Most leech infections are caused by an obligate bacterial symbiont of the crop of leeches, Aeromonas sp. Here, we describe a flap infection following leech therapy mediated by two Aeromonas veronii isolates that presented complementary and synergistic features in terms of virulence and antimicrobial drug resistance. One strain was multidrug resistant and harboured an ESBL-encoding bla_VEB-1 gene embedded within a class 1 integron. This is the first report that a bacterial mixture including an ESBL Aeromonas may have worsened the course of a flap infection following leech therapy.

中文翻译：

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探戈需要两个步骤：水le治疗后，两种分离的气单胞菌在皮瓣感染中具有毒力和多药耐药性。

大多数水ech感染是由水作物Aeromonas sp的专性细菌共生体引起的。在这里，我们描述了水two病治疗后的皮瓣感染，这是由两个维罗纳气单胞菌分离物介导的，在毒力和抗药性方面，它们表现出互补性和协同性。一种菌株是多药抗性的，并且具有嵌入1类整合子中的ESBL编码bla _VEB-1基因。这是第一个报道，包括ESBL气单胞菌的细菌混合物可能会在水ech治疗后加重皮瓣感染的进程。