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We report a ceftriaxone-resistant, multidrug-resistant urogenital gonorrhoea case in a heterosexual woman in France, June 2022. The woman was successfully treated with azithromycin 2 g. She had unprotected sex with her regular partner, who developed urethritis following travel to Vietnam and Switzerland. Whole genome sequencing of the gonococcal isolate (F92) identified MLST ST1901, NG-STAR CC-199, and the novel mosaic penA-237.001 , which caused ceftriaxone resistance. penA-237.001 is 98.7% identical to penA-60.001 , reported in various ceftriaxone-resistant strains, including the internationally spreading FC428 clone.
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Berçot et al. (2022) studied this question.
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