Emerging Infectious Diseases (Mar 2024)

Bedaquiline Resistance after Effective Treatment of Multidrug-Resistant Tuberculosis, Namibia

  • Gunar Günther,
  • Lusia Mhuulu,
  • Azaria Diergaardt,
  • Viola Dreyer,
  • Maria Moses,
  • Kaarna Anyolo,
  • Nunurai Ruswa,
  • Mareli Claassens,
  • Stefan Niemann,
  • Emmanuel Nepolo

DOI
https://doi.org/10.3201/eid3003.240134
Journal volume & issue
Vol. 30, no. 3
pp. 568 – 571

Abstract

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Bedaquiline is currently a key drug for treating multidrug-resistant or rifampin-resistant tuberculosis. We report and discuss the unusual development of resistance to bedaquiline in a teenager in Namibia, despite an optimal background regimen and adherence. The report highlights the risk for bedaquiline resistance development and the need for rapid drug-resistance testing.

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