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Microbiology · Tuberculosis diagnosis: MGIT liquid culture
Sample itemIn the Mycobacteria Growth Indicator Tube (MGIT) system, how is mycobacterial growth in the liquid medium detected?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Oxygen consumption by growing bacteria unquenches a fluorescent compound seen under UV light
MGIT tubes contain modified Middlebrook 7H9 broth with a fluorescent compound quenched by oxygen. Growing mycobacteria consume oxygen, removing the quenching so the tube fluoresces under UV light, and instruments flag positive tubes automatically. It gives faster results than Lowenstein-Jensen culture and is used for drug susceptibility testing.
Option by option
A. Release of radioactive carbon dioxide from labelled palmitate is counted
Radiometric detection describes the older BACTEC 460 system, not MGIT.
B. Oxygen consumption by growing bacteria unquenches a fluorescent compound seen under UV light (correct)
Correct. Oxygen depletion by growing bacilli produces fluorescence.
C. Turbidity is read at 600 nm after 24 hours
Mycobacteria grow too slowly for turbidity to be read reliably at 24 hours.
D. A phenol red indicator turns yellow as the pH falls
Phenol red pH indicators are used in sugar fermentation tests, not in MGIT detection.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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