Coinfección por Mycobacterium malmoense y Mycobacterium tuberculosis en paciente con el síndrome de inmunodeficiencia humana

Lilian María Mederos Cuervo; Angélica Reyes Pérez; Lidunka Valdes Alonso; Francisco Rodríguez Delgado; Misleydis Sardiñas Aragón; María Rosarys Martínez Romero; Raúl Díaz Romero

doi:10.17843/rpmesp.2014.314.135

Authors

Lilian María Mederos Cuervo Laboratorio Nacional de Referencia e Investigaciones de Micobacterias y Tuberculosis. La Habana, Cuba.
Angélica Reyes Pérez Hospital Nacional de Referencia para la Atención a pacientes VIH/sida. La Habana, Cuba.
Lidunka Valdes Alonso Instituto de Medicina Tropical “Pedro Kourí”. La Habana, Cuba.
Francisco Rodríguez Delgado Instituto de Medicina Tropical “Pedro Kourí”. La Habana, Cuba.
Misleydis Sardiñas Aragón Instituto de Medicina Tropical “Pedro Kourí”. La Habana, Cuba.
María Rosarys Martínez Romero Instituto de Medicina Tropical “Pedro Kourí”. La Habana, Cuba.
Raúl Díaz Romero Instituto de Medicina Tropical “Pedro Kourí”. La Habana, Cuba.

DOI:

https://doi.org/10.17843/rpmesp.2014.314.135

Keywords:

Coinfection, Mycobacterium tuberculosis, Mycobacterium infections, Acquired immunodeficiency syndrome

Abstract

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.