“…Sometimes, persistent M. tuberculosis bacteria bearing cell wall alterations may remain undetected by the classic Ziehl-Neelsen staining (Seiler et al, 2003). Appearance of polymorphic non-acid fast forms and coccoids in cultures of mycobacteria has been observed by other authors (Chandrasekhar & Ratnam , 1992;Csillag, 1964;Juhasz, 1962;Miller, 1932;Xalabarder, 1958). Morphological forms of different sizes and shapes (short coccobacilli and long rods, oval or round coccoid cells, large spherical bodies and giant filaments) in mycobacterial L-form cultures obtained after starvation stress, were observed by us with scanning electron microscopy ( Fig.4, n. d.).…”