A Case of Mycobacterium szulgai Lung Disease in Patient with Healed Tuberculosis.
- Author:
Eun Jung LEE
1
;
Ji Young PARK
;
Eun Young KIM
;
Jaeho CHOI
;
Hyun Soo KIM
;
Sang Wan CHUNG
;
Jee Hong YOO
;
Cheon Woong CHOI
;
Gou Young KIM
;
Jong Hoo LEE
;
Yee Hyung KIM
Author Information
- Publication Type:Case Report
- Keywords: Nontuberculous Mycobacteria; Chronic Necrotizing Pulmonary Aspergillosis
- MeSH: Alcoholism; Clarithromycin; Dyspnea; Ethambutol; Humans; Invasive Pulmonary Aspergillosis; Korea; Lung; Lung Diseases; Middle Aged; Mycobacterium; Mycobacterium tuberculosis; Nontuberculous Mycobacteria; Polymerase Chain Reaction; Rifampin; Sensation; Sputum; Thorax; Tuberculosis; Tuberculosis, Pulmonary
- From:Tuberculosis and Respiratory Diseases 2012;72(1):55-58
- CountryRepublic of Korea
- Language:Korean
- Abstract: Mycobacterium szulgai is a rare nontuberculous mycobacterium found in Korea. It is an opportunistic pathogen and is usually isolated from patients with a history of alcoholism, chronic pulmonary disease, or an immunocompromising condition. We present here a case of M. szulgai isolated from a patient with a history of pulmonary tuberculosis. A 54-year-old man was admitted with dyspnea and febrile sensation. He had a history of pulmonary tuberculosis which occurred 30 years earlier and treatment with anti-tuberculosis medication. His chest computed tomography scan showed cavitary consolidation in both upper lungs. A sputum acid-fast bacilli (AFB) smear was positive and anti-tuberculous medication was started. However, a polymerase chain reaction for mycobacterium tuberculosis was negative and anti-tuberculous medication was stopped. M. szulgai was isolated on 3 separate sputum and bronchial wash fluid AFB cultures. He was treated with clarithromycin, rifampicin, and ethambutol. After 1 month, a sputum AFB smear and culture became negative and no additional M. szulgai were isolated during a 16-month treatment.
