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<i>atpE</i> Mutation in <i>Mycobacterium tuberculosis</i> Not Always Predictive of Bedaquiline Treatment Failure

Laure Fournier Le Ray, Alexandra Aubry, Wladimir Sougakoff, Matthieu Revest, J. Robert, Isabelle Bonnet, Nicolas Véziris, F. Morel

2022Emerging infectious diseases12 citationsDOIOpen Access PDF

Abstract

We report the emergence of an atpE mutation in a clinical Mycobacterium tuberculosis strain. Genotypic and phenotypic bedaquiline susceptibility testing displayed variable results over time and ultimately were not predictive of treatment outcome. This observation highlights the limits of current genotypic and phenotypic methods for detection of bedaquiline resistance.

Topics & Concepts

BedaquilineMycobacterium tuberculosisTuberculosisGenotypeMutationPhenotypePredictive valueVirologyBiologyMedicineMicrobiologyGeneticsInternal medicinePathologyGeneTuberculosis Research and EpidemiologyMycobacterium research and diagnosisDiagnosis and treatment of tuberculosis