Journal List > Tuberc Respir Dis > v.69(3) > 1001535

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Jung, Yu, Lee, Kwon, Choi, Kang, Shim, Kim, and Song: A Case of Mycobacterium abscessus Lung Disease in a Patient with H1N1 Influenza Pneumonia
Case Report
Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2010; 69(3): 207-211.

Published online: 30 September 2010

DOI: https://doi.org/10.4046/trd.2010.69.3.207

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

Kyoungwon Jung, M.D., Hoon Yu, M.D., Taehoon Lee, M.D., O Sung Kwon, M.D., Suk Won Choi, M.D., Se Hun Kang, M.D., Tae Sun Shim, M.D., Dong Soon Kim, M.D., Jin Woo Song, M.D.

Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Address for correspondence: Jin Woo Song, M.D. Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Pungnap 2-dong, Songpa-gu, Seoul 138-736, Korea. Phone: 82-2-3010-3993, Fax: 82-2-3010-6968, jwsong@amc.seoul.kr

Received 11 May 2010       Accepted 19 May 2010

Copyright © 2010. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.

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.

Keywords: Influenza A Virus, H1N1 Subtype, Mycobacterium abscessus, Mycobacteria, Atypical

Figures and Tables

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.
trd-69-207-g001
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.
trd-69-207-g002

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