Morcillo N, Di Giulio B, Chirico C, Kuriger A, Dolmann A, Alito A, Zumárraga M, Van Soolingen D, Kremer K, Cataldi A
Laboratorio de Referencia del Programa de Control de Tuberculosis de la Provincia de Buenos Aires, V. López.
Rev Argent Microbiol. 2005 Apr-Jun;37(2):92-5.
During a population-based study to genotype isolates of Mycobacterium tuberculosis from Buenos Aires Northern suburbs, we found isolates with molecular patterns related to those of the Beijing genotype. Five out of 590 (0.85%) patients had isolates with spoligopattern identical to that of the Beijing family. Since two of these isolates showed identical IS6110RFLP pattern, we found only four different patterns containing 11 to 19 bands. The isolates were obtained from young people (including a 7 years-old child) who were born in Argentina, and were living in a small area of our region. However, conventional contact tracing did not prove epidemiological linkage among them. These isolates were fully drug-susceptible to the first-line drugs. The comparison of the IS6110RFLP patterns from our isolates against a set of 19 reference Beijing patterns from the RIVM (The Netherlands) confirmed that the strains belonged to the Beijing lineage. These findings might be partially explained by the important migration phenomena occurred during the last decade. Further surveillance studies would help in the following of Beijing family strain dissemination in our community.
在一项针对布宜诺斯艾利斯北郊结核分枝杆菌分离株进行基因分型的基于人群的研究中,我们发现了一些分离株,其分子模式与北京基因型的模式相关。590名患者中有5名(0.85%)的分离株其间隔寡核苷酸分型图谱与北京家族的图谱相同。由于其中两个分离株显示出相同的IS6110限制性片段长度多态性模式,我们仅发现了四种不同的模式,包含11至19条带。这些分离株来自出生在阿根廷、居住在我们地区一小片区域的年轻人(包括一名7岁儿童)。然而,传统的接触者追踪并未证明他们之间存在流行病学关联。这些分离株对一线药物完全敏感。将我们分离株的IS6110限制性片段长度多态性模式与荷兰国家公共卫生与环境研究所的19种北京参考模式进行比较,证实这些菌株属于北京谱系。这些发现可能部分归因于过去十年中发生的重要移民现象。进一步的监测研究将有助于追踪北京家族菌株在我们社区的传播情况。