Clonal Population of Mycobacterium tuberculosis Strains Reside within Multiple Lung Cavities
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{"title"=>"Clonal population of Mycobacterium tuberculosis strains reside within multiple lung cavities", "type"=>"journal", "authors"=>[{"first_name"=>"Viral", "last_name"=>"Vadwai", "scopus_author_id"=>"37102800500"}, {"first_name"=>"Gustad", "last_name"=>"Daver", "scopus_author_id"=>"8304047000"}, {"first_name"=>"Zarir", "last_name"=>"Udwadia", "scopus_author_id"=>"57192641184"}, {"first_name"=>"Meeta", "last_name"=>"Sadani", "scopus_author_id"=>"16064399900"}, {"first_name"=>"Anjali", "last_name"=>"Shetty", "scopus_author_id"=>"7102367676"}, {"first_name"=>"Camilla", "last_name"=>"Rodrigues", "scopus_author_id"=>"7202508291"}], "year"=>2011, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-80052838833", "pui"=>"362566762", "doi"=>"10.1371/journal.pone.0024770", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "sgr"=>"80052838833", "pmid"=>"21935462"}, "id"=>"cc6d71d8-eace-37de-8ce5-37ec20dceddb", "abstract"=>"BACKGROUND: Unsuccessful treatment outcomes among patients with multi-/extensively-drug resistant tuberculosis (TB) have hampered efforts involved in eradicating this disease. In order to better understand the etiology of this disease, we aimed to determine whether single or multiple strains of Mycobacterium tuberculosis (MTB) are localized within lung cavities of patients suffering from chronic progressive TB. METHODOLOGY/FINDINGS: Multiple cavity isolates from lung of 5 patients who had undergone pulmonary resection surgery were analyzed on the basis of their drug susceptibility profile, and genotyped by spoligotyping and 24-loci MIRU-VNTR. The patients past history including treatment was studied. Three of the 5 patients had extensive drug resistant TB. Heteroresistance was also reported within different cavity isolates of the lung. Both genotyping methods reported the presence of clonal population of MTB strain within different cavities of the each patient, even those reporting heteroresistance. Four of the 5 patients were infected with a population of the Beijing genotype. Post-surgery they were prescribed a drug regimen consisting of cycloserine, a fluoroquinolone and an injectable drug. A 6 month post-surgery follow-up reported only 2 patients with positive clinical outcome, showing sputum conversion. CONCLUSION: Identical spoligotype patterns and MIRU-VNTR profiles between multiple cavities of each patient, characterize the presence of clonal population of MTB strains (and absence of multiple MTB infection).", "link"=>"http://www.mendeley.com/research/clonal-population-mycobacterium-tuberculosis-strains-reside-within-multiple-lung-cavities", "reader_count"=>39, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>1, "Researcher"=>10, "Student > Ph. D. Student"=>7, "Student > Master"=>15, "Student > Bachelor"=>2, "Professor"=>4}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>1, "Researcher"=>10, "Student > Ph. D. Student"=>7, "Student > Master"=>15, "Student > Bachelor"=>2, "Professor"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Biochemistry, Genetics and Molecular Biology"=>7, "Nursing and Health Professions"=>1, "Agricultural and Biological Sciences"=>15, "Medicine and Dentistry"=>12, "Computer Science"=>1, "Immunology and Microbiology"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>12}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>15}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>7}, "Unspecified"=>{"Unspecified"=>1}}, "reader_count_by_country"=>{"Argentina"=>1, "Egypt"=>1, "South Africa"=>1, "Kenya"=>1}, "group_count"=>0}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/736332"], "description"=>"a<p>All patients were HIV negative.</p>b<p>All patients received treatment from private medical practitioners. All patients (except patient 2) on diagnosis were initiated on category I treatment regimen as per the guidelines of the National TB programme but with no improvement in condition even after 1 year, they were started on second- and third- line anti-tubercular drugs.