Rifampin-Resistant Tuberculosis in a Patient Receiving Rifabutin Prophylaxis
William R. Bishai, M.D., Ph.D., Neil M.H. Graham, M.D., M.P.H., Susan Harrington, M.P.H., Christopher Page, B.A., Kristina Moore-Rice, R.N., B.S.N., Nancy Hooper, B.A., and Richard E. Chaisson, M.D.
Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.
Drug-resistant tuberculosis has become a major public healthproblem in the United States.1,2 In 1979 less than 1 percentof tuberculosis isolates from untreated patients in New YorkCity were resistant to rifampin, as compared with 9 percentin 1991.3 Rifampin-resistant tuberculosis is a serious threatbecause responses to therapy are more difficult to achieve andrequire longer courses of treatment.4,5,6,7,8
Rifabutin is a derivative of rifamycin S that is recommendedand widely used as prophylaxis against Mycobacterium avium complexinfection in patients infected with the human immunodeficiencyvirus (HIV) who have low CD4 lymphocyte counts.9,10 Since rifabutinwas introduced . . . [Full Text of this Article]
Case Report
Methods
Results
Discussion
Source Information
From the Departments of Molecular Microbiology and Immunology (W.R.B., C.P.) and Epidemiology (N.M.H.G., R.E.C.), Johns Hopkins University School of Hygiene and Public Health; the Departments of Medicine (W.R.B., R.E.C.) and Pathology (S.H.), Johns Hopkins University School of Medicine; the Baltimore City Health Department (K.M.-R.); and the Maryland Department of Health and Mental Hygiene (N.H.) all in Baltimore.
Address reprint requests to Dr. Chaisson at Johns Hopkins University School of Medicine, Carnegie 292, 600 N. Wolfe St., Baltimore, MD 21287-6220.
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