The growth of isolates was not significantly different within the two intrahost populations, indicating that there might not be significant fitness cost due to the presence and expression of tmexCD1-toprJ1 .
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Emergence and Inter- and Intrahost Evolution of Pandrug-Resistant <i>Klebsiella pneumoniae</i> Coharboring <i>tmexCD1-toprJ1, bla</i> <sub>NDM-1</sub>, and <i>bla</i> <sub>KPC-2</sub>.
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