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Ceftriaxone-resistant Neisseria gonorrhoeae, Puerto Rico
  1. Ramón Scharbaai-Vázquez1,2,
  2. Ana L González-Caraballo2,
  3. Luis J Torres-Bauzá2
  1. 1San Juan Bautista School of Medicine, Caguas, Puerto Rico
  2. 2Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico
  1. Correspondence to Dr Ramón Scharbaai-Vázquez; San Juan Bautista School of Medicine, P.O. Box 4968, Caguas 00726-4968, Puerto Rico; RScharbaai{at}

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Emergence and spread of multidrug-resistant Neisseria gonorrhoeae is a global threat. The aetiological agent of gonorrhoea has developed resistance to first-line treatments, such as sulfanilamides, penicillins, tetracyclines, macrolides, and fluoroquinolones1 The extended-spectrum cephalosporins are now the only antibiotics recommended for treatment of gonorrhoea in the USA and many countries.2 ,3 Unfortunately, susceptibility to these antimicrobials has also decreased.4–7 This trend has made the Centers for Disease Control (CDC) to recently classify N. gonorrhoeae as an urgent public health threat.8

We report here the first N. gonorrhoeae isolate …

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