Ceftazidime-susceptible and -resistant Pseudomonas aeruginosa strains were
isolated from pulmonary specimens following a treatment with ceftazidime in
a patient who developed a nosocomial pneumonia. The ceftazidime-susceptibl
e and -resistant strains were clonally related and harbored a self-transfer
able similar to 155-kb plasmid. These isolates expressed two OXA-10-like ox
acillinases, the narrow-spectrum OXA-35 and the expanded-spectrum OXA-19, r
espectively, differing by one amino acid substitution. This is the first ex
ample of in vivo selection of an extended-spectrum oxacillinase from a rest
ricted-spectrum oxacillinase.