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Marcel Behr

@mbehr-mcgill

Clinician-scientist. Epidemiology and pathogenesis of mycobacterial infections.

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Latest posts by Marcel Behr @mbehr-mcgill

Some global estimates regarding clinical versus microbiologically confirmed TB in this article: PMID: 41501491
DOI: 10.1038/s41591-025-04097-5

15.02.2026 23:34 πŸ‘ 2 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
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Estimating the global burden of viable Mycobacterium tuberculosis infection: A mathematical modelling study Alvaro Schwalb and colleagues conducted a mathematical modelling study to estimate the global burden of viable Mycobacterium tuberculosis--that which can cause disease and be transmitted--to help guid...

1/πŸ“’ In our new publication, we estimate that in 2022, 134 million people worldwide had a recent Mycobacterium tuberculosis (Mtb) infection and were at high risk of progressing to TB disease. Read the full paper in PLOS Medicine (tinyurl.com/mtbinfection). #TBSky

13.02.2026 11:39 πŸ‘ 37 πŸ” 25 πŸ’¬ 2 πŸ“Œ 2

Congrats to @aschwalbc.bsky.social for bringing this work to the finish line!

09.02.2026 19:16 πŸ‘ 4 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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Estimating the global burden of viable Mycobacterium tuberculosis infection: A mathematical modelling study Alvaro Schwalb and colleagues conducted a mathematical modelling study to estimate the global burden of viable Mycobacterium tuberculosis--that which can cause disease and be transmitted--to help guid...

In this mathematical modeling study, Alvaro Schwalb and colleagues estimate the global burden of viable Mycobacterium tuberculosisβ€”that which can cause disease and be transmittedβ€”to help guide disease prevention efforts πŸ§ͺ #tuberculosis #MedSky
plos.io/4aqzIQV

09.02.2026 12:05 πŸ‘ 11 πŸ” 6 πŸ’¬ 0 πŸ“Œ 2
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Always a treat to see the owl while cross country skiing on Mount Royal. Doesn't seem bothered by -12C

31.01.2026 21:41 πŸ‘ 4 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Ha! And yes. But are sponges the host, or are they just sponges, doing what sponges do?

06.01.2026 18:47 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I agree with everything said by @mycolates.bsky.social in this thread, except the penultimate sentence. To my eyes, figure shows that Mtb diverged from animal lineages after the blue box (loss of spacers). Whether their common ancestor was Mtb is uncertain. Prefer to call this 'MTBCo '.

06.01.2026 18:10 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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How likely is β€˜likely’? Does β€˜likely’ have a higher probability than β€˜probable’? I put together aΒ quick quiz so you can see how youΒ interpret probability phrases, then see howΒ you compare with others: probability.kucharski.io

03.01.2026 16:15 πŸ‘ 241 πŸ” 156 πŸ’¬ 32 πŸ“Œ 35

Thanks Gabriele!

02.01.2026 23:48 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Cool! In case I missed it ....can you post the link to article?

02.01.2026 23:32 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

πŸ‘‡Great thread on TB strain concordance/strain discordance among household contacts. If I read correctly, findings from a 1998 small series from San Francisco consistent with the much greater analysis. ++ Implications for transmission and management of contacts.

20.12.2025 14:32 πŸ‘ 4 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

Not as cold as much of Canada. And yes to the postdoc opportunity!

02.12.2025 15:52 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Are there positive and negative control tissues, eg from mouse or guinea pig infections, that can be used to pre-validate FISH before studying human samples? Without this, how does one know whether an assay is fit for purpose?

22.11.2025 17:01 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

To see bacteria by FISH, does this imply at least 10(4) per g, akin to the threshold to detect Mycobacterium tuberculosis by Auramine staining (5000-10,000 per mL)?

22.11.2025 14:55 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Excited to see the PhD work led by Sarah Danchuk published today. Virulence hierarchies within the Mycobacterium tuberculosis complex. Thanks to all the authors and collaborators, and especially kudos to Sarah: www.pnas.org/doi/10.1073/...

