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

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

doi:2010.69.3.207

Tuberc Respir Dis > Volume 69(3); 2010 > Article

Case Report

Tuberculosis and Respiratory Diseases 2010;69(3):207-211.
DOI: https://doi.org/10.4046/trd.2010.69.3.207 Published online September 1, 2010.

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

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

Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jwsong@amc.seoul.kr

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.

Key Words: Influenza A Virus, H1N1 Subtype, Mycobacterium abscessus, Mycobacteria, Atypical