Investigation of a rapidly spreading tuberculosis outbreak using whole-genome sequencing

Comin, J. ; Chaure, A. ; Cebollada, A. ; Ibarz, D. ; Viñuelas, J. (Universidad de Zaragoza) ; Vitoria, M. A. ; Iglesias, M. J. (Universidad de Zaragoza) ; Samper, S. (Universidad de Zaragoza)

Resumen: This paper describes the application of whole-genome sequencing (WGS) to investigate an outbreak of Mycobacterium tuberculosis occurring in Aragon, Spain, where strains have been submitted to genotyping since 2004. The responsible outbreak strain appeared in our region first in 2014 and it spread to 14 patients in the following three years. WGS found low variability between the isolates with none of the SNPs differences detected more than once, all of which were attributed to a recent transmission. Although two ambiguous bases linked two cases with those who presented the SNP in the same position, the establishment of a definitive transmission route was not possible. The epidemiological data supported the existence of a super-spreader, probably responsible for the majority of the cases involved since there was a two-year delay in diagnoses among cases. This fact would also help explaining the low variability found. The index case was not identified, possibly because it was not diagnosed in Aragon. In addition WGS characterised the strain as a Linage 4.3.3/LAM family and corroborated the susceptibility to anti-tuberculosis drugs observed by the clinical laboratories. This work shows the need to have epidemiological data to support the genomic data in order to clarify the evolution of tuberculosis outbreaks.

Idioma: Inglés

DOI: 10.1016/j.meegid.2020.104184

Año: 2020

Publicado en: INFECTION GENETICS AND EVOLUTION 81 (2020), 104184 [7 pp.]
ISSN: 1567-1348

Factor impacto JCR: 3.342 (2020)

Categ. JCR: INFECTIOUS DISEASES rank: 51 / 92 = 0.554 (2020) - Q3 - T2

Factor impacto SCIMAGO: 1.085 - Ecology, Evolution, Behavior and Systematics (Q1) - Genetics (Q1) - Molecular Biology (Q1) - Microbiology (Q1) - Microbiology (medical) (Q1) - Infectious Diseases (Q1)

Financiación: info:eu-repo/grantAgreement/ES/DGA-FEDER/Construyendo Europa desde Aragón
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/FIS15-0317
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/FIS18-0336

Tipo y forma: Article (Published version)

Área (Departamento): Área Microbiología (Dpto. Microb.Ped.Radio.Sal.Pú.)
Área (Departamento): Área Medic.Prevent.Salud Públ. (Dpto. Microb.Ped.Radio.Sal.Pú.)