“…First, penicillin-resistant clinical isolates of S. pneumoniae are often faster growers compared with the penicillin-resistant mutants generated in the laboratory (16,27,28,43). Second, the degree of cross-linking in the peptidoglycan of penicillin-resistant clinical isolates of S. pneumoniae was shown to be similar to that of penicillin-sensitive strains, but a drastic reduction in the cross-linking of the peptidoglycan was observed for penicillin-resistant laboratory mutants (16,40,42,43). Third, penicillin-resistant mutants generated in the laboratory were usually associated with a low level rather than a high level of resistance to the drug (21,22,27,28).…”