{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T18:06:46Z","timestamp":1773770806944,"version":"3.50.1"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2004,12,23]],"date-time":"2004-12-23T00:00:00Z","timestamp":1103760000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/2.0\/"},{"start":{"date-parts":[[2004,12,23]],"date-time":"2004-12-23T00:00:00Z","timestamp":1103760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/2.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Infect Dis"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                        <jats:title>Background<\/jats:title>\n                        <jats:p>MDR <jats:italic>Mycobacterium tuberculosis<\/jats:italic> is the major cause of treatment failure in tuberculosis patients, especially in immunosuppressed. We described a young polymyositis patient on immunosuppressive therapy who was started with antituberculosis therapy as a susceptible strain of <jats:italic>M. tuberculosis<\/jats:italic> was isolated from a single cutaneous abscess in his neck and from regional lymph nodes.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Case presentation<\/jats:title>\n                        <jats:p>He had non-reactive miliary tuberculosis and multiple cutaneous abscesses 6 months later with the same strain, which was resistant this time to 9 antituberculosis drugs. We described clinical presentation, radiological and laboratory work-up, treatment and follow-up as the patient was cured after 1.5 years with 6 antituberculosis drugs.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Conclusion<\/jats:title>\n                        <jats:p>To our knowledge, this is the first reported case where an immunosuppressed patient with suggestive exogenous reinfection within 6 months with the same but MDR strain of <jats:italic>M. tuberculosis<\/jats:italic> was cured. Intense management and regular follow up were important since the patient was a potent source of MDR <jats:italic>M. tuberculosis<\/jats:italic> infection and there was limited choice for therapy.<\/jats:p>\n                     <\/jats:sec>","DOI":"10.1186\/1471-2334-4-63","type":"journal-article","created":{"date-parts":[[2005,1,12]],"date-time":"2005-01-12T19:28:03Z","timestamp":1105558083000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["First documented cure of a suggestive exogenous reinfection in polymyositis with same but multidrug resistant M. tuberculosis"],"prefix":"10.1186","volume":"4","author":[{"given":"Chiranjoy","family":"Mukhopadhyay","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ankita","family":"Garg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Archana","family":"Ayyagari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2004,12,23]]},"reference":[{"key":"148_CR1","first-page":"144","volume":"3","author":"VK Chadha","year":"2003","unstructured":"Chadha VK: Epidemiological Situation of Tuberculosis in India. 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