Elizabethkingia meningoseptica from the gut of asymptomatic carrier

During routine microbiological screening of an individual admitted for the aortic valve replacement surgery, unusual light blue colonies were appeared on the Vancomycin Resistant Enterococci (VRE) agar (Oxoid, CM0984) from the rectal swab sample. Antibiotic susceptibility testing performed using the VITEK 2 compact system with AST N117 cards (bioMe´rieux) revealed the strain NV2016 was resistant to Ampicillin, Ampicillin+Sulbactam, Cefuroxim, Piperacillin/Tazobactam, Piperacillin, Ceftazidim, Cefepim, Imipenem, Meropenem, Nitrofurantoin, Aztreonam while sensitive only to Trimethoprime/ Sulfamethoxazole and moxifloxacin. MALDI-TOF analysis identified NV2016 to be Elizabethkingia meningoseptica. As this is the first time that E. meningoseptica is observed from an asymptomatic individual we sequenced NV2016 for its whole genome and explored for its characteristics.