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Tuberculosis Variant with Rifampin Resistance Undetectable by Xpert MTB/RIF, Botswana.
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https://doi.org/10.3201/eid2911.230987Abstract
GeneXpert MTB/RIF, a tool widely used for diagnosing tuberculosis, has limitations for detecting rifampin resistance in certain variants. We report transmission of a pre-extensively drug-resistant variant in Botswana that went undetected by GeneXpert. The public health impact of misdiagnosis emphasizes the need for comprehensive molecular testing to identify resistance and guide treatment.
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