TY - JOUR KW - Animals KW - Dapsone KW - Dihydropteroate Synthase KW - Dose-Response Relationship, Drug KW - Drug Resistance, Bacterial KW - Humans KW - Leprostatic Agents KW - leprosy KW - Mice KW - Mutation, Missense KW - Mycobacterium leprae KW - Recurrence AU - Cambau E AU - Carthagena L AU - Chauffour A AU - Ji B AU - Jarlier V AB -

Molecular detection was compared with the mouse footpad inoculation test for detection of dapsone resistance in 38 strains of Mycobacterium leprae. Mutations of the folP1 gene (at codons 53 or 55) were found in 6 of 6 strains with high-level resistance, in 3 of 4 strains with intermediate-level resistance, and in 1 of 6 strains with low-level resistance, but not in 22 dapsone-susceptible strains. In cases of infection with strains of M. leprae carrying the folP1 mutation, therapy with dapsone may be replaced by therapy with a fluoroquinolone.

BT - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America C1 - http://www.ncbi.nlm.nih.gov/pubmed/16355335?dopt=Abstract DA - 2006 Jan 15 DO - 10.1086/498506 IS - 2 J2 - Clin. Infect. Dis. LA - eng N2 -

Molecular detection was compared with the mouse footpad inoculation test for detection of dapsone resistance in 38 strains of Mycobacterium leprae. Mutations of the folP1 gene (at codons 53 or 55) were found in 6 of 6 strains with high-level resistance, in 3 of 4 strains with intermediate-level resistance, and in 1 of 6 strains with low-level resistance, but not in 22 dapsone-susceptible strains. In cases of infection with strains of M. leprae carrying the folP1 mutation, therapy with dapsone may be replaced by therapy with a fluoroquinolone.

PY - 2006 SP - 238 EP - 41 T2 - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America TI - Dihydropteroate synthase mutations in the folP1 gene predict dapsone resistance in relapsed cases of leprosy. VL - 42 SN - 1537-6591 ER -