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. 2019 Nov;25(11):2120–2121. doi: 10.3201/eid2511.180638

Table. Characteristics of cases of treatment failure resulting from concurrent infection with mixed strains of drug-resistant Mycobacterium tuberculosis*.

Patient age, y/sex Immune status Site(s) of infection Time to recurrence Platform for strain identification Patient country of origin Country of diagnosis Reference
24/M
Immunocompetent
Lymph node, gastric aspirate
100 d
Mixed-linker fingerprint PCR
Nepal
Germany
(1)
23/M
HIV negative
Pulmonary
150 d
Spoligotyping and MIRU
Somalia
USA
(4)
24/M
HIV negative
Pulmonary, gastric aspirate
90 d
IS6110 RFLP and spoligotyping
Kazakhstan
Germany
(2)
62/M
HIV negative
Pulmonary
120 d
MIRU-VNTR
Portugal
UK
(3)
28/M HIV positive Lymph node, trachea 84 d Spoligotyping and WGS Philippines USA This study

*IS, insertion sequence; MIRU-VNTR, mycobacterial interspersed repetitive unit–variable number tandem repeat; RFLP, restriction fragment length polymorphism; WGS, whole genome sequencing.