TABLE 2.
Laboratory investigations | Data for M. tuberculosis isolatea: |
|
---|---|---|
Kw5741-13 | Kw9101-13 | |
Clinical specimen | Pus | Sputum |
Smear microscopy result | AFB negative | AFB negative |
Xpert MTB/RIF assay result for specimen | Presence of RMP-resistant M. tuberculosis | Presence of RMP-resistant M. tuberculosis |
MGIT 960 system culture result | Positive | Positive |
RMP susceptibility (1 mg/liter) | Susceptible | Susceptible |
Other resistance pattern | None | None |
PCR for M. tuberculosis complex | Positive | Positive |
GenoType MTBDRplus assay | RMP resistant (ΔWT5, no specific mutation) | RMP resistant (ΔWT3 & 4, no specific mutation) |
Sequencing of rpoB gene | CTG521TTG (silent mutation [Leu521Leu]) | GAC to TAC (missense mutation [Asp516Tyr]) |
ΔWT, lack of hybridization with the wild-type probe.