Mycobacterium abscessus and Mycobacterium tuberculosis coinfection in a patient with exogenous Cushing syndrome and other comorbilities

Authors

DOI:

https://doi.org/10.17843/rpmesp.2020.374.5296

Keywords:

Nontuberculous mycobacteria, Mycobacterium abscessus, Mycobacterium tuberculosis, pulmonary tuberculosis, Cushing syndrome

Abstract

Mycobacterium abscessus is a fast-growing non-tuberculous mycobacterium that causes lung, skin, disseminated and other infections, mainly in patients with comorbidities. The diagnosis is based on the identification of the mycobacterium by culture media or molecular tests. Treatment with macrolides and amikacin remains the optimal choice, although it depends on the location and severity of the infection; however, resistance genes have been identified in some subspecies that limit antibiotic efficacy. We present the case of a patient with cutaneous coinfection by Mycobacterium abscessus and Mycobacterium tuberculosis, who presented exogenous Cushing syndrome, a predisposing factor for these infections. In addition, hydatidosis and pulmonary aspergillosis were identified. The patient’s anti-tuberculosis treatment was adjusted to manage both mycobacteria, resulting in a favorable evolution.

Downloads

Download data is not yet available.

Author Biography

  • Gino Patrón-Ordóñez, Facultad de Medicina Humana, Universidad Ricardo Palma, Lima, Perú. Hospital Nacional Dos de Mayo, Lima, Perú. Médico internista
    1. Médico asistente del Departamento de Medicina Interna del Hospital Nacional Dos de Mayo.
    2. Miembro Titular de la Sociedad Peruana de Medicina Interna.
    3. Miembro del American College of Physicians.
    4. Coordinador y docente de la cátedra de Terapéutica Médica de la Facultad de Medicina Humana de la Universidad Ricardo Palma.
    5. Docente de la cátedra de Medicina Interna de la Facultad de Medicina Humana de la Universidad Ricardo Palma.
    6. Integrante del Comité de la Especialidad de Medicina Interna en la Escuela de Residentado Médico de la FAMURP.

Published

2020-10-05

Issue

Section

Case Report

How to Cite

1.
Patrón-Ordóñez G, Llanos-Tejada F, Benites-Gamboa D, Espinoza-Chiong C. Mycobacterium abscessus and Mycobacterium tuberculosis coinfection in a patient with exogenous Cushing syndrome and other comorbilities. Rev Peru Med Exp Salud Publica [Internet]. 2020 Oct. 5 [cited 2024 Apr. 23];37(4):762-6. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/5296