Multiple Mycobacterium tuberculosis infections in an HIV-infected patient

Southeast Asian J Trop Med Public Health. 2007 Jul;38(4):704-5.

Abstract

Mycobacterial colonies of two different morphologies were isolated from one sputum sample of a HIV-positive patient. One morphological type was resistant to streptomycin (STR) and susceptible to isoniazid (INH), while the other isolate with different colony morphology was resistant to both of these anti-TB drugs. A mycobacterial isolate of one pus from a lymph node sample was resistant to these two anti-TB drugs, while the other isolate from another pus sample was resistant to STR but susceptible INH. IS6110 RFLP based finger printing revealed that the HIV-positive patient was infected with different strains of Mycobacterium tuberculosis. A subculture of isolates on solid medium is useful to examine mixed infection.

Publication types

  • Case Reports

MeSH terms

  • AIDS-Related Opportunistic Infections / microbiology*
  • Adult
  • Antitubercular Agents / pharmacology
  • DNA Fingerprinting
  • Drug Resistance, Multiple, Bacterial
  • Humans
  • Lymph Nodes / microbiology
  • Male
  • Mycobacterium tuberculosis / drug effects*
  • Mycobacterium tuberculosis / genetics*
  • Mycobacterium tuberculosis / isolation & purification
  • Netherlands
  • Sputum / microbiology
  • Tuberculosis, Multidrug-Resistant / genetics*

Substances

  • Antitubercular Agents