Ethionamide (ETA) and prothionamide (PRO) are interchangeably used in tuberculosis
(TB) chemotherapy regimens. Subtle discrepancies between biochemical and genetic
information on the modes of sensitivity and resistance of isoniazid (INH) and ETA warrants
further studies. We report a new mutation – EthAW21R – in Mycobacterium bovis Bacillus
Calmette-Guérin that corresponds with co-resistance to both PRO and ETA, which to the best
of our knowledge has not been reported before. Our findings suggest that mutation EthAW21R
could be used as a marker site for testing PRO and ETA cross-resistance