To the Editor: The report by van Rie and colleagues (Oct. 14issue)1 ascribes 12 of 16 cases of recurrent tuberculosis inpatients who were negative for the human immunodeficiency virus(HIV) to exogenous reinfection. However, we are concerned aboutseveral points.
In Table 2 of the article, it appears that Patients 1, 2, 3,5, 12, and 13 had a negative sputum smear and only a singlepositive culture in the first episode of tuberculosis, as didPatients 7 and 9 in the subsequent episode. More informationshould be provided in order to make a convincing case for exogenous. . . [Full Text of this Article]
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