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Two tuberculosis genotyping clusters, one preventable outbreak.
Buff, Ann M; Sosa, Lynn E; Hoopes, Andrea J; Buxton-Morris, Deborah; Condren, Thomas B; Hadler, James L; Haddad, Maryam B; Moonan, Patrick K; Lobato, Mark N.
Afiliação
  • Buff AM; Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. ali3@cdc.gov
Public Health Rep ; 124(4): 490-4, 2009.
Article em En | MEDLINE | ID: mdl-19618785
In 2006, eight community tuberculosis (TB) cases and a ninth incarceration-related case were identified during an outbreak investigation, which included genotyping of all Mycobacterium tuberculosis isolates. In 1996, the source patient had pulmonary TB but completed only two weeks of treatment. From February 2005 to May 2006, the source patient lived in four different locations while contagious. The outbreak cases had matching isolate spoligotypes; however, the mycobacterial interspersed repetitive unit (MIRU) patterns from isolates from two secondary cases differed by one tandem repeat at a single MIRU locus. The source patient's isolates showed a mixed mycobacterial population with both MIRU patterns. Traditional and molecular epidemiologic methods linked eight secondary TB cases to a single source patient whose incomplete initial treatment, incarceration, delayed diagnosis, and housing instability resulted in extensive transmission. Adequate treatment of the source patient's initial TB or early diagnosis of recurrent TB could have prevented this outbreak.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Tuberculose / Surtos de Doenças / Genótipo / Mycobacterium tuberculosis Tipo de estudo: Diagnostic_studies / Prognostic_studies / Screening_studies Limite: Adult / Female / Humans / Infant / Male País como assunto: America do norte Idioma: En Ano de publicação: 2009 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Tuberculose / Surtos de Doenças / Genótipo / Mycobacterium tuberculosis Tipo de estudo: Diagnostic_studies / Prognostic_studies / Screening_studies Limite: Adult / Female / Humans / Infant / Male País como assunto: America do norte Idioma: En Ano de publicação: 2009 Tipo de documento: Article