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Journal of Clinical Microbiology, August 2002, p. 2750-2754, Vol. 40, No. 8
0095-1137/02/$04.00+0     DOI: 10.1128/JCM.40.8.2750-2754.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.

Multiple Mycobacterium tuberculosis Strains in Early Cultures from Patients in a High-Incidence Community Setting

Madalene Richardson,1 Nora M. Carroll,1 Erica Engelke,1 Gian D. van der Spuy,1 Faeeza Salker,2 Zahn Munch,2 Robert P. Gie,2 Robin M. Warren,1 Nulda Beyers,2 and Paul D. van Helden1*

MRC Centre for Molecular and Cellular Biology, Department of Medical Biochemistry,1 Department of Paediatrics and Child Health, Faculty of Health Sciences, Stellenbosch University, Tygerberg, South Africa2

Received 26 February 2002/ Returned for modification 21 April 2002/ Accepted 4 May 2002

In an ongoing molecular epidemiology study, human immunodeficiency virus-negative patients with first-time pulmonary tuberculosis from a high-incidence community were enrolled. Mycobacterium tuberculosis strains were identified by restriction fragment length polymorphism analysis with two fingerprinting probes. Of 131 patients, 3 (2.3%) were shown to have a mixture of strains in one or two of their serial cultures. This study further investigated these cases with disease caused by multiple M. tuberculosis strains in the context of the molecular epidemiology of the study setting.


* Corresponding author. Mailing address: P.O. Box 19063, Tygerberg 7505, South Africa. Phone: 27 21 9389401. Fax: 27 21 9389476. E-mail: pvh{at}sun.ac.za.


Journal of Clinical Microbiology, August 2002, p. 2750-2754, Vol. 40, No. 8
0095-1137/02/$04.00+0     DOI: 10.1128/JCM.40.8.2750-2754.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.




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Copyright © 2002 by the American Society for Microbiology. All rights reserved.