Table 1.
Sequential appearance of 35 point mutations in the blood isolates
| Date of isolation, month/day/year | Isolate | MIC,* μg/ml |
Numeric identifier of mutation† |
|||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Vancomycin | Rifampin | Oxacillin | Daptomycin | 1‡ | 2§ | 3–6¶ | 7‖ | 8** | 9†† | 10‡‡ | 11§§ | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19–33 | 34 and 35 | ||
| 7/20/2000 | JH1 | 1.0 | 0.012 | 0.75 | 0.01 | ● | ND | |||||||||||||||
| 9/20/2000 | JH2 | 4.0 | 16 | 25 | 0.05 | ○ | ● | ● | ● | ● | ND | |||||||||||
| 10/1/2000 | JH5 | 6.0 | 16 | 0.75 | 0.05 | ○ | ● | ● | ● | ● | ● | ND | ||||||||||
| 10/6/2000 | JH6 | 8.0 | 16 | 1.5 | 1.0 | ○ | ● | ● | ● | ● | ○ | ● | ● | ● | ● | ● | ● | ● | ● | ● | ND | |
| 10/13/2000 | JH9 | 8.0 | 16 | 0.75 | 1.0 | ○ | ● | ● | ● | ● | ● | ● | ● | ● | ● | ● | ● | ● | ● | ● | ● | ND |
*, E-test.
†, Numbers 1–35 are assigned to mutations in the time order of their appearance. The presence of a mutation is indicated by ●, and the absence of a mutation due to a possible reversion is indicated by ○. ND, not determined. Mutations 34 and 35 between JH1 and JH9 were predicted to be in JH9 but could not be PCR sequenced (see SI Appendix for a discussion).
‡, in blaR1 on the plasmid;
§, in SA1702 in the vraR operon;
¶, in rpoB;
‖, in rpoC;
**, in gene SA1129 with unknown function;
††, in SA1249;
‡‡, in agrC in the agr locus;
§§, in yycH in the yyc gene cluster with yycF and yycG. SAXXXX: N315 identifiers (17).