Intra-abdominal co-infection with Mycobacterium bovis and Actinomyces in an AIDS patient: the first reported case and review.
The Mycobacterium tuberculous complex and Actinomyces can both cause indolent intra-abdominal infections that result in hard mass lesion(s), oftentimes fixed to underlying tissue and involving the right ileocecal fossa region. Although Actinomyces can present as a co-pathogen when anatomic barriers are compromised, its intra-abdominal co-infection with Mycobacterium bovis has not previously been reported. We present the first reported case of intra-abdominal co-infection with Actinomyces and Mycobacterium bovis, a member of the Mycobacterium tuberculosis complex (MTB), in an AIDS patient and provide a discussion of the pathogenesis and a review of these infections, both individually and together.
Richman
Mark
M
Department of Medicine, Division of Infectious Diseases, Olive View-UCLA Medical Center, 14445 Olive View Dr. 2B182, Sylmar, CA 91342, USA.
Jeng
Arthur
A
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000190:Actinomyces / Q000302:isolation & purification*; D000196:Actinomycosis / Q000150:complications* / Q000188:drug therapy; D000328:Adult; D006801:Humans; D008297:Male; D009163:Mycobacterium bovis / Q000302:isolation & purification*; D014376:Tuberculosis / Q000150:complications* / Q000188:drug therapy