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Volume 15, Number 4—April 2009

Dispatch

Co-infection with Pansensitive and Multidrug-Resistant Strains of Mycobacterium tuberculosis

Michael P. MendezComments to Author , Mary E. Landon, Mary K. McCloud, Peter Davidson, and Paul J. Christensen
Author affiliations: Department of Veterans Affairs Medical Center, Ann Arbor, Michigan, USA (M.P. Mendez, P.J. Christensen); Washtenzw County Public Health Department, Ypsilanti, Michigan, USA (M.E. Landon M.K. McCloud); Department of Community Health, Lansing, Michigan, USA (P. Davidson)

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Figure

Poster-anterior chest radiographs of patient with multidrug-resistant tuberculosis. A) Radiograph taken at diagnosis, demonstrating dense consolidation of the left lower lobe and lingula. A left apical cavity is present. Minimal change is also noted in the right mid-lung zone. B) Radiograph taken after 5 months of directly observed therapy. Marked clearance is noted on the left; however, a new small cavitary lesion with surrounding infiltrate is noted in the right mid-lung zone (black arrow).

Figure. Poster-anterior chest radiographs of patient with multidrug-resistant tuberculosis. A) Radiograph taken at diagnosis, demonstrating dense consolidation of the left lower lobe and lingula. A left apical cavity is present. Minimal change is also noted in the right mid-lung zone. B) Radiograph taken after 5 months of directly observed therapy. Marked clearance is noted on the left; however, a new small cavitary lesion with surrounding infiltrate is noted in the right mid-lung zone (black arrow).

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