Ng,Richard J Webby,Malik Peiris,John M Nicholls,Michael C W Chan","doi":"10.3201/eid3205.251926","DOIUrl":"https://doi.org/10.3201/eid3205.251926","url":null,"abstract":"In 2024, influenza A(H5N1) genotype B3.13 viruses emerged from cattle and caused mild spillover infections in humans. Using human bronchus and lung tissue, we evaluated tropism, replication, and pathogenesis of 2 cattle influenza isolates. Those viruses showed moderate replication competence and induced robust proinflammatory responses, suggesting potential risk for human health.","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"25 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147585721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tiara Joy Foo, Matthew Chung Yi Koh, Ka Lip Chew, Lester Juay, Sean Jiawei Wu
{"title":"Therapeutic Challenges in Case of Trichophyton indotineae Dermatophytosis, Singapore, 2025.","authors":"Tiara Joy Foo, Matthew Chung Yi Koh, Ka Lip Chew, Lester Juay, Sean Jiawei Wu","doi":"10.3201/eid3206.251606","DOIUrl":"https://doi.org/10.3201/eid3206.251606","url":null,"abstract":"<p><p>Trichophyton indotineae is an emerging dermatophyte frequently associated with terbinafine resistance. We report a case of recalcitrant T. indotineae infection in Singapore with limited response despite prolonged azole therapy, which only resolved after combination therapy with anidulafungin and itraconazole. This case highlights therapeutic challenges and need for improved diagnostics in T. indotineae infections.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"32 6","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vicente Descalzo, Albert Moreno-Mingorance, Patricia Álvarez-López, Paula Salmerón, Jorge N García-Pérez, Ferran P Pericás-Cladera, Jordi Arcarons, Guillem Puigsech-Boixeda, Ilaria Furlan, Ester Del Barrio-Tofiño, Sol M San José, Nieves Larrosa, Vicenç Falcó, Mayli Lung, Maider Arando, Juan José González-López
{"title":"Suspected Sexual Transmission of Dermatophilosis among Men Who Have Sex with Men, Barcelona, Spain, 2025-2026.","authors":"Vicente Descalzo, Albert Moreno-Mingorance, Patricia Álvarez-López, Paula Salmerón, Jorge N García-Pérez, Ferran P Pericás-Cladera, Jordi Arcarons, Guillem Puigsech-Boixeda, Ilaria Furlan, Ester Del Barrio-Tofiño, Sol M San José, Nieves Larrosa, Vicenç Falcó, Mayli Lung, Maider Arando, Juan José González-López","doi":"10.3201/eid3206.260476","DOIUrl":"https://doi.org/10.3201/eid3206.260476","url":null,"abstract":"<p><p>Dermatophilosis is considered a zoonotic infection. We report 9 cases among men who have sex with men in Barcelona, Spain, during December 2025-March 2026. Whole-genome sequencing revealed highly related isolates forming a distinct lineage within the genus Dermatophilus. Epidemiologic and clinical features of the cases support human-to-human transmission via sexual contact.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"32 6","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthieu Degreze, François Durupt, Marine Ibranosyan, Anne-Lise Maucotel, Audrey Lapendry, Laurie Gouillon, Matthieu Godinot, Maxime Bonjour
{"title":"Suspected Sexual Transmission of Dermatophilosis among Men Who Have Sex with Men, Lyon and Paris, France, 2025-2026.","authors":"Matthieu Degreze, François Durupt, Marine Ibranosyan, Anne-Lise Maucotel, Audrey Lapendry, Laurie Gouillon, Matthieu Godinot, Maxime Bonjour","doi":"10.3201/eid3206.260401","DOIUrl":"https://doi.org/10.3201/eid3206.260401","url":null,"abstract":"<p><p>We report a genomically linked cluster of 9 Dermatophilus congolensis cutaneous infections diagnosed within 2 months among men who have sex with men in Lyon and Paris, France, 2025-2026. Genomic similarity and shared sexual exposures strongly suggest interhuman sexual transmission of this zoonotic bacterium.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"32 6","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lindsay A Parnell,Amanda Ribeiro Dos Santos,Kaitlin Forsberg,Meghan Lyman,Elizabeth Misas,Lalitha Gade,D Joseph Sexton,Anastasia P Litvintseva,Nancy A Chow
{"title":"Updated Genomic Epidemiologic Description of Candida (Candidozyma) auris, United States.","authors":"Lindsay A Parnell,Amanda Ribeiro Dos Santos,Kaitlin Forsberg,Meghan Lyman,Elizabeth Misas,Lalitha Gade,D Joseph Sexton,Anastasia P Litvintseva,Nancy A Chow","doi":"10.3201/eid3205.250760","DOIUrl":"https://doi.org/10.3201/eid3205.250760","url":null,"abstract":"The multidrug-resistant yeast Candida (Candidozyma) auris has caused several healthcare-associated outbreaks in the United States. We provide a genomic epidemiologic description of 1,535 C. auris isolates collected in the United States during 2013-2022. We identified clades I, II, III, and IV but not clades V or VI. Median pairwise single-nucleotide polymorphism distances indicated lower intraclade relatedness for clades I (91), III (43), and IV (43), compared with clade II (1,455). Phylogenetic analysis showed regional clusters with varying predominant clades. Of 809 isolates that underwent antifungal susceptibility testing, 53 were echinocandin resistant, distributed across 3 clades; 92% (49/53) had FKS1 hotspot mutations, which varied regionally. Our findings corroborate ongoing transmission and clonal expansion of C. auris, likely propagated by multiple introductions within and between geographic regions. Echinocandin resistance in multiple clades highlights the need to increase awareness, improve treatment practices, and engage in rapid public health response.","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"1 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147753292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ailam Lim,Keith Poulsen,Leonardo C Caserta,Lizheng Guan,Eryn Opgenorth,Maxwell P Beal,Amie J Eisfeld,Yoshihiro Kawaoka,Diego G Diel
{"title":"Highly Pathogenic Avian Influenza A(H5N1) Virus RNA in Bovine Semen, California, USA, 2024.","authors":"Ailam Lim,Keith Poulsen,Leonardo C Caserta,Lizheng Guan,Eryn Opgenorth,Maxwell P Beal,Amie J Eisfeld,Yoshihiro Kawaoka,Diego G Diel","doi":"10.3201/eid3205.251639","DOIUrl":"https://doi.org/10.3201/eid3205.251639","url":null,"abstract":"Since March 2024, highly pathogenic avian influenza (HPAI) A(H5N1) virus has infected dairy cattle in the United States, prompting concern about novel transmission routes. During an outbreak in California, HPAI H5N1 RNA was detected in an asymptomatic bull's semen. Although infectious virus was not isolated, semen-associated transmission risks and biosecurity practices remain a concern.","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"21 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147680530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}