scholarly journals Severe pneumonia after intravesical BCG instillation in a patient with invasive bladder cancer: case report and literature review

2015 ◽  
Vol 79 (1) ◽  
Author(s):  
G. Caramori ◽  
D. Artioli ◽  
G. Ferrara ◽  
R. Cazzuffi ◽  
C. Pasquini ◽  
...  
Keyword(s):  
Mycobacterium Tuberculosis Complex ◽  
Severe Pneumonia ◽  
Intravesical Instillation ◽  
Community Acquired Pneumonia ◽  
Cancer Case ◽  
Tuberculosis Complex ◽  
Pcr Assay ◽  
Positive Polymerase Chain Reaction ◽  
Bladder Cancer Case ◽  
Polymerase Chain

We present here the case of a 66 year old man with a severe bilateral community acquired pneumonia secondary to dissemination after an intravesical instillation of bacilllus Calmette-Guérin (BCG). Diagnosis was based on positive polymerase chain reaction (PCR) for mycobacterium tuberculosis complex in bronchoalveolar lavage and on the finding on transbronchial biopsy of non necrotising granulomas histopathologically similar to the granulomas found in bladder biopsies. These findings were confirmed using a validated real time PCR assay demonstrating the presence of the BCG genome in transbronchial and bladder biopsies.

scholarly journals Severe Acute Respiratory Syndrome Coronavirus-2 and Pulmonary Tuberculosis Coinfection: Double Trouble

2020 ◽  
Author(s):  
Abhijeet Singh ◽  
Ayush Gupta ◽  
Kamanashish Das
Keyword(s):  
Throat Swab ◽  
Mycobacterium Tuberculosis Complex ◽  
Swab Sample ◽  
Rt Pcr ◽  
Tuberculosis Complex ◽  
Chain Reaction ◽  
Pcr Assay ◽  
Case Presentation ◽  
Polymerase Chain ◽  
Novel Coronavirus

Abstract Background: The ongoing pandemic of novel coronavirus disease 2019 (COVID-19) has received worldwide attention by becoming a major global health threat. We encountered one case with COVID-19 and tuberculosis (TB) coinfection which has not been frequently reported. Case presentation: A 76 year old female presented with acute respiratory symptoms superimposed on chronic symptoms, suggestive to have pneumonia. Oropharyngeal throat swab sample for COVID-19 was positive as detected by real-time reverse-transcriptase–polymerase-chain-reaction (RT-PCR) assay. GeneXpert Ultra detected Mycobacterium tuberculosis complex with Rifampicin resistance indeterminate. Patient was treated with appropriate management. Conclusion: Clinicians should suspect coinfection with TB during ongoing pandemic of COVID-19 as therapeutic strategies need to be determined timely to improve outcome and prevent transmission in community.

scholarly journals Severe Acute Respiratory Syndrome Coronavirus-2 and Pulmonary Tuberculosis Coinfection: Double Trouble

2020 ◽  
Author(s):  
Abhijeet Singh ◽  
Ayush Gupta ◽  
Kamanashish Das
Keyword(s):  
Pulmonary Tuberculosis ◽  
Throat Swab ◽  
Mycobacterium Tuberculosis Complex ◽  
Swab Sample ◽  
Rt Pcr ◽  
Tuberculosis Complex ◽  
Chain Reaction ◽  
Pcr Assay ◽  
Polymerase Chain ◽  
Novel Coronavirus

Abstract The ongoing pandemic of novel coronavirus disease 2019 (COVID-19) has received worldwide attention by becoming a major global health threat. We encountered one case of COVID-19 and pulmonary tuberculosis (TB) coinfection which has not been frequently reported. A 76 year old female presented with acute respiratory symptoms superimposed on chronic symptoms, suggestive to have pneumonia. Oropharyngeal throat swab sample for COVID-19 was positive as detected by real-time reverse-transcriptase–polymerase-chain-reaction (RT-PCR) assay. GeneXpert Ultra detected Mycobacterium tuberculosis complex with Rifampicin resistance indeterminate. Patient was conservatively treated with appropriate management. Clinicians should suspect COVID-19 coinfection with pulmonary TB while treating during ongoing pandemic as therapeutic strategies need to be determined accordingly to improