Probable long-term prevalence for a predominant Mycobacterium tuberculosis clone of a Beijing genotype in Colon, Panama

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  • Fermin Acosta
  • Anders Norman
  • Dilcia Sambrano
  • Victoria Batista
  • Igor Mokrousov
  • Egor Shitikov
  • Julio Jurado
  • Maritza Mayrena
  • Odemaris Luque
  • Maybis Garay
  • Laura Solis
  • Patricia Munoz
  • Dorte B. Folkvardsen
  • Lillebæk, Troels
  • Laura Perez-Lago
  • Amador Goodridge
  • Dario Garcia de Viedma

Beijing genotype Mycobacterium tuberculosis strains associate with increased virulence, resistance and/or higher transmission rates. This study describes a specific Beijing strain predominantly identified in the Panamanian province of Colon with one of the highest incidences of tuberculosis in the country. Retrospective mycobacterial interspersed repetitive unit/variable number of tandem repeats analysis of 42 isolates collected between January and August 2018 allowed to identify a cluster (Beijing A) with 17 (40.5%) Beijing isolates. Subsequent prospective strain-specific PCR-based surveillance from September 2019 to March 2020 confirmed the predominance of the Beijing A strain (44.1%) in this province. Whole-genome sequencing revealed higher-than-expected diversity within the cluster, suggesting long-term prevalence of this strain and low number of cases caused by recent transmission. The Beijing A strain belongs to the Asian African 3 (Bmyc13, L2.2.5) branch of the modern Beijing sublineage, with their closest isolates corresponding to cases from Vietnam, probably introduced in Panama between 2000 and 2012.

Original languageEnglish
JournalTransboundary and Emerging Diseases
Volume68
Issue number4
Pages (from-to)2229-2238
Number of pages10
ISSN1865-1674
DOIs
Publication statusPublished - 2021

    Research areas

  • Beijing lineage, Mycobacterium tuberculosis, Panama, predominant, strain&#8208, specific&#8208, PCR, DRUG-RESISTANCE, TRANSMISSION, STRAINS, EPIDEMIOLOGY, COEXPANSION, EMERGENCE, COUNTRIES, OUTBREAKS, PROPOSAL, ORIGIN

ID: 251685505