Article
Spread of a low-fitness drug-resistant Mycobacterium tuberculosis strain in a setting of high human immunodeficiency virus prevalence.
Journal of clinical microbiology - 1 Apr 2008
Strauss O J, Warren R M, Jordaan A, Streicher E M, Hanekom M, Falmer A A, Albert H, Trollip A, Hoosain E, van Helden P D, Victor T C
Abstract excerpt
The fitness cost associated with the evolution of resistance to rifampin in Mycobacterium tuberculosis may be different in clinical isolates compared to in vitro-generated mutants. An atypical Beijing strain (attenuated phenotype) demonstrated the ability to spread despite acquiring resistance to rifampin. Transmission was linked to human immunodeficiency virus coinfection (P = 0.029), raising concern for the...
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