Progression of Pulmonary Mycobacteriosis Caused by M. avium after Recovery from COVID-19: a Case Report

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Abstract

INTRODUCTION: At the present time, the importance of the problem of co-infection of tuberculosis and coronavirus disease-19, COVID-19, has already been recognized and is being studied systematically, and the significance of the combination of pulmonary mycobacteriosis and COVID-19 is only being recognized, as evidenced by descriptions of single cases.

AIM: To demonstrate the influence of COVID-19 on the clinical course of pulmonary mycobacteriosis.

A clinical case of a 38-year-old female patient is presented with oligosymptomatic progression of pulmonary mycobacteriosis caused by M. avium, at 6 months after recovery from COVID-19. Mycobacteriosis developed with the underlying anomaly in the form of the right-sided aortic arch complicated by compression stenosis of trachea and bronchiectasis of S4, S5 segments of the left lung.

CONCLUSION: Patients with mycobacteriosis require active follow-up after recovery from COVID-19 for at least a year, for timely diagnosis of reactivation and treatment of pulmonary mycobacteriosis.

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About the authors

Vitaliy L. Dobin

Ryazan State Medical University

Email: viladob@gmail.com
ORCID iD: 0000-0002-6512-558X
SPIN-code: 7954-9457

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Ryazan

Aleksey N. Nikolaev

Ryazan State Medical University

Author for correspondence.
Email: nalex12@mail.ru
ORCID iD: 0000-0002-3625-602X
SPIN-code: 4748-5421

MD, Cand. Sci. (Medicine)

Russian Federation, Ryazan

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2. Fig. 1. Thoracic computed tomography: a rounded focus with a clearing in the center in S1–2 segments of the left lung.

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3. Fig. 2. Thoracic computed tomography: multiple peribronchial foci in the S6 segment of the left lung.

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4. Fig. 3. Thoracic computed tomography: filled bronchiectasis in S4–5 segments of the left lung.

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5. Fig. 4. Thoracic computed tomography: the right aortic arch.

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6. Fig. 5. Increased focus in segments S1–2 of the left lung and destruction in it after recovery from CОVID-19 infection.

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7. Fig. 6. Positive dynamics in the form of disappearance of destruction and reduction of focus in segments S1–2 and resorption of foci in segment S6 of the left lung with continued treatment of mycobacteriosis.

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