Johnson S C, Stamm C P, Hicks C B
Department of Medicine, Walter Reed Army Medical Center, Washington, D.C. 20307-5001.
Rev Infect Dis. 1990 Sep-Oct;12(5):754-6. doi: 10.1093/clinids/12.5.754.
A 34-year-old man with human immunodeficiency virus infection and disseminated Mycobacterium avium and Mycobacterium intracellulare infection developed a right psoas muscle abscess due to Mycobacterium tuberculosis. The abscess occurred 18 months after completion of a 12-month course of chemoprophylaxis with isoniazid that was given because of a positive reaction with purified protein derivative of tuberculin. The adjacent vertebrae did not appear to be involved. The abscess was drained with a percutaneously inserted catheter, and he received standard antituberculous chemotherapy. Three weeks into therapy, a second drainage with a catheter was required. The isolation of two mycobacteria in this patient and the apparent failure of chemoprophylaxis with isoniazid are noted.
一名34岁男性，患有人类免疫缺陷病毒感染，并发鸟分枝杆菌和胞内分枝杆菌播散性感染，因结核分枝杆菌引发右侧腰大肌脓肿。该脓肿在因结核菌素纯蛋白衍生物反应阳性而接受异烟肼12个月化学预防疗程结束18个月后出现。相邻椎体未见受累。通过经皮插入导管引流脓肿，患者接受标准抗结核化疗。治疗三周后，需要再次通过导管引流。注意到该患者分离出两种分枝杆菌，且异烟肼化学预防似乎失败。
