Co-infection by Mycobacterium fortuitum and Mycobacterium tuberculosis in splenic abscesses in a patient with HIV

Authors

  • Leslie Soto-Arquíñigo Instituto de Medicina Tropical “Alexander von Humboldt”. Universidad Peruana Cayetano Heredia. Lima, Peru. Hospital Nacional Cayetano Heredia. Lima, Perú. Médico infectólogo
  • Manuel García-Pareja Instituto de Medicina Tropical “Alexander von Humboldt”. Universidad Peruana Cayetano Heredia. Lima, Peru. Fundación Universitaria San Martín. Sabaneta, Colombia. Médico cirujano
  • Eduardo Gotuzzo-Herencia Instituto de Medicina Tropical “Alexander von Humboldt”. Universidad Peruana Cayetano Heredia. Lima, Peru. Hospital Nacional Cayetano Heredia. Lima, Perú. Médico infectólogo
  • Pedro Legua-Leiva Instituto de Medicina Tropical “Alexander von Humboldt”. Universidad Peruana Cayetano Heredia. Lima, Peru. Hospital Nacional Cayetano Heredia. Lima, Perú. Médico infectólogo
  • Manuel Sánchez-Herrera Universidad Peruana Cayetano Heredia. Lima, Peru. Médico cirujano

DOI:

https://doi.org/10.17843/rpmesp.2017.342.2470

Keywords:

Mycobacterium fortuitum, Mycobacterium tuberculosis, HIV, abscess

Abstract

Patients with HIV are susceptible to mycobacterium infection. In the case of fast-growing mycobacteria, the group to which Mycobacterium fortuitum (M. fortuitum) belongs, infections have been described in the skin, lungs, lymph nodes and disseminated disease. We present the case of a 43-year-old male patient with pre-diagnosis of HIV in antiretroviral therapy, which comes as a fever, asthenia, weight loss and chronic diarrhea. Abdominal tomography is performed and hepatosplenomegaly is evidenced with nodular lesions in the spleen. The splenic culture was finally positive for M. Fortuitum, with positive PCR to Mycobacterium tuberculosis. The current treatment protocols for this type of infection are based on the susceptibility shown in the cultures performed. With regard to coinfections between M. Fortuitum and Mycobacterium tuberculosis, in HIV positive patients, there are even less information.

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Published

2017-06-28

Issue

Section

Case Report

How to Cite

1.
Soto-Arquíñigo L, García-Pareja M, Gotuzzo-Herencia E, Legua-Leiva P, Sánchez-Herrera M. Co-infection by Mycobacterium fortuitum and Mycobacterium tuberculosis in splenic abscesses in a patient with HIV. Rev Peru Med Exp Salud Publica [Internet]. 2017 Jun. 28 [cited 2024 Mar. 28];34(2):328-31. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2470

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