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Journal of Clinical Microbiology, April 2008, p. 1514-1516, Vol. 46, No. 4
0095-1137/08/$08.00+0 doi:10.1128/JCM.01938-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

DST/NRF Centre of Excellence for Biomedical Tuberculosis Research/MRC Centre for Molecular and Cellular Biology, Division of Molecular Biology and Human Genetics, Faculty of Health Sciences, Stellenbosch University, Tygerberg, Western Cape, South Africa,1 Biotec Laboratories, Ltd., c/o National Health Laboratory Service, Cape Town, Western Cape, South Africa,2 Nelson Mandela Metropolitan Municipality, Port Elizabeth, Eastern Cape, South Africa3
Received 2 October 2007/ Returned for modification 23 December 2007/ Accepted 4 February 2008
The fitness cost associated with the evolution of resistance to rifampin in Mycobacterium tuberculosis may be different in clinical isolates compared to in vitro-generated mutants. An atypical Beijing strain (attenuated phenotype) demonstrated the ability to spread despite acquiring resistance to rifampin. Transmission was linked to human immunodeficiency virus coinfection (P = 0.029), raising concern for the spread of drug resistance in vulnerable populations.
Published ahead of print on 13 February 2008.
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