Abstract

Extensively Drug-Resistant Tuberculosis, Lesotho

Highlights

  • To the Editor: Reports of extensively drug-resistant tuberculosis (XDR TB) in the Republic of South Africa have generated concern in the medical and public health literature (1,2)

  • Hundreds of cases of drug-resistant TB have been reported in the country, and the patient we describe in this letter was reported to have XDR TB

  • The patient was discharged from medical care in South Africa with no follow-up plan or medical records and was told, per his report, to “return home.”. He traveled by road and bus to Lesotho and crossed the border. He was originally seen at a public TB clinic in Lesotho but, given his reports of prior TB treatment, his sputum was sent for culture and drug susceptibility testing

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Summary

Introduction

To the Editor: Reports of extensively drug-resistant tuberculosis (XDR TB) in the Republic of South Africa have generated concern in the medical and public health literature (1,2). Hundreds of cases of drug-resistant TB have been reported in the country, and the patient we describe in this letter was reported to have XDR TB. The patient was a 44-year-old man who had been working in the gold mines in South Africa.

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