This report documents the case of a Ukrainian patient infected with an extensively drug-resistant (XDR) lineage 2 strain harbouring the rifampicin resistance mutation RpoB I491F. This mutation is not detected by routine molecular WHO-recommended rapid diagnostics, complicating the detection and treatment of these strains. The occurrence of such mutations underscores the need for enhanced diagnostic techniques and tailored treatment regimens, especially in eastern Europe where lineage 2 strains and XDR-tuberculosis are prevalent.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11241856 | PMC |
http://dx.doi.org/10.2807/1560-7917.ES.2024.29.28.2400420 | DOI Listing |
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