</p>c<p>Irregular Medication, treatment interrupted for more than a month for reasons due to patient.</p>d<p>Regular Medication, patient took regular prescribed medication as per the instructions of the private medical practitioner.</p>e<p>First-line agents, Isoniazid, Rifampin, Ethambutol, Pyrazinamide; Lfx, Levofloxacin; Mfx, Moxifloxacin; Km, Kanamycin; Ofx, Ofloxacin; Cm, Capreomycin;</p>f<p>Cs, Cycloserine; Eto, Ethionamide; PAS, para-aminosalicylic acid; Clr, Clarithromycin; Lzd, Linezolid.</p>g<p>Treatment Failure, culture or AFB smear microscopy remaining positive or turning positive even after 6 months of treatment.</p>", "links"=>[], "tags"=>["characteristics"], "article_id"=>406688, "categories"=>["Microbiology", "Medicine", "Infectious Diseases"], "users"=>["Viral Vadwai", "Gustad Daver", "Zarir Udwadia", "Meeta Sadani", "Anjali Shetty", "Camilla Rodrigues"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0024770.t001", "stats"=>{"downloads"=>1, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Demographic_and_clinical_characteristics_of_patients_/406688", "title"=>"Demographic and clinical characteristics of patients.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 14:50:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/736300"], "description"=>"a<p>LUL, Left upper lobe; LLL, left lower lobe, RUL, right upper lobe; RLL, right lower lobe.</p>b<p>S: Streptomycin, H:Isoniazid, R:Rifampicin, E:Ethambutol, Km:Kanamycin, Eto:Ethionamide, PAS:para-aminosalicylic acid, Ofx:Ofloxocin, Mfx:Moxifloxacin, Am:Amikacin, Cfz:Clofaziamine, Cm:Capreomycin, Z:Pyrazinamide.</p>c<p>Cavity isolates showing variable drug susceptibility profiles were analyzed by in-house RLBH (except for Ethambutol, PAS, Pyrazinamide, wherein phenotypic DST were repeated to confirm the variable drug susceptibility profile).</p>d<p>wt – wild type.</p>", "links"=>[], "tags"=>["susceptibility", "cavities"], "article_id"=>406657, "categories"=>["Microbiology", "Medicine", "Infectious Diseases"], "users"=>["Viral Vadwai", "Gustad Daver", "Zarir Udwadia", "Meeta Sadani", "Anjali Shetty", "Camilla Rodrigues"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0024770.t004", "stats"=>{"downloads"=>1, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Phenotypic_drug_susceptibility_profile_and_genetic_sequence_analysis_of_all_cavities_of_each_patient_/406657", "title"=>"Phenotypic drug susceptibility profile and genetic sequence analysis of all cavities of each patient.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 14:50:45"}
  • {"files"=>["https://ndownloader.figshare.com/files/736373"], "description"=>"<p>S, Streptomycin; H, Isoniazid; R, Rifampicin; E, Ethambutol; Z, Pyrazinamide; Km, Kanamycin; Eto, Ethionamide; PAS, para-aminosalicylic acid; Ofx, Ofloxacin; Mfx, Moxifloxacin; Am, Amikacin; Cfz, Clofaziamine; Cm, Capreomycin; Lfx, Levofloxacin; Cs, Cycloserine; Clr, Clarithromycin; Lzd, Linezolid.</p>a<p>Baseline phenotypic DST report, the initial phenotypic DST report provided by the patient during counseling. This test was done at another laboratory with no information about its accreditation.</p>b<p>This test was performed on the patients sputum specimen, 3–6 months prior to surgery at the ‘Revised National Tuberculosis Control Programme’ accredited Mycobacteriology laboratory at our hospital. The test provided drug susceptibility pattern to 13 drugs: S, H, R, E, Z, Km, Eto, PAS, Ofx, Mfx, Am, Cfz and Cm.</p>c<p>This medication was prescribed by a private medical practitioner who referred the patient to our hospital for further treatment.</p>d<p>This medication was prescribed by the consultant chest physician at our hospital.</p>", "links"=>[], "tags"=>["pre-", "post-", "pulmonary", "resection"], "article_id"=>406722, "categories"=>["Microbiology", "Medicine", "Infectious Diseases"], "users"=>["Viral Vadwai", "Gustad Daver", "Zarir Udwadia", "Meeta Sadani", "Anjali Shetty", "Camilla Rodrigues"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0024770.t002", "stats"=>{"downloads"=>4, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Treatment_history_of_each_patient_pre_and_post_pulmonary_resection_surgery_/406722", "title"=>"Treatment history of each patient pre- and post- pulmonary resection surgery.