Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Mycobacterium szulgai Lung Disease in Patient with Healed Tuberculosis

완치된 결핵환자에서 발생한 Mycobacterium szulgai 폐질환 1예

  • Lee, Eun-Jung (Department of Pulmonary and Critical Care Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine) ;
  • Park, Ji-Young (Department of Pulmonary and Critical Care Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine) ;
  • Kim, Eun-Young (Department of Pulmonary and Critical Care Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine) ;
  • Choi, Jae-Ho (Department of Pulmonary and Critical Care Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine) ;
  • Kim, Hyun-Soo (Department of Pulmonary and Critical Care Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine) ;
  • Chung, Sang-Wan (Department of Pulmonary and Critical Care Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine) ;
  • Yoo, Jee-Hong (Department of Pulmonary and Critical Care Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine) ;
  • Choi, Cheon-Woong (Department of Pulmonary and Critical Care Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine) ;
  • Kim, Gou-Young (Department of Pathology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine) ;
  • Lee, Jong-Hoo (Department of Pulmonary and Critical Care Medicine, Jeju National University Hospital, Jeju National University School of Medicine) ;
  • Kim, Yee-Hyung (Department of Pulmonary and Critical Care Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine)
  • 이은정 (경희대학교 의과대학 강동경희대학교병원 호흡기내과학교실) ;
  • 박지영 (경희대학교 의과대학 강동경희대학교병원 호흡기내과학교실) ;
  • 김은영 (경희대학교 의과대학 강동경희대학교병원 호흡기내과학교실) ;
  • 최재호 (경희대학교 의과대학 강동경희대학교병원 호흡기내과학교실) ;
  • 김현수 (경희대학교 의과대학 강동경희대학교병원 호흡기내과학교실) ;
  • 정상완 (경희대학교 의과대학 강동경희대학교병원 호흡기내과학교실) ;
  • 유지홍 (경희대학교 의과대학 강동경희대학교병원 호흡기내과학교실) ;
  • 최천웅 (경희대학교 의과대학 강동경희대학교병원 호흡기내과학교실) ;
  • 김교영 (경희대학교 의과대학 강동경희대학교병원 병리학교실) ;
  • 이종후 (제주대학교 의학전문대학원 제주대병원 호흡기내과학교실) ;
  • 김이형 (경희대학교 의과대학 강동경희대학교병원 호흡기내과학교실)
  • Received : 2011.07.22
  • Accepted : 2011.08.19
  • Published : 2012.01.30
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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.

Keywords

References

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