$re = '~(<text xml:lang=")en">(.+?)(</text>)\R \1es">\3\R \1fr">\3\R \1de">\3\R \1pt">\3\R \1du">\3~m';
$str = ' <text xml:lang="en">"Insert Swab to Start Analysis"</text>
<text xml:lang="es"></text>
<text xml:lang="fr"></text>
<text xml:lang="de"></text>
<text xml:lang="pt"></text>
<text xml:lang="du"></text>';
$subst = "<en>\2</en>\r\n <es>\2</es>\r\n <fr>\2</fr>\r\n <de>\2</de>\r\n <pt>\2</pt>\r\n <du>\2</du>";
$result = preg_replace($re, $subst, $str);
echo "The result of the substitution is ".$result;
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php