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Simultaneous Isolation of Mycobacterium gastri and Mycobacterium tuberculosis in a Patient With Human Immunodeficiency Virus Infection

de Armas, Yaxsier MD*; Capó, Virginia MD*; Mederos, Lilian MD; Díaz, Raúl MD; Hengge, Ulrich R. MD, MBA

Infectious Diseases in Clinical Practice: September 2009 - Volume 17 - Issue 5 - p 344-345
doi: 10.1097/IPC.0b013e3181917839
Case Reports

Typical and atypical mycobacterial infections show a dramatic increase among acquired immune deficiency syndrome patients despite highly-active antiretroviral therapy. The diagnostic challenge is to identify both typical and atypical strains from patient materials in a reasonable time. Here, we present the first case in which both Mycobacterium gastri and Mycobacterium tuberculosis were isolated in the same specimen (ie, sputum).

From the *Department of Pathology, †National Reference Laboratory of Tuberculosis and other Mycobacteria (NRLTM), Institute of Tropical Medicine "Pedro Kourí" (IPK), Cuba and ‡Department of Dermatology, Heinrich-Heine University, Duesseldorf, Germany.

Reprints: Ulrich R. Hengge, MD, MBA, Department of Dermatology, Heinrich-Heine University, Moorenstr. 5, D-40225 Duesseldorf, Germany. E-mail:

© 2009 Lippincott Williams & Wilkins, Inc.