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Journal of Clinical Microbiology, September 1998, p. 2745-2747, Vol. 36, No. 9
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

Modification of Results of Drug Susceptibility Tests by Coexistence of Mycobacterium avium Complex with Mycobacterium tuberculosis in a Sputum Sample: Case Report and Experimental Considerations

Katsuhiro Suzuki,* Terumi Kimoto, Kazunari Tsuyuguchi, Hisako Matsumoto, Akio Niimi, Eisaku Tanaka, Takako Murayama, and Ryoichi Amitani

Department of Infection and Inflammation, Chest Disease Research Institute, Kyoto University, Sakyo-ku, Kyoto, 606 Japan

Received 23 February 1998/Returned for modification 1 May 1998/Accepted 1 June 1998

We report on a patient whose sputum contained both Mycobacterium tuberculosis and Mycobacterium avium complex (MAC). The MAC failed to be detected by the PCR-based AMPLICOR test. The unrecognized coexistence of MAC in the sample modified the results of drug susceptibility tests. Experiments revealed that the presence of both M. tuberculosis and MAC was not detected by the AMPLICOR test under certain conditions.

* Corresponding author. Mailing address: Department of Infection and Inflammation, Chest Disease Research Institute, Kyoto University, Sakyo-ku, Kyoto, 606 Japan. Phone: 81-75-751-3828. Fax: 81-75-752-9017. E-mail:ksuzuki{at}chest.kyoto-u.ac.jp.

Journal of Clinical Microbiology, September 1998, p. 2745-2747, Vol. 36, No. 9
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.




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Copyright © 1998 by the American Society for Microbiology. All rights reserved.