<front xmlns:xlink="http://www.w3.org/1999/xlink"
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   <journal-meta>
      <journal-id journal-id-type="publisher-id">CJIDMM</journal-id>
      <journal-title-group><journal-title>Canadian Journal of Infectious Diseases and Medical Microbiology</journal-title></journal-title-group>
      <issn pub-type="ppub">1712-9532</issn>
      <publisher>
         <publisher-name>Pulsus Group Inc</publisher-name>
      </publisher>
   </journal-meta>
   <article-meta>
      <article-id pub-id-type="publisher-id">657047</article-id><article-id pub-id-type="doi">10.1155/2014/657047</article-id>
      <article-categories>
         <subj-group>
            <subject>Case Report</subject>
         </subj-group>
      </article-categories>
      <title-group>
         <article-title>Osteomyelitis Due to Multiple Carbapenemase-Producing Gram-Negative Bacteria: The First Case Report of a GES-13-Producing <italic>Pseudomonas aeruginosa</italic> Isolate in Canada</article-title>
      </title-group>
      <contrib-group>
         <contrib contrib-type="author" id="U20954685">
            <name>
               <surname>Sepehri</surname>
               <given-names>Shadi</given-names>
            </name>
            <xref ref-type="aff" rid="I1">
               <sup>1</sup>
            </xref>
         </contrib>
         <contrib contrib-type="author" id="U13847296">
            <name>
               <surname>Poliquin</surname>
               <given-names>Guillaume</given-names>
            </name>
            <xref ref-type="aff" rid="I1">
               <sup>1</sup>
            </xref>
            <xref ref-type="aff" rid="I2">
               <sup>2</sup>
            </xref>
            <xref ref-type="aff" rid="I3">
               <sup>3</sup>
            </xref>
         </contrib>
         <contrib contrib-type="author" id="U69398421">
            <name>
               <surname>Alfattoh</surname>
               <given-names>Nora</given-names>
            </name>
            <xref ref-type="aff" rid="I2">
               <sup>2</sup>
            </xref>
         </contrib>
         <contrib contrib-type="author" id="U37259240">
            <name>
               <surname>Boyd</surname>
               <given-names>David</given-names>
            </name>
            <xref ref-type="aff" rid="I3">
               <sup>3</sup>
            </xref>
         </contrib>
         <contrib contrib-type="author" id="U73285348">
            <name>
               <surname>Mulvey</surname>
               <given-names>Michael</given-names>
            </name>
            <xref ref-type="aff" rid="I1">
               <sup>1</sup>
            </xref>
            <xref ref-type="aff" rid="I3">
               <sup>3</sup>
            </xref>
         </contrib>
         <contrib contrib-type="author" id="U49363429">
            <name>
               <surname>Denisuik</surname>
               <given-names>Andrew</given-names>
            </name>
            <xref ref-type="aff" rid="I1">
               <sup>1</sup>
            </xref>
         </contrib>
         <contrib contrib-type="author" id="U12480762">
            <name>
               <surname>Fanella</surname>
               <given-names>Sergio</given-names>
            </name>
            <xref ref-type="aff" rid="I1">
               <sup>1</sup>
            </xref>
            <xref ref-type="aff" rid="I2">
               <sup>2</sup>
            </xref>
         </contrib>
         <contrib contrib-type="author" id="U52928057">
            <name>
               <surname>Karlowsky</surname>
               <given-names>James</given-names>
            </name>
            <xref ref-type="aff" rid="I1">
               <sup>1</sup>
            </xref>
            <xref ref-type="aff" rid="I4">
               <sup>4</sup>
            </xref>
         </contrib>
         <contrib contrib-type="author" id="U67017245" corresp="yes">
            <name>
               <surname>Walkty</surname>
               <given-names>Andrew</given-names>
            </name>
            <email>awalkty@dsmanitoba.ca</email>
            <xref ref-type="aff" rid="I1">
               <sup>1</sup>
            </xref>
            <xref ref-type="aff" rid="I4">
               <sup>4</sup>
            </xref>
         </contrib>
      </contrib-group>
      <aff id="I1">
         <sup>1</sup>
         <addr-line>Department of Medical Microbiology</addr-line>
           <addr-line>University of Manitoba</addr-line> <country>Canada</country>
         <ext-link ext-link-type="domain-name">umanitoba.ca</ext-link>
      </aff>
      <aff id="I2">
         <sup>2</sup>
         <addr-line>Department of Pediatrics and Child Health</addr-line>
         <addr-line>University of Manitoba</addr-line> <country>Canada</country>
         <ext-link ext-link-type="domain-name">umanitoba.ca</ext-link>
      </aff>
      <aff id="I3">
         <sup>3</sup>
         <addr-line>National Microbiology Laboratory</addr-line>
  <country>Canada</country>
      </aff>
      <aff id="I4">
         <sup>4</sup>
         <addr-line>Diagnostic Services Manitoba</addr-line>
         <addr-line>Winnipeg</addr-line>
         <addr-line>Manitoba</addr-line> <country>Canada</country>
         <ext-link ext-link-type="domain-name">dsmanitoba.ca</ext-link>
      </aff>
      <pub-date pub-type="publication-year">
         <year>2014</year>
      </pub-date>
      <volume>25</volume>
      <issue>4</issue>
      <fpage>229</fpage>
      <lpage>231</lpage>
      <permissions>
         <copyright-year>2014</copyright-year>
         <copyright-holder>Copyright &#xa9; 2014 Hindawi Publishing Corporation.</copyright-holder>
         <license license-type="open-access">
            <license-p>This is an open access article distributed under the <ext-link xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
         </license>
      </permissions>
      <abstract>
         <p>A case of osteomyelitis in an infant following a burn injury sustained in Pakistan caused by a GES-13-producing <italic>Pseudomonas aeruginosa</italic> (the first reported in Canada) and an OXA-48 producing <italic>Klebsiella pneumoniae</italic> is described. The present case serves to highlight the importance of international travel as a risk factor for infection with carbapenemase-producing bacteria and the challenges in the laboratory detection of these organisms.</p>
      </abstract>
    
      <kwd-group>
         <kwd>Carbapenemase</kwd>
         <kwd>Continuous infusion</kwd>
         <kwd>GES-13</kwd>
         <kwd>Multidrug-resistant</kwd>
         <kwd>OXA-48</kwd>
      </kwd-group>
      <counts>
         <ref-count count="17"/>
         <page-count count="3"/>
      </counts>
   </article-meta>
</front>