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Mycobacteria causing human cervical lymphadenitis in pastoral communities in the Karamoja region of Uganda
Open accessAbstract
SUMMARY: Mycobacteria from lymph node biopsies of patients with cervical lymphadenitis reporting for tuberculosis treatment in Matany and Moroto Hospitals in the transhumant areas of Karamoja, Uganda were isolated and characterized. The AccuProbe®culture identification kits for Mycobacterium tuberculosis complex (MTC),M. avium complex (MAC) and M. avium were used to identify the isolates. Spoligotyping, IS 901 PCR and IS 1311 and IS 1245 restriction fragment length polymorphism (RFLP) were used to characterize the isolates. Of the 43 biopsies, ten M. avium, seven M. tuberculosis, three M. bovis, and two M. intracellulare were isolated. Two isolates could not be identified with AccuProbe®and from 19 samples no mycobacteria could be isolated. Three isolates with the Beijing spoligotype were identified from the seven M. tuberculosis isolates. The spoligopatterns of the M. bovis isolates had previously been detected in cattle in Uganda. Isolation of members of the MAC group reflects the complex interaction between the transhumant communities, water sources and their cattle. None of the M. avium isolates harboured IS 901, and all showed several bands on IS 1311 and IS 1245 RFLP, in accordance with M. avium subsp.hominissuis. Composite dendrograms of IS 1311 and IS 1245 RFLP showed that the isolates were similar and identical patterns were found. The isolation of M. bovis confirms the human infection with zoonotic mycobacteria in areas where consumption of raw milk and meat is routine. Isolation of environmental mycobacteria also confirms their increasing role in human disease and the occupational risk of infection in the transhumant ecosystem in the absence of safe drinking water and environmental contamination.
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From Evaluation of Xpert® MTB/RIF and Ustar EasyNAT™ TB IAD for diagnosis of tuberculous lymphadenitis of children in Tanzania: a prospective descriptive study (2016) · cites this paper as [14]
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Bholla, M., Kapalata, N., Masika, E., Chande, H., Jugheli, L., Sasamalo, M., Glass, T. R., Beck, H.-P., & Reither, K. (2016) · BMC Infectious Diseases · doi:10.1186/s12879-016-1578-z · Cited by 31
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Background
Metadata
- Authors
- OLOYA, J., OPUDA-ASIBO, J., KAZWALA, R., DEMELASH, A. B., SKJERVE, E., LUND, A., JOHANSEN, T. B., & DJONNE, B.
- Affiliations
- Norwegian University of Life Sciences (NO)
- Sokoine University of Agriculture (TZ)
- Hawassa University (ET)
- Norwegian Veterinary Institute (NO)
- Corresponding author
- SKJERVE, E.
- Venue
- Epidemiology and Infection
- Publisher
- Cambridge University Press (CUP)
- Published
- 2007-06-29
- Volume
- 136
- Issue
- 5
- Pages
- 636-643
- ISSN
- 0950-2688 (ISSN-L)
- 1469-4409
- PMC
- PMC2870852
- OpenAlex
- W2154180732
- Cited by
- 76
- References
- 49
- Citations by year
- 2025: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 9 · 2018: 3 · 2017: 6 · 2016: 5 · 2015: 8 · 2014: 6 · 2013: 8 · 2012: 6
- FWCI
- 1.83
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Epidemiology and Infection (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Council for Higher Education
- Topics
- Health Sciences › Medicine › Epidemiology › Mycobacterium research and diagnosis
- Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
- Health Sciences › Medicine › Infectious Diseases › Infectious Diseases and Tuberculosis
- Keywords
- cervical lymphadenitis, Mycobacterium avium complex, Mycobacterium tuberculosis, Mycobacterium bovis, Mycobacterium avium subsp. hominissuis, zoonotic mycobacteria, Karamoja, spoligotyping, raw milk consumption, occupational infection risk, nontuberculous mycobacteria, lymph node biopsy
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Animals, Biopsy, Child, Child, Preschool, DNA Transposable Elements, DNA, Bacterial, Female, Genotype, Humans, Infant, Infant, Newborn, Lymph Nodes, Male, Middle Aged, Mycobacterium, Mycobacterium Infections, Polymorphism, Restriction Fragment Length, Rural Population, Tuberculosis, Lymph Node, Uganda, Zoonoses, Bacterial Typing Techniques, Cluster Analysis, Molecular Epidemiology
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