Background : The aim of the current study was to improve our understanding of the origins and transmission of Mycobacterium africanum (MAF) in Norway.
Methods : Whole-genome sequences (WGS) were generated for all (n=29) available clinical isolates identified as in Norway in the period 2010 – 2020. Phylogenetic analyses were performed.
Results : The analyses indicated multiple imports of MAF lineage 6 from both East and West African countries, whereas MAF lineage 5 was restricted to patients with West African connections. We also find evidence for transmission of MAF in Norway. Finally, our analyses revealed that a group of isolates from patients originating in South Asia, identified as MAF by means of a commercial line-probe assay, in fact belonged to Mycobacterium orygis.
Conclusions : Most MAF cases in Norway are the result of import, but transmission is occurring in immigrant communities.

Figure 1
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Posted 19 Jan, 2021
Received 04 Feb, 2021
On 04 Feb, 2021
Received 03 Feb, 2021
On 18 Jan, 2021
On 17 Jan, 2021
On 17 Jan, 2021
On 17 Jan, 2021
On 16 Jan, 2021
On 14 Jan, 2021
Invitations sent on 14 Jan, 2021
On 14 Jan, 2021
Received 14 Jan, 2021
On 14 Jan, 2021
On 14 Jan, 2021
On 10 Jan, 2021
Posted 19 Jan, 2021
Received 04 Feb, 2021
On 04 Feb, 2021
Received 03 Feb, 2021
On 18 Jan, 2021
On 17 Jan, 2021
On 17 Jan, 2021
On 17 Jan, 2021
On 16 Jan, 2021
On 14 Jan, 2021
Invitations sent on 14 Jan, 2021
On 14 Jan, 2021
Received 14 Jan, 2021
On 14 Jan, 2021
On 14 Jan, 2021
On 10 Jan, 2021
Background : The aim of the current study was to improve our understanding of the origins and transmission of Mycobacterium africanum (MAF) in Norway.
Methods : Whole-genome sequences (WGS) were generated for all (n=29) available clinical isolates identified as in Norway in the period 2010 – 2020. Phylogenetic analyses were performed.
Results : The analyses indicated multiple imports of MAF lineage 6 from both East and West African countries, whereas MAF lineage 5 was restricted to patients with West African connections. We also find evidence for transmission of MAF in Norway. Finally, our analyses revealed that a group of isolates from patients originating in South Asia, identified as MAF by means of a commercial line-probe assay, in fact belonged to Mycobacterium orygis.
Conclusions : Most MAF cases in Norway are the result of import, but transmission is occurring in immigrant communities.

Figure 1
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