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Antimicrobial Agents and Chemotherapy, April 2003, p. 1228-1232, Vol. 47, No. 4
0066-4804/03/$08.00+0 DOI: 10.1128/AAC.47.4.1228-1232.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Laboratoire de Bactériologie-Virologie-Hygiène Hospitalière, CHU, 49033 Angers Cedex 01,1 Unité de Génétique Moléculaire Bactérienne, Institut Pasteur, 75724 Paris Cedex 15,2 Animalerie Hospitalo-Universitaire, Faculté de Médecine, 49000 Angers, France,3 Institut Raoul Follereau, Adzopé, Côte d'Ivoire4
Received 17 May 2002/ Returned for modification 26 July 2002/ Accepted 23 December 2002
By use of a murine model for Buruli ulcer, Mycobacterium ulcerans was found to be susceptible to rifampin, with the MIC being 0.5 to 1 µg/ml. Three mutants were isolated after rifampin monotherapy. Two were resistant to rifampin at 8 µg/ml, and one was resistant to rifampin at 32 µg/ml. The mutants harbored Ser416Phe mutations and His420Tyr mutations in the rpoB gene, and these mutations have also been found to be responsible for rifampin resistance in the leprosy and tubercle bacilli. The results indicate that while rifampin may be active against M. ulcerans, it should never be used as monotherapy in humans.
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