Trained African giant-pouched rats (Cricetomys gambianus) can detect Mycobacterium tuberculosis and show potential for the diagnosis of tuberculosis (TB). However, rats' ability to discriminate between clinical sputum containing other Mycobacterium spp. and nonmycobacterial species of the respiratory tract is unknown. It is also unknown whether nonmycobacterial species produce odor similar to M. tuberculosis and thereby cause the detection of smear-negative sputum. Sputum samples from 289 subjects were analyzed by smear microscopy, culture, and rats. Mycobacterium spp. were isolated on Lowenstein-Jensen medium, and nonmycobacterial species were isolated on four different media. The odor from nonmycobacterial species from smear-and M. tuberculosis culture-negative sputa detected by >2 rats ("rat positive") was analyzed by gas chromatographymass spectrometry and compared to the M. tuberculosis odor. Rats detected 45 of 56 confirmed cases of TB, 4 of 5 suspected cases of TB, and 63 of 228 TB-negative subjects (sensitivity, 80.4%; specificity, 72.4%; accuracy, 73.9%; positive predictive value, 41.7%; negative predictive value, 93.8%). A total of 37 (78.7%) of 47 mycobacterial isolates were M. tuberculosis complex, with 75.7% from rat-positive sputa. Ten isolates were nontuberculous mycobacteria, one was M. intracellulare, one was M. avium subsp. hominissuis, and eight were unidentified. Rat-positive sputa with Moraxella catarrhalis, Streptococcus pneumoniae, Staphylococcus spp., and Enterococcus spp. were associated with TB. Rhodococcus, Nocardia, Streptomyces, Staphylococcus, and Candida spp. from rat-positive sputa did not produce M. tuberculosis-specific volatiles (methyl nicotinate, methyl para-anisate, and ortho-phenylanisole). Prevalence of Mycobacterium-related Nocardia and Rhodococcus in smear-negative sputa did not equal that of smear-negative mycobacteria (44.7%), of which 28.6% were rat positive. These findings and the absence of M. tuberculosis-specific volatiles in nonmycobacterial species indicate that rats can be trained to specifically detect M. tuberculosis.
Novel methods for rapid diagnosis of tuberculosis (TB) are urgently needed to complement smear microscopy, which has low sensitivity (20), and culture, which is slower and requires specialized laboratory conditions not available in resourceconstrained settings. Trained African giant pouched rats (Cricetomys gambianus) possess profound potential for rapid detection of TB with higher sensitivity and specificity (38). An increase in TB case detection rate of 43 to 44% is achieved when Cricetomys rats are used as a second-line screening tool, after smear microscopy (18,25). Rats have a highly developed sense of smell among mammalian species (22), which renders them trainable to specifically sense TB odor in sputum samples with a broad range of acid-fast bacilli (AFB) counts (see Materials and Methods). These rats also detect smear-negative sputa, which may contain few acid-fast bacilli missed by microscopy. Moreover, smear-negative results may persi...