Korean J Thorac Cardiovasc Surg.  2017 Feb;50(1):50-53. 10.5090/kjtcs.2017.50.1.50.

Mixed Infection of Mycobacterium abscessus subsp. abscessus and Mycobacterium tuberculosis in the Lung

Affiliations
  • 1Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Korea.
  • 2Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Korea. ktpark@paik.ac.kr

Abstract

A mixed infection of Mycobacterium abscessus subsp. abscessus (Mab) and Mycobacterium tuberculosis (MTB) in the lung is an unusual clinical manifestation and has not yet been reported. A 61-year-old woman had been treated for Mab lung disease and concomitant pneumonia, and was diagnosed with pulmonary tuberculosis (PTB). Despite both anti-PTB and anti-Mab therapy, her entire left lung was destroyed and collapsed. She underwent left pneumonectomy and received medical therapy. We were able to successfully treat her mixed infection by pneumonectomy followed by inhaled amikacin therapy. To the best of our knowledge, thus far, this is the first description of a mixed Mab and MTB lung infection.

Keyword

Inhaled amikacin therapy; Coinfection; Mycobacterium abscessus; Mycobacterium tuberculosis; Pneumonectomy

MeSH Terms

Amikacin
Coinfection*
Female
Humans
Lung Diseases
Lung*
Middle Aged
Mycobacterium tuberculosis*
Mycobacterium*
Pneumonectomy
Pneumonia
Tuberculosis, Pulmonary
Amikacin
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