Absence of the Genetic Marker IS6110 from a Strain of Mycobacterium tuberculosis Isolated in Ontario

A 35-year-old female patient from Waterloo, Ontario was diagnosed with pulmonary tuberculosis in June 1995. Records indicated that the patient had emigrated from Laos circa 1990. A culture grown from a bronchoalveolar lavage specimen was identified as Mycobacterium tuberculosis by standard biochemic...

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Main Authors: Susan T Howard, Matthew T Oughton, Albert Haddad, Wendy M Johnson
Format: Article
Language:English
Published: Wiley 1998-01-01
Series:Canadian Journal of Infectious Diseases
Online Access:http://dx.doi.org/10.1155/1998/292491
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author Susan T Howard
Matthew T Oughton
Albert Haddad
Wendy M Johnson
author_facet Susan T Howard
Matthew T Oughton
Albert Haddad
Wendy M Johnson
author_sort Susan T Howard
collection DOAJ
description A 35-year-old female patient from Waterloo, Ontario was diagnosed with pulmonary tuberculosis in June 1995. Records indicated that the patient had emigrated from Laos circa 1990. A culture grown from a bronchoalveolar lavage specimen was identified as Mycobacterium tuberculosis by standard biochemical methods. Drug-susceptibility testing indicated the strain was resistant to pyrazinamide (PZA), and a mutation was detected within pncA, a gene associated with PZA resistance. Sequence data from the 16S rRNA gene and the 16S/23S rRNA gene spacer confirmed that the strain was a member of the M tuberculosis complex, and analysis of the mpcA and pncA genes supported the identification of the strain as M tuberculosis rather than Mycobacterium bovis. However, the insertion element IS6110, which is used for epidemiological tracing of M tuberculosis, was not detected in this strain by either restriction fragment length polymorphism analysis or by polymerase chain reaction. Two other genetic markers associated with the M tuberculosis complex, IS1081 and the direct repeat element, were present. The arrival of immigrants with tuberculosis from southeast Asia, where most strains of M tuberculosis lacking IS6110 have been traced, has important implications for epidemiological studies of tuberculosis in North America.
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spelling doaj-art-21ecfe344ed8426db80973de770f61d82025-02-03T01:21:30ZengWileyCanadian Journal of Infectious Diseases1180-23321998-01-0191485310.1155/1998/292491Absence of the Genetic Marker IS6110 from a Strain of Mycobacterium tuberculosis Isolated in OntarioSusan T Howard0Matthew T Oughton1Albert Haddad2Wendy M Johnson3Tuberculosis Laboratory, Laboratory Services Branch, Ministry of Health, Etobicoke, Ontario, CanadaTuberculosis Laboratory, Laboratory Services Branch, Ministry of Health, Etobicoke, Ontario, CanadaTuberculosis Laboratory, Laboratory Services Branch, Ministry of Health, Etobicoke, Ontario, CanadaTuberculosis Laboratory, Laboratory Services Branch, Ministry of Health, Etobicoke, Ontario, CanadaA 35-year-old female patient from Waterloo, Ontario was diagnosed with pulmonary tuberculosis in June 1995. Records indicated that the patient had emigrated from Laos circa 1990. A culture grown from a bronchoalveolar lavage specimen was identified as Mycobacterium tuberculosis by standard biochemical methods. Drug-susceptibility testing indicated the strain was resistant to pyrazinamide (PZA), and a mutation was detected within pncA, a gene associated with PZA resistance. Sequence data from the 16S rRNA gene and the 16S/23S rRNA gene spacer confirmed that the strain was a member of the M tuberculosis complex, and analysis of the mpcA and pncA genes supported the identification of the strain as M tuberculosis rather than Mycobacterium bovis. However, the insertion element IS6110, which is used for epidemiological tracing of M tuberculosis, was not detected in this strain by either restriction fragment length polymorphism analysis or by polymerase chain reaction. Two other genetic markers associated with the M tuberculosis complex, IS1081 and the direct repeat element, were present. The arrival of immigrants with tuberculosis from southeast Asia, where most strains of M tuberculosis lacking IS6110 have been traced, has important implications for epidemiological studies of tuberculosis in North America.http://dx.doi.org/10.1155/1998/292491
spellingShingle Susan T Howard
Matthew T Oughton
Albert Haddad
Wendy M Johnson
Absence of the Genetic Marker IS6110 from a Strain of Mycobacterium tuberculosis Isolated in Ontario
Canadian Journal of Infectious Diseases
title Absence of the Genetic Marker IS6110 from a Strain of Mycobacterium tuberculosis Isolated in Ontario
title_full Absence of the Genetic Marker IS6110 from a Strain of Mycobacterium tuberculosis Isolated in Ontario
title_fullStr Absence of the Genetic Marker IS6110 from a Strain of Mycobacterium tuberculosis Isolated in Ontario
title_full_unstemmed Absence of the Genetic Marker IS6110 from a Strain of Mycobacterium tuberculosis Isolated in Ontario
title_short Absence of the Genetic Marker IS6110 from a Strain of Mycobacterium tuberculosis Isolated in Ontario
title_sort absence of the genetic marker is6110 from a strain of mycobacterium tuberculosis isolated in ontario
url http://dx.doi.org/10.1155/1998/292491
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