Evidence map›Paper›PMID 42474694›Full record

ArticleInternational microbiology : the official journal of the Spanish Society for Microbiology2026

Genomic and phenotypic heterogeneity of Klebsiella aerogenes in a single host: plasmid loss and tissue-specific virulence gene expression during host adaptation.

Luis Duarte-Zambrano, Neli Nava-Domínguez, Juan Pablo Ramírez-Hinojosa, Rigoberto Hernández-Castro, Nadia Rodríguez-Medina, Alejandro Sánchez-Pérez, Nayeli Estefania Sánchez-Casiano, Michael Dunn, Alejandro Alvarado-Delgado, Ulises Garza-Ramos

Abstract read
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In one paragraph

Article in International microbiology : the official journal of the Spanish Society for Microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Luis Duarte-ZambranoInstituto Nacional de Salud Pública, Centro de Investigación Sobre Enfermedades Infecciosas (CISEI), Grupo de Investigación y Docencia en Resistencia Antimicrobiana. Laboratorio de Resistencia Antimicrobiana, Cuernavaca, Morelos, C.P. 62100, México.
Neli Nava-DomínguezInstituto Nacional de Salud Pública, Centro de Investigación Sobre Enfermedades Infecciosas (CISEI), Grupo de Investigación y Docencia en Resistencia Antimicrobiana. Laboratorio de Resistencia Antimicrobiana, Cuernavaca, Morelos, C.P. 62100, México.
Juan Pablo Ramírez-HinojosaDivisión de Infectología, Hospital General ″Dr. Manuel Gea González″, Ciudad de México, México.
Rigoberto Hernández-CastroDepartamento de Biología Molecular e Histocompatibilidad, Hospital General ″Dr. Manuel Gea González″, Ciudad de México, México.
Nadia Rodríguez-MedinaInstituto Nacional de Salud Pública, Centro de Investigación Sobre Enfermedades Infecciosas (CISEI), Grupo de Investigación y Docencia en Resistencia Antimicrobiana. Laboratorio de Resistencia Antimicrobiana, Cuernavaca, Morelos, C.P. 62100, México.
Alejandro Sánchez-PérezInstituto Nacional de Salud Pública, Centro de Investigación Sobre Enfermedades Infecciosas (CISEI), Grupo de Investigación y Docencia en Resistencia Antimicrobiana. Laboratorio de Resistencia Antimicrobiana, Cuernavaca, Morelos, C.P. 62100, México.
Nayeli Estefania Sánchez-CasianoInstituto Nacional de Salud Pública, Centro de Investigación Sobre Enfermedades Infecciosas (CISEI), Grupo de Investigación y Docencia en Resistencia Antimicrobiana. Laboratorio de Resistencia Antimicrobiana, Cuernavaca, Morelos, C.P. 62100, México.
Michael DunnPrograma de Genómica Funcional de Procariotes, Centro de Ciencias Genómicas, Universidad Nacional Autónoma de México, Cuernavaca, Morelos, México.
Alejandro Alvarado-DelgadoInstituto Nacional de Salud Pública, Centro de Investigación Sobre Enfermedades Infecciosas (CISEI), Grupo de Investigación y Docencia en Resistencia Antimicrobiana. Laboratorio de Resistencia Antimicrobiana, Cuernavaca, Morelos, C.P. 62100, México. adelgado@insp.mx.
Ulises Garza-RamosInstituto Nacional de Salud Pública, Centro de Investigación Sobre Enfermedades Infecciosas (CISEI), Grupo de Investigación y Docencia en Resistencia Antimicrobiana. Laboratorio de Resistencia Antimicrobiana, Cuernavaca, Morelos, C.P. 62100, México. ulises.garza@insp.mx.ORCID https://orcid.org/0000-0002-5013-3050

Funding

Secretaría de Ciencia, Humanidades, Tecnología e Innovación 347316
6 · The paper itself

Abstract

Klebsiella aerogenes is an opportunistic pathogen increasingly associated with healthcare-associated infections and severe respiratory complications. However, it's in vivo adaptation during host colonization remains poorly understood. We characterized three clonal K. aerogenes ST93 isolates sequentially recovered on days 4, 14, and 19 of hospitalization from a patient with fatal viral pneumonia and concurrent abdominal sepsis. While initially identified generically as Klebsiella spp. by automated clinical systems, Whole-Genome Sequencing and Average Nucleotide Identity confirmed their identity at the species level. Genomic analysis revealed an in vivo plasmid curing event characterized by the loss of a 6.1 kb bla

Indexed as

CoinfectionsEvolutionPlasmid profileSurvival testsVirulence

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.