Prolonged survival of an HIV-infected patient with multidrug-resistant Mycobacterium bovis infection treated with surgical resection.
We describe a case of multidrug-resistant tuberculosis due to Mycobacterium bovis in a human immunodeficiency virus-infected woman with good immunologic status. The patient presented with a hard mass measuring 10 cm in diameter on the lower left ribs and a lung nodule measuring 3 cm in diameter in the left superior lobe. No adequate pharmacological treatment was available. Both lesions were surgically resected. The patient has remained asymptomatic (without fever, cough, lymphadenopathy, or cutaneous masses) for 20 months, after discharge from the hospital.
Department of Internal Medicine, Hospital Universitario Puerta de Hierro, Universidad Autónoma de Madrid, Madrid, Spain. antrammar@terra.es
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Ramos
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Noblejas
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Martin
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Varela
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Daza
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Samper
D000328:Adult; D024901:Drug Resistance, Multiple, Bacterial; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008168:Lung / Q000601:surgery; D009163:Mycobacterium bovis / Q000187:drug effects; D035441:Thoracic Wall / Q000601:surgery; D014375:Tuberculoma / Q000150:complications* / Q000382:microbiology / Q000601:surgery*