Extensively drug resistant tuberculosis in Mali: a case report

Autor: Seydou Doumbia, Fatimata Camara, Yacouba Toloba, Bassirou Diarra, Michael Belson, Bouke C. de Jong, B. Konate, Sounkalo Dao, Dianguina Soumaré, Susan Orsega, D Goita, Antieme Combo Georges Togo, Bocar Baya, Yeya dit Sadio Sarro, Souleymane Diallo, Moumine Sanogo, Gaoussou Berthé, Robert L. Murphy, Mamoudou Maiga, Sophia Siddiqui
Jazyk: angličtina
Rok vydání: 2017
Předmět:
0301 basic medicine
Adult
medicine.medical_specialty
Tuberculosis
Extensively Drug-Resistant Tuberculosis
030106 microbiology
lcsh:Medicine
Case Report
Drug resistance
Microbial Sensitivity Tests
medicine.disease_cause
Mali
General Biochemistry
Genetics and Molecular Biology
03 medical and health sciences
0302 clinical medicine
parasitic diseases
Medicine
Humans
030212 general & internal medicine
XDR-TB
Intensive care medicine
lcsh:Science (General)
lcsh:QH301-705.5
Bamako
business.industry
Drug resistant tuberculosis
Nosocomial transmission
Public health
lcsh:R
Extensively drug-resistant tuberculosis
General Medicine
Mycobacterium tuberculosis
Middle Aged
medicine.disease
3. Good health
Surgery
Multiple drug resistance
Treatment
lcsh:Biology (General)
Superinfection
Female
business
lcsh:Q1-390
Zdroj: BMC Research Notes, Vol 10, Iss 1, Pp 1-5 (2017)
BMC Research Notes
ISSN: 1756-0500
DOI: 10.1186/s13104-017-2890-4
Popis: Background Drug resistant tuberculosis presents a major public health challenge. Case presentation We present here the first two patients diagnosed with extensively drug resistant tuberculosis in Bamako, Mali. Genotypic findings suggest possible nosocomial transmission from the first patient to the second one, resulting in superinfection of the second patient. After being diagnosed with extensively drug resistant tuberculosis in August 2016, the patients only started receiving appropriate treatment 10 months later. Conclusion The identification of these patients highlights the need for improved diagnostic and treatment algorithms for better surveillance and management of drug resistance in Mali. In the interest of these as well as future patients suffering from resistant tuberculosis, all steps recommended for programmatic management of drug resistant tuberculosis must be urgently prioritized in order to strengthen the multidrug resistant tuberculosis program.
Databáze: OpenAIRE
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