Transmission of Drug-Resistant Leprosy in Guinea-Conakry Detected Using Molecular Epidemiological Approaches

Clin Infect Dis. 2016 Dec 1;63(11):1482-1484. doi: 10.1093/cid/ciw572. Epub 2016 Aug 23.

Abstract

Molecular drug susceptibility testing was performed on skin biopsies from 24 leprosy patients from Guinea-Conakry for the first time. We identified primary drug resistance in 4 cases and a dapsone-resistant cluster caused by the same strain. Primary transmission of drug-resistant Mycobacterium leprae, including a rifampicin-resistant strain, is reported.

Keywords: Guinea-Conakry; drug resistance; leprosy.

MeSH terms

  • Antibiotics, Antitubercular / pharmacology*
  • Antibiotics, Antitubercular / therapeutic use
  • Antitubercular Agents / pharmacology*
  • Antitubercular Agents / therapeutic use
  • Biopsy
  • DNA, Bacterial / genetics
  • Dapsone / pharmacology
  • Dapsone / therapeutic use
  • Drug Resistance, Microbial*
  • Female
  • Genome, Bacterial
  • Guinea / epidemiology
  • Humans
  • Leprosy / epidemiology
  • Leprosy / microbiology*
  • Leprosy / transmission*
  • Male
  • Mycobacterium leprae / drug effects*
  • Mycobacterium leprae / genetics
  • Mycobacterium leprae / isolation & purification
  • Rifampin / pharmacology
  • Rifampin / therapeutic use
  • Sequence Analysis, DNA
  • Skin / microbiology
  • Skin / pathology

Substances

  • Antibiotics, Antitubercular
  • Antitubercular Agents
  • DNA, Bacterial
  • Dapsone
  • Rifampin