**Core Concept**
Burkholderia cepacia is a gram-negative bacterium known for its resistance to multiple antibiotics, particularly those in the carbapenem and cephalosporin classes. This intrinsic resistance is due to the presence of various efflux pumps and enzymes that confer multidrug resistance.
**Why the Correct Answer is Right**
Burkholderia cepacia's intrinsic resistance is primarily attributed to its ability to produce a metallo-beta-lactamase enzyme, which breaks down beta-lactam antibiotics. This enzyme is encoded by the blaB gene and is responsible for the bacterium's resistance to carbapenems, cephalosporins, and other beta-lactam antibiotics. Additionally, Burkholderia cepacia possesses multiple efflux pumps, such as the AdeABC and MexXY pumps, which help to eliminate antibiotics from the cell, contributing to its multidrug resistance.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because while Burkholderia cepacia may exhibit some resistance to penicillins, it is not its primary mechanism of resistance.
**Option B:** This option is incorrect because Burkholderia cepacia's resistance to aminoglycosides is not its most notable characteristic.
**Option C:** This option is incorrect because Burkholderia cepacia's resistance to quinolones is not its most distinctive feature.
**Clinical Pearl / High-Yield Fact**
Burkholderia cepacia is often found in contaminated water and soil, and its resistance to multiple antibiotics makes it a significant concern in hospitals and healthcare settings, particularly for patients with cystic fibrosis.
**Correct Answer:** A. Carbapenems
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