The pathogenesis of increasing drug resistance among patients with multidrug-resistant or extensively drug-resistant tuberculosis undergoing treatment is poorly understood. Increasing drug resistance found among Mycobacterium tuberculosis recovered from cavitary isolates compared with paired sputum isolates suggests pulmonary cavities may play a role in the development of worsening tuberculosis drug resistance.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3284212PMC
http://dx.doi.org/10.1093/cid/cir904DOI Listing

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