Case Report: Coronavirus Disease and Pulmonary Tuberculosis in Patients with Human Immunodeficiency Virus: Report of Two Cases

Am J Trop Med Hyg. 2020 Oct;103(4):1593-1596. doi: 10.4269/ajtmh.20-0737.

Abstract

Coinfection of SARS-CoV-2/Mycobacterium tuberculosis (MTB) in patients with HIV/AIDS has not been previously reported. Here, we present two cases of coinfection of SARS-CoV-2 and MTB in patients with HIV. The first case is a 39-year-old patient who was admitted with a 7-day history of fever, myalgia, headache, and cough. The second patient is a 43-year-old man who had a 1-month history of cough with hemoptoic sputum, evolving to mild respiratory distress in the last 7 days. Both patients already had pulmonary tuberculosis and subsequently developed SARS-CoV-2 infection during the 2020 pandemic. Nonadherence to antiretroviral treatment may have been a factor in the clinical worsening of the patients.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-HIV Agents / therapeutic use
  • Betacoronavirus / pathogenicity
  • COVID-19
  • Coinfection
  • Coronavirus Infections / drug therapy
  • Coronavirus Infections / immunology
  • Coronavirus Infections / microbiology*
  • Coronavirus Infections / virology
  • Cough / drug therapy
  • Cough / immunology
  • Cough / microbiology*
  • Cough / virology
  • HIV / pathogenicity
  • HIV Infections / drug therapy
  • HIV Infections / immunology
  • HIV Infections / microbiology*
  • HIV Infections / virology
  • Humans
  • Male
  • Mycobacterium tuberculosis / pathogenicity
  • Pandemics
  • Patient Compliance / psychology*
  • Pneumonia, Viral / drug therapy
  • Pneumonia, Viral / immunology
  • Pneumonia, Viral / microbiology*
  • Pneumonia, Viral / virology
  • Respiratory Distress Syndrome / drug therapy
  • Respiratory Distress Syndrome / immunology
  • Respiratory Distress Syndrome / microbiology*
  • Respiratory Distress Syndrome / virology
  • SARS-CoV-2
  • Tomography, X-Ray Computed
  • Tuberculosis, Pulmonary / drug therapy
  • Tuberculosis, Pulmonary / immunology
  • Tuberculosis, Pulmonary / microbiology*
  • Tuberculosis, Pulmonary / virology

Substances

  • Anti-HIV Agents