E xtraintestinal pathogenic Escherichia coli (ExPEC) is a pathogen that causes a wide range of diseases worldwide (1). Based on molecular and phenotypic analysis, many reports suggest that poultry is a reservoir of ExPEC (1, 2). In addition to having pathogenic potential, many ExPEC lineages are multidrug resistant, leaving treatment options scarce (1). In this study, we report the coexistence of plasmid-mediated resistance to cephalosporins, quinolones, and fosfomycin in virulent lineages of ExPEC from poultry. Between 2013 and 2016, during a surveillance study conducted to monitor the prevalence of ExPEC isolates in poultry farms, six strains exhibiting a multidrug-resistant profile were recovered from cloacal swabs of healthy broilers in 3 farms located in Paraná State, southern Brazil. Isolates displayed resistance to cephalosporins, fosfomycin, and fluoroquinolones, as evaluated by disk diffusion and agar dilution methods (3, 4). The presence of genes encoding -lactamases, plasmid-mediated quinolone resistance (PMQR), and fosfomycin resistance was assessed by PCR and sequencing (5-7). Plasmids were characterized by conjugation in E. coli C600 STR or transformation in E. coli TOP10, PCR-based replicon typing (PBRT) (8), plasmid multilocus sequence typing (pMLST) for IncI1 plasmids (9), replicon sequence typing (RST) for IncF plasmids (10), and plasmid sizing determination. Plasmid analysis revealed that all strains bearing an ϳ70-kb conjugative F33:A-:Bplasmid harbored bla CTX-M-55 , bla TEM-1b , and fosA3 genes (see Table S1 in the supplemental material), whereas four strains additionally harbored the qnrB19 gene in ColElike plasmids (ϳ3 kb). Identification of bla CTXM-2 and bla CMY-2 was confirmed in two and three E. coli strains, respectively (Table 1). bla CMY-2 was related to 80-kb IncI1/ST12 plasmids. Virulence genotypes were elucidated using PCR to target 27 virulence markers (Table 1) (11-13). In this concern, all six strains were classified as an ExPEC pathotype based on the Johnson criterion (the presence of at least two of five virulence markers, namely, afa, kpsMTII, iutA, papC, and sfa/foc) (14), and the presence of genes encoding adhesins, siderophores, and serum resistance was confirmed in all strains. Phylogenetic analyses was determined by MLST (http://mlst.ucc.ie/mlst/mlst/dbs/ Ecoli), using the Clermont method (15), and single-enzyme amplified fragment length polymorphism (SE-AFLP) analysis. Four strains belonging to sequence types ST117, ST453, ST457, and ST1706 were clonally unrelated. In this regard, ST117 has been recognized as a lineage of avian-pathogenic E. coli (APEC) and human ExPEC (2). Furthermore, in a study conducted in China, ST117 was associated with an F33:A-:Bplasmid harboring bla CTX-M-65 , fosA3, and rmtB (16). In this study, ExPEC strain FA46