Tuberc Respir Dis.  2010 Sep;69(3):207-211.

A Case of Mycobacterium abscessus Lung Disease in a Patient with H1N1 Influenza Pneumonia

• Jung K
• Yu H
• Lee T
• Kwon OS
• Choi SW
• Kang SH
• Shim TS
• Kim DS
• Song JW

Abstract

Novel influenza A (H1N1) virus is a common pathogen of febrile respiratory infection recently. Here, we report the case of a 63-year-old male patient who presented with 3 days' ongoing cough and fever. He was diagnosed with novel influenza A (H1N1) pneumonia by real-time reverse-transcriptase-polymerase-chain-reaction (rRT-PCR). During treatment for novel influenza A (H1N1), his symptoms and radiologic findings improved initially, but multiple lung nodules developed subsequently and found on chest x-ray (on the 5th hospital day). Mycobacterium abscessus was isolated repeatedly from sputum and bronchoalveolar lavage fluid. To our knowledge, this is the first reported case of Mycobacterium abscessus lung disease in a patient with H1N1 influenza pneumonia.

Keyword

Influenza A Virus, H1N1 Subtype; Mycobacterium abscessus; Mycobacteria, Atypical

MeSH Terms

Bronchoalveolar Lavage Fluid
Cough
Fever
Humans
Influenza A Virus, H1N1 Subtype
Influenza, Human
Lung
Lung Diseases
Male
Middle Aged
Mycobacterium
Nontuberculous Mycobacteria
Pneumonia
Sputum
Thorax
Viruses

Figure

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  Figure 1 (A) Chest X-ray shows increased infiltration in right lower lung field on admission and (B) decreased infiltration in right lower lung field after 2 days.

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  Figure 2 Chest X-ray shows multiple nodular opacities at both lung filed during treatment. High resolution computer tomography performed on 5th hospital day also shows multiple small nodule in both lung.

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