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Strain differentiation of Mycobacterium tuberculosis complex ...

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Egyptian Journal <strong>of</strong> Medical Microbiology, January 2008 Vol. 17, No. 1<br />

DISCUSSION<br />

Epidemiologic studies <strong>of</strong> <strong>tuberculosis</strong> can<br />

be greatly facilitated by the application <strong>of</strong> strainspecific<br />

markers. The discoveries <strong>of</strong> transposable<br />

elements in <strong>Mycobacterium</strong> <strong>tuberculosis</strong> have<br />

been shown to be <strong>of</strong> great potential for use in<br />

strain identification.<br />

This study represents early attempts at<br />

tracking diversity particularly among drugresistant<br />

strains consistent with low-incidence<br />

countries. In this study we characterized<br />

<strong>Mycobacterium</strong> <strong>tuberculosis</strong> <strong>complex</strong> (MTC)<br />

isolates from sputum <strong>of</strong> patients infected with<br />

MTB from Egypt in order to establish a database<br />

<strong>of</strong> strain types and antimicrobial susceptibility<br />

patterns.<br />

Among the 45 MTC isolates from sputum<br />

samples obtained from Suez Canal Hospitals in<br />

Egypt, 44 were identified as MTB and one as M.<br />

bovis by PCR-RFLP analysis <strong>of</strong> oxyR. This<br />

finding suggests that M. bovis plays a minor role,<br />

compared to MTB, in the etiology <strong>of</strong> pulmonary<br />

<strong>tuberculosis</strong> in Egypt. We found 40 IS6110 RFLP<br />

patterns among the 44 MTB isolates tested. None<br />

<strong>of</strong> these patterns may be considered low-copy<br />

number (

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