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Volume 11, Number 6—June 2005

Dispatch

Tuberculosis due to Resistant Haarlem Strain, Tunisia

Helmi Mardassi*Comments to Author , Amine Namouchi*, Raja Haltiti†, Mourad Zarrouk†, Besma Mhenni*, Anis Karboul*, Neila Khabouchi*, Nico C. Gey van Pittius‡, Elizabeth M. Streicher‡, Jean Rauzier§, Brigitte Gicquel§, and Koussay Dellagi*
Author affiliations: *Institut Pasteur de Tunis, Tunis-Belvédère, Tunisia; †Hôpital Régional de Menzel-Bourguiba, Menzel-Bourguiba, Tunisia; ‡University of Stellenbosch, Stellenbosch, South Africa; §Institut Pasteur, Paris, France

Main Article

Table 1

Clinical characteristics of 21 patients with multidrug-resistant tuberculosis (MDR-TB), Bizerte, Tunisia, 2001–2004*

Patient Age (y) Sex Case history Isolate used for molecular typing Initial diagnosis of MDR-TB Epidemiologic characteristic Chest radiography
P1 24 M PT Follow-up, Oct 2001 Sep 2001 Brother of patient 14 Right apical cavity nodular lesion
P2 26 M NC Initial Oct 2001 Same penitentiary as patients 7 and 9 Left mid-lung nodular opacity with excavation
P3 25 M NC Initial Oct 2001 None apparent Bi-apical nodular opacity
P4 62 M NC Initial Nov 2001 None apparent Right apical nodular opacity
P5 26 M PT Follow-up, Feb 2002 Sep 2000 Brother of patient 18 Diffuse nodular lesions and multiple cavities
P6 23 M PT Follow-up, Feb 2002 Feb 2001 None apparent Right apical and median bilateral nodular opacity
P7 24 M PT Follow-up, Mar 2002 Sep 2000 Same penitentiary as patients 2 and 9 Right lobe apical nodular opacity
P8 27 M NC Initial Jun 2002 None apparent Right apical nodular opacity
P9 34 M PT Follow-up, Jun 2002 Aug 2001 Same penitentiary as patients 2 and 7 Right apical nodular opacity and left diffuse nodular opacity
P10 21 M NC Initial Jun 2002 None apparent Right lobe apical nodular opacity and cavity
P11 42 M NC Initial Jul 2002 None apparent Basal nodular opacity of the right and left lung
P12 23 M NC Initial Jul 2002 None apparent Left apical cavity and nodular opacity
P13 29 M PT Follow-up, Aug 2002 Sep 2001 None apparent Bilateral apical and diffuse opacity
P14 34 M NC Initial Nov.2002 Brother of patient 1 Left apical cavity and nodular lesion
P15 51 M PT Follow-up, Nov 2002 ND None apparent Bilateral cavity
P16 17 M NC Initial Mar 2002 None apparent Bilateral nodular infiltration and cavity in the left lung
P17 17 M NC Initial May 2003 Nephew of patient 14 Wright apical cavity and left lung nodular opacity
P18 21 M NC Initial Jun 2003 Brother of patient 5 Right apical cavity and nodular opacity
P19 42 M NC Initial Jun 2003 No interview (lost case) Diffuse nodular opacity and multiple cavities
P20 53 M NC Follow-up, Oct 2003 Oct 2002 None apparent Right apical cavities and left lobe infiltrate
P21 ND M NC Initial Apr 2004 Cousin of patient 14 ND

*PT, previously treated; NC, new case; ND, not determined.

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