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 14:51:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/736143"], "description"=>"<p>Resected lung with multiple cavities, area of tissue necrosis and granulomatous inflammation.</p>", "links"=>[], "tags"=>["necrosis", "granulomatous"], "article_id"=>406500, "categories"=>["Microbiology", "Medicine", "Infectious Diseases"], "users"=>["Viral Vadwai", "Gustad Daver", "Zarir Udwadia", "Meeta Sadani", "Anjali Shetty", "Camilla Rodrigues"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0024770.g002", "stats"=>{"downloads"=>1, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Resected_lung_with_multiple_cavities_area_of_tissue_necrosis_and_granulomatous_inflammation_/406500", "title"=>"Resected lung with multiple cavities, area of tissue necrosis and granulomatous inflammation.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 14:49:50"}
  • {"files"=>["https://ndownloader.figshare.com/files/736245"], "description"=>"<p>Clustered isolates are labeled with a bar. From left to right are shown: box consisting of the MTB lineage and patient number (cavity no.), and spoligotype pattern.</p>", "links"=>[], "tags"=>["cavity", "isolates", "patients", "similarities", "24-loci", "miru-vntr", "spoligotype", "categorical"], "article_id"=>406593, "categories"=>["Microbiology", "Medicine", "Infectious Diseases"], "users"=>["Viral Vadwai", "Gustad Daver", "Zarir Udwadia", "Meeta Sadani", "Anjali Shetty", "Camilla Rodrigues"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0024770.g003", "stats"=>{"downloads"=>3, "page_views"=>38, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_UPGMA_tree_showing_the_comparison_of_the_cavity_isolates_from_5_patients_based_on_the_combined_similarities_of_both_the_24_loci_MIRU_VNTR_and_spoligotype_results_determined_by_using_the_categorical_coefficient_/406593", "title"=>"UPGMA tree showing the comparison of the cavity isolates from 5 patients based on the combined similarities of both the 24-loci MIRU-VNTR and spoligotype results determined by using the categorical coefficient.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 14:50:22"}
  • {"files"=>["https://ndownloader.figshare.com/files/736040"], "description"=>"<p>Radiological image of the lungs of a patient before surgery.</p>", "links"=>[], "tags"=>["lungs"], "article_id"=>406388, "categories"=>["Microbiology", "Medicine", "Infectious Diseases"], "users"=>["Viral Vadwai", "Gustad Daver", "Zarir Udwadia", "Meeta Sadani", "Anjali Shetty", "Camilla Rodrigues"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0024770.g001", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Radiological_image_of_the_lungs_of_a_patient_before_surgery_/406388", "title"=>"Radiological image of the lungs of a patient before surgery.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 14:49:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/736414"], "description"=>"a<p>Patient 5, underwent a partial right pneumectomy 1½ years back in another private hospital, and expired with 72 hours post-surgery due to respiratory acidosis and left-sided pneumonia with septic shock.</p>b<p>Outcome, is based on the follow-up 6-month post-surgery.</p>", "links"=>[], "tags"=>["characteristics", "outcomes", "patients", "undergoing", "pulmonary", "resection"], "article_id"=>406762, "categories"=>["Microbiology", "Medicine", "Infectious Diseases"], "users"=>["Viral Vadwai", "Gustad Daver", "Zarir Udwadia", "Meeta Sadani", "Anjali Shetty", "Camilla Rodrigues"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0024770.t003", "stats"=>{"downloads"=>0, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Hospitalization_characteristics_and_outcomes_of_individual_patients_undergoing_pulmonary_resection_surgery_/406762", "title"=>"Hospitalization characteristics and outcomes of individual patients undergoing pulmonary resection surgery.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 14:51:18"}

PMC Usage Stats | Further Information

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Relative Metric

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