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Abstract
Acid-fast organisms differing from known human or bovine tuberculosis strains have
been isolated from eighty-eight patients. Although some appear to be intimately associated
with pulmonary disease in man, none was virulent for guinea pigs inoculated with 1
mg. of organisms.
It was possible to divide the organisms tentatively into three groups on the basis
of colonial characteristics. Two of the groups (I and III) were found to be virulent
for mice while the other was not.
The taxonomic identity of the organisms described has not yet been established. Colonial
and growth characteristics of the three groups are described. Certain of the strains
show some resemblance to avian or vole bacilli.
The organisms displaying mouse virulence are characterized by repeated occurrence
over long periods of time iii sputa from the same patients, none of whom were found
to have concurrent infection with M. tuberculosis. Seven of these strains were found directly in diseased human lung tissue. Twenty-four
of these strains were tested for virulence in mice, and all caused lung lesions. On
the other hand, seventeen strains of Group II showed no virulence for mice and were
not as consistently associated with human disease. These organisms were found in lower
concentration in original specimens and a greater proportion of them was isolated
from gastric washings. Furthermore, several were from patients harboring typical tubercle
bacilli as well.
In the light of these findings, discard of an acid-fast organism isolated from a patient
with pulmonary disease because it fails to fit the cultural or virulence pattern of
M. tuberculosis does not appear justified.
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Article info
Publication history
Received:
April 27,
1954
Identification
Copyright
© 1954 Published by Elsevier Inc.