“…In fact, many previous studies showed that rifampicin‐resistant M. tuberculosis clinical isolates carry multiple (double, triple and quadruple) mutations in the rpo B gene (Bahrmand, Titov, Tasbiti, Yari, & Graviss, 2009; Casali et al., 2014; Nguyen, Nguyen, et al., 2017; Song et al., 2014). This could be the result of compensatory mechanisms to alleviate the fitness cost exerted by specific mutations (Brandis & Hughes, 2013; Brandis et al., 2012). It is worth noting that compensatory mutations are more commonly identified in the dominant MDR, pre‐XDR and XDR clones in high MDR TB burden countries, suggesting that high drug‐resistant mutants harbouring these mutations can be successfully transmitted in human populations (Casali et al., 2014; Cohen et al., 2015; Comas et al., 2012; Klopper et al., 2013; Li et al., 2016; de Vos et al., 2013).…”