The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;74(1):179-183.
증례 : 제한효소 절편길이 다형성 검사로 확인된 위양성 다제내성결핵 1예
홍석찬, 김미나, 박영길, 조경욱, 정용필, 김원동, 심태선
A case of false-positive multidrug-resistant tuberculosis confirmed by restriction ragment length polymorphism analysis
Seok Chan Hong, Mi-Na Kim, Young Kil Park, Kyung Uk Jo, Yong Pil Jeong, Won Dong Kim, Tae Sun Shim
경희대학교 의과대학 순환기내과학교실


Abstract
Microbiological confirmation is the gold standard method for the diagnosis of tuberculosis (TB), but there are numerous reports of false-positive cultures for Mycobacterium tuberculosis. Although the prevalence of TB in Korea is still high, the occurrence of false-positive cultures for M. tuberculosis has rarely been recognized or reported. We report a false-positive culture of multidrug-resistant M. tuberculosis due to cross-contamination, as confirmed by restriction fragment length polymorphism (RFLP) analysis. Clinicians should always suspect the possibility of a false-positive culture result for M. tuberculosis when there is a discrepancy between the clinical and bacteriological results, with low colony counts on sputum culture for M. tuberculosis.

Keywords :Mycobacterium tuberculosis, False-positive culture, Crossover contamination, RFLP analysis
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