16.10.2025 18:39 πŸ‘ 4 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0

It has been often observed that TB rates go up from childhood to adolescence, suggesting that children under 14 are relatively resistant and/or adolescents are more susceptible. Could the rise in incidence be explained instead by transmission effects you report?

12.10.2025 17:37 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Starting conversation for mycobacteria researchers. 1) mycobacteria have strange cell wall, 2) mycobacterial infections are hard to treat. Is 1) the CAUSE of 2)? For broad spectrum antibiotics that work (rifampin, levofloxacin, linezolid), do they get into mycobacteria at lower concentrations?

11.10.2025 15:24 πŸ‘ 4 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I thought it was going outside in winter without a hat....

07.07.2025 13:07 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Sihem Belhocine put this quote at the start of her thesis: "If many remedies are prescribed for an illness, you may be certain that the illness has no cure." Anton Chekhov, The Cherry Orchard, 1904 (the year he died of tuberculosis). Does this adage hold true in 2025?

12.04.2025 15:49 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Amazing thesis work led by Sarah Danchuk now submitted for review and posted as preprint: ssrn.com/abstract=51598…. Short summary: M. bovis & M. orygis manifest enhanced virulence compared to M. tuberculosis in natural host model (calves) and small animal model (mice).

04.03.2025 23:56 πŸ‘ 6 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0

Question to academics: I've been on several editorial boards before, but until now, never been asked by to sign a 16-page legal contract, including a section on my obligations. Unpaid role. Is this the new norm?

18.02.2025 13:28 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Hi Peter,
A further point. It's brilliant that UK publishes its M. Bovis data. Now that WHO and WOAH recognize that definition of zoonotic TB extends to M. Orygis as well, I would be curious to see the same type of data for M. Orygis cases. So far, just scattered case series, nothing systematic.

30.01.2025 20:55 πŸ‘ 5 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Thanks!

29.01.2025 15:14 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Hi Peter. I don't know about exposure. Harder to do in immigrants to e.g., Canada, Australia asking about exposure in country of birth. Maybe can be done in places where local exposure? Are there good data in the UK?

29.01.2025 14:06 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Compelling analysis suggesting that M:F difference in TB rates driven by differences in rates of Mtb infection. Consistent with old (2000) analysis of genotypic clustering (PMID: 10654640). But why do zoonotic TB series often have flipped ratios? doi: 10.1093/infdis/jiae124

10.01.2025 12:27 πŸ‘ 9 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0

I believe most isolates from pre-2020. Resistance developing or already established?

05.01.2025 17:02 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Agree with treating Legionella. Where are the best data on macrolide treatment and outcome of CAP due to Mycoplasma?

28.12.2024 17:38 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
A diagram of the screening and randomization process for household contacts included in the trial.

A diagram of the screening and randomization process for household contacts included in the trial.

In this report, investigators assessed the efficacy of levofloxacin for the prevention of secondary cases of tuberculosis among household contacts of persons with multidrug-resistant tuberculosis. Full VQUIN MDR trial results: nej.md/41BHEf5

#MedSky #IDSky

20.12.2024 14:09 πŸ‘ 9 πŸ” 3 πŸ’¬ 1 πŸ“Œ 1
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Recovery of Mycobacterium tuberculosis complex isolates including pre-XDR strains from Cattle at a Slaughterhouse in Chennai, India AbstractBackground. India has the highest global burden of human tuberculosis (TB) and the largest cattle herd with endemic bovine TB. However, the extent

Pre-XDR Mycobacterium tuberculosis in cattle. Plus some M. orygis academic.oup.com/ofid/advance...

20.12.2024 00:02 πŸ‘ 5 πŸ” 3 πŸ’¬ 1 πŸ“Œ 2
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Sarah Danchuk at PhD defense, presenting her favourite figure contrasting the host reservoirs of Mycobacterium tuberculosis complex.

09.12.2024 15:16 πŸ‘ 9 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0