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Emergence of an outbreak-associated Clostridium difficile variant with increased virulence.
Quesada-Gómez C, López-Ureña D, Acuña-Amador L, Villalobos-Zúñiga M, Du T, Freire R, Guzmán-Verri C, del Mar Gamboa-Coronado M, Lawley TD, Moreno E, Mulvey MR, de Castro Brito GA, Rodríguez-Cavallini E, Rodríguez C, Chaves-Olarte E. Quesada-Gómez C, et al. Among authors: del mar gamboa coronado m. J Clin Microbiol. 2015 Apr;53(4):1216-26. doi: 10.1128/JCM.03058-14. Epub 2015 Feb 4. J Clin Microbiol. 2015. PMID: 25653402 Free PMC article.
Predominance and high antibiotic resistance of the emerging Clostridium difficile genotypes NAPCR1 and NAP9 in a Costa Rican hospital over a 2-year period without outbreaks.
López-Ureña D, Quesada-Gómez C, Montoya-Ramírez M, del Mar Gamboa-Coronado M, Somogyi T, Rodríguez C, Rodríguez-Cavallini E. López-Ureña D, et al. Among authors: del mar gamboa coronado m. Emerg Microbes Infect. 2016 May 11;5(5):e42. doi: 10.1038/emi.2016.38. Emerg Microbes Infect. 2016. PMID: 27165560 Free PMC article.
A Clostridium difficile Lineage Endemic to Costa Rican Hospitals Is Multidrug Resistant by Acquisition of Chromosomal Mutations and Novel Mobile Genetic Elements.
Ramírez-Vargas G, Quesada-Gómez C, Acuña-Amador L, López-Ureña D, Murillo T, Del Mar Gamboa-Coronado M, Chaves-Olarte E, Thomson N, Rodríguez-Cavallini E, Rodríguez C. Ramírez-Vargas G, et al. Among authors: del mar gamboa coronado m. Antimicrob Agents Chemother. 2017 Mar 24;61(4):e02054-16. doi: 10.1128/AAC.02054-16. Print 2017 Apr. Antimicrob Agents Chemother. 2017. PMID: 28137804 Free PMC article.