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  Diagnosis of Tuberculosis by Trained African Giant Pouched Rats and Confounding Impact of Pathogens and Microflora of the Respiratory Tract

Mgode, G. F., Weetjens, B. J., Nawrath, T., Cox, C., Jubitana, M., Machang'u, R. S., et al. (2012). Diagnosis of Tuberculosis by Trained African Giant Pouched Rats and Confounding Impact of Pathogens and Microflora of the Respiratory Tract. Journal of Clinical Microbiology, 50(2), 274-280. doi:10.1128/JCM.01199-11.

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Genre: Journal Article
Alternative Title : J. Clin. Microbiol.

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J_Clin_Microbiol_2011_50_274.pdf (Publisher version), 476KB
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J_Clin_Microbiol_2011_50_274.pdf
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© 2012, American Society for Microbiology
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 Creators:
Mgode, Georgies F.1, Author              
Weetjens, Bart J., Author
Nawrath, Thorben, Author
Cox, Christophe, Author
Jubitana, Maureen, Author
Machang'u, Robert S., Author
Cohen-Bacrie, Stéphan, Author
Bedotto, Marielle, Author
Drancourt, Michel, Author
Schulz, Stefan, Author
Kaufmann, Stefan H. E.1, Author              
Affiliations:
1Department of Immunology, Max Planck Institute for Infection Biology, Max Planck Society, ou_1664146              

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 Abstract: Trained African giant-pouched rats (Cricetomys gambianus) can detect Mycobacterium tuberculosis and show potential for the diagnosis of tuberculosis (TB). However, rats' ability to discriminate between clinical sputum containing other Mycobacterium spp. and nonmycobacterial species of the respiratory tract is unknown. It is also unknown whether nonmycobacterial species produce odor similar to M. tuberculosis and thereby cause the detection of smear-negative sputum. Sputum samples from 289 subjects were analyzed by smear microscopy, culture, and rats. Mycobacterium spp. were isolated on Lowenstein-Jensen medium, and nonmycobacterial species were isolated on four different media. The odor from nonmycobacterial species from smear-and M. tuberculosis culture-negative sputa detected by >= 2 rats ("rat positive") was analyzed by gas chromatography-mass spectrometry and compared to the M. tuberculosis odor. Rats detected 45 of 56 confirmed cases of TB, 4 of 5 suspected cases of TB, and 63 of 228 TB-negative subjects (sensitivity, 80.4%; specificity, 72.4%; accuracy, 73.9%; positive predictive value, 41.7%; negative predictive value, 93.8%). A total of 37 (78.7%) of 47 mycobacterial isolates were M. tuberculosis complex, with 75.7% from rat-positive sputa. Ten isolates were nontuberculous mycobacteria, one was M. intracellulare, one was M. avium subsp. hominissuis, and eight were unidentified. Rat-positive sputa with Moraxella catarrhalis, Streptococcus pneumoniae, Staphylococcus spp., and Enterococcus spp. were associated with TB. Rhodococcus, Nocardia, Streptomyces, Staphylococcus, and Candida spp. from rat-positive sputa did not produce M. tuberculosis-specific volatiles (methyl nicotinate, methyl para-anisate, and ortho-phenylanisole). Prevalence of Mycobacterium-related Nocardia and Rhodococcus in smear-negative sputa did not equal that of smear-negative mycobacteria (44.7%), of which 28.6% were rat positive. These findings and the absence of M. tuberculosis-specific volatiles in nonmycobacterial species indicate that rats can be trained to specifically detect M. tuberculosis.

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Language(s): eng - English
 Dates: 2012-02
 Publication Status: Published in print
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Type: Peer
 Identifiers: eDoc: 608906
ISI: 000299998000010
DOI: 10.1128/JCM.01199-11
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Title: Journal of Clinical Microbiology
  Alternative Title : J. Clin. Microbiol.
Source Genre: Journal
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Publ. Info: WASHINGTON : AMER SOC MICROBIOLOGY
Pages: - Volume / Issue: 50 (2) Sequence Number: - Start / End Page: 274 - 280 Identifier: ISSN: 0095-1137