Publications by authors named "D Madegedara"

Mycobacterium tuberculosis (Mtb) remains a leading infectious disease responsible for millions of deaths. RNA sequencing is a rapidly growing technique and a powerful approach to understanding host and pathogen cross-talks via transcriptional responses. However, its application is limited due to the high costs involved.

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Bilateral pneumothorax is a rare occurrence and vigilant clinical examination is mandatory to suspect that during the presentation. This case illustrates a young lady presented with bilateral pneumothorax, new identification of lung cysts and chylous pleural effusion leading to diagnosis of lymphangioleiomyomatosis.

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Background: Tuberculosis (TB), caused by the bacterium Mycobacterium tuberculosis is one of the top thirteen causes of death worldwide. The major challenge to control TB is the emergence of drug-resistant tuberculosis (DR-TB); specifically, multi-drug resistant TB which are resistant to the most potent drugs; rifampin and isoniazid. Owing to the inconsistencies of the current diagnostic methods, a single test cannot identify the whole spectrum of DR-TB associated mutations.

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Article Synopsis
  • The study examines the prevalence of Beijing sublineage (BL) strains of tuberculosis (TB) among pulmonary tuberculosis patients in Kandy, Sri Lanka, where high TB transmission is linked to international travel.
  • Out of 101 sputum smear-positive patients, 24 (26%) tested positive for BL strains, with higher prevalence in younger individuals and those with higher sputum grades or recent travel history.
  • Despite the higher prevalence of BL strains, treatment success rates were similar between patients with and without these strains, highlighting the need for better monitoring and policies regarding TB transmission related to travel in Sri Lanka and beyond.
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Respiratory bacterial microbiota plays a key role in human health. Lung cancer microbiome is a significant yet an understudied area while bronchiectasis microbiome is often studied. We assessed the bacterial microbiota in the upper and lower respiratory tract of the patients with lung cancer and bronchiectasis against a healthy group and their variations in individuality.

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