Probable long-term prevalence for a predominant Mycobacterium tuberculosis clone of a Beijing genotype in Colon, Panama

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  • Fermin Acosta
  • Anders Norman
  • Dilcia Sambrano
  • Victoria Batista
  • Igor Mokrousov
  • Egor Shitikov
  • Julio Jurado
  • Maritza Mayrena
  • Odemaris Luque
  • Maybis Garay
  • Laura Solis
  • Patricia Munoz
  • Dorte B. Folkvardsen
  • Lillebæk, Troels
  • Laura Perez-Lago
  • Amador Goodridge
  • Dario Garcia de Viedma

Beijing genotype Mycobacterium tuberculosis strains associate with increased virulence, resistance and/or higher transmission rates. This study describes a specific Beijing strain predominantly identified in the Panamanian province of Colon with one of the highest incidences of tuberculosis in the country. Retrospective mycobacterial interspersed repetitive unit/variable number of tandem repeats analysis of 42 isolates collected between January and August 2018 allowed to identify a cluster (Beijing A) with 17 (40.5%) Beijing isolates. Subsequent prospective strain-specific PCR-based surveillance from September 2019 to March 2020 confirmed the predominance of the Beijing A strain (44.1%) in this province. Whole-genome sequencing revealed higher-than-expected diversity within the cluster, suggesting long-term prevalence of this strain and low number of cases caused by recent transmission. The Beijing A strain belongs to the Asian African 3 (Bmyc13, L2.2.5) branch of the modern Beijing sublineage, with their closest isolates corresponding to cases from Vietnam, probably introduced in Panama between 2000 and 2012.

OriginalsprogEngelsk
TidsskriftTransboundary and Emerging Diseases
Vol/bind68
Udgave nummer4
Sider (fra-til)2229-2238
Antal sider10
ISSN1865-1674
DOI
StatusUdgivet - 2021

ID: 251685505