Coinfection of Mycobacterium malmoense and Mycobacterium tuberculosis in a patient with acquired inmune deficiency syndrome

• Main Authors: Lilian María Mederos Cuervo, Angélica Reyes Pérez, Lidunka Valdes Alonso, Francisco Rodríguez Delgado, Misleydis Sardiñas Aragón, María Rosarys Martínez Romero, Raúl Díaz Romero
• Format: Article
• Language: Spanish
• Published: Instituto Nacional de Salud 2014-12-01
• Series: Revista Peruana de Medicina Experimental y Salud Pública
• Subjects: coinfección; mycobacterium tuberculosis; infecciones por mycobacterium; síndrome de inmunodeficiencia adquirida
• Online Access: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/135
• ISSN: 1726-4634; 1726-4642

A case is presented of coinfection with Mycobacterium malmoense and Mycobacterium tuberculosis in a Cuban patient with AIDS which produced respiratory and liver disease respectively. Cultures done from sputum samples showed the presence of a non-pigmented, slow growing mycobacterial strain belonging to Runyon group III and identified as Mycobacterium malmoense. From cultures of liver tissue removed laparoscopically, a strain was isolated and subsequently identified as Mycobacterium tuberculosis. Anatomapathologic examination confirmed the diagnosis of tuberculosis, the patient received specific treatment and had a favorable clinical course. This report of a rare case of coinfection of Mycobacterium describes the first report of hepatic tuberculosis in a patient with AIDS in Cuba.