A rare presentation of Mycobacterium africanum after two decades: a case report from Brunei Darussalam.

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Western Pacific Surveillance and Response Pub Date : 2022-07-01 DOI:10.5365/wpsar.2022.13.3.926
Abdur Rahman Rubel, Panduru Venkata Kishore, May Thu Hla Aye, Nor Azian Hafneh, Vui Heng Chong
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Abstract

Mycobacterium africanum is endemic to West Africa and is rare outside this region. Most of the people infected with 
M. africanum outside Africa are migrants from affected parts of Africa. We report a rare case of pulmonary tuberculosis (TB) secondary to M. africanum in a man in Brunei Darussalam who had lived and worked in Guinea, West Africa for 6 years more than 20 years ago. He had been well until December 2020, when he presented with a chronic cough and was diagnosed with coinfections of Klebsiella pneumoniae and M. africanum, and newly diagnosed diabetes mellitus. This case highlights an interesting manifestation of pulmonary TB secondary to M. africanum in a patient whose last exposure was 20 years ago, contributed to by development of diabetes mellitus.

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二十年后非洲分枝杆菌的罕见呈现:来自文莱达鲁萨兰国的病例报告。
非洲分枝杆菌是西非的地方病,在该地区以外很少见。大多数感染
M的人。非洲以外的非洲人是来自非洲受影响地区的移民。我们报告一例罕见的肺结核(TB)继发于非洲支原体,发生在文莱达鲁萨兰国的一名男子,20多年前曾在西非几内亚生活和工作6年。直到2020年12月,他一直很好,当时他出现慢性咳嗽,并被诊断为肺炎克雷伯菌和非洲支原体合并感染,以及新诊断的糖尿病。本病例突出了一种有趣的肺结核继发于非洲支原体的表现,该患者的最后一次接触是在20年前,是由于糖尿病的发展。
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来源期刊
Western Pacific Surveillance and Response
Western Pacific Surveillance and Response PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.70
自引率
0.00%
发文量
23
审稿时长
15 weeks
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