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Volume 19, Number 1—January 2013

Concurrent Tuberculosis and Influenza, South Korea

Ji Yun Noh, Jacob Lee, Won Suk Choi, Joon Young Song, Yu Bin Seo, In Seon Kim, Hee Jin Cheong, and Woo Joo KimComments to Author 
Author affiliations: Author affiliations: Korea University College of Medicine, Seoul, South Korea (J.Y. Noh, W.S. Choi, J.Y. Song, Y.B. Seo, I.S. Kim, H.J. Cheong, W.J. Kim); Asia Pacific Influenza Institute, Seoul (J.Y. Noh, W.S. Choi, J.Y. Song, Y.B. Seo, I.S. Kim, H.J. Cheong, W.J. Kim); Hallym University College of Medicine, Chuncheon, South Korea (J. Lee); Transgovernmental Enterprise for Pandemic Influenza in Korea, Seoul (W.J. Kim)

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Case summary of concurrent active pulmonary TB and influenza A(H1N1)pdm09 infection*

Patient age, y/sex Date of influenza diagnosis Underlying disease Days from influenza to TB diagnosis Lymphocyte count at initial visit, cells/µL (%) Specimen/ auramine-rhodamine stain result Specimen/ TB PCR result MTB source Radiographic findings Days hospitalized
17/F 2009 Sep None 17 NA BAL/+ BAL/+ BAL Patchy consolidation in LUL 0
15/M 2009 Sep None 2 380 (7.3) Sputum/+ Sputum/+ Sputum Pneumonic infiltration in both upper lobes, cavitary lesion in LUL 7
15/F 2009 Oct None 17 NA Sputum/+ Sputum/− Sputum Nodular infiltration with cavity in LUL 10
26/M 2009 Nov None 1 1,406 (18.5) Sputum/+ Sputum/+ Sputum Multiple nodules and cavities in RUL and RML 6
29/M† 2010 Feb None 2 NA Sputum/−, BAL/− BAL/+ Sputum, BAL Pneumonic infiltration in RUL 0
68/M 2010 Feb Colon cancer 1 230 (4.9) Sputum/+ NA Sputum Lobar pneumonia in RLL 10
24/F 2011 Feb Previous wedge resection to treat pneumothorax 7 1,433 (37.7) Sputum/−, BAL/+ Sputum/−, BAL/+ BAL Patchy opacity in left middle lung zone 0

*All patients survived. TB, tuberculosis; MTB, Mycobacterium tuberculosis; NA, not available; BAL, bronchoalveolar lavage; LUL, left upper lobe; RUL, right upper lobe; RML, right middle lobe; RLL, right lower lobe.
†This patient had a history of 7.5 pack-years of smoking.

Main Article

Page created: December 20, 2012
Page updated: December 20, 2012
Page reviewed: December 20, 2012
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