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This patient's prominent pharyngitis, generalized lymphadenopathy beyond the inguinal region, and severe pancytopenia make lymphogranuloma venereum unlikely

14 Further research confirmed that extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli colonizing burn wounds can transfer beta-lactamase genes to non-ESBL-producing Escherichia coli, which can rapidly dissolve -lactam antibiotics

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