Lao Chong Kei, Wu Ting-Shu, Lin Kuan-Yin, Lee Ming-Hsun
Division of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital Linkou Branch, Chang Gung University College of Medicine, 5 Fuxing St., Guishan Dist., Taoyuan 33305, Taiwan.
School of Medicine, Chang Gung University, 259, Wenhua 1st Rd, Guishan Dist., Taoyuan 33302, Taiwan.
J Clin Tuberc Other Mycobact Dis. 2022 Apr 12;27:100314. doi: 10.1016/j.jctube.2022.100314. eCollection 2022 May.
Disseminated nontuberculous mycobacterial infections are frequently recognized in patients living with human immunodeficiency virus/acquired immunodeficiency syndrome (AIDS) and complex (MAIC) is the most common species. is a rapidly growing mycobacterium that accounts for 1-2% of community-acquired and healthcare-associated infections. It mainly causes skin and soft tissue infection. Disseminated infection by has never been reported in patients with AIDS. We describe a case of disseminated co-infection of and in a 33-year-old male with newly diagnosed AIDS, and review the literature regarding . infection. The patient's bone marrow culture grew and his blood culture grew . The diagnosis of disseminated co-infection of and was confirmed. Disseminated infection due to is rare and diagnosis can be challenging. Due to limited case numbers, there is no treatment guideline for nowadays. Further study is warranted for better understanding related infections.
播散性非结核分枝杆菌感染在人类免疫缺陷病毒/获得性免疫缺陷综合征(AIDS)患者中经常被发现,脓肿分枝杆菌复合群(MAIC)是最常见的菌种。脓肿分枝杆菌是一种快速生长的分枝杆菌,占社区获得性感染和医疗保健相关感染的1%-2%。它主要引起皮肤和软组织感染。艾滋病患者中从未有过脓肿分枝杆菌播散性感染的报道。我们描述了一例33岁新诊断艾滋病男性患者发生脓肿分枝杆菌和龟分枝杆菌播散性合并感染的病例,并复习了关于龟分枝杆菌感染的文献。患者骨髓培养出脓肿分枝杆菌,血培养出龟分枝杆菌。确诊为脓肿分枝杆菌和龟分枝杆菌播散性合并感染。龟分枝杆菌引起的播散性感染罕见,诊断可能具有挑战性。由于病例数有限,目前尚无针对龟分枝杆菌的治疗指南。有必要进行进一步研究以更好地了解龟分枝杆菌相关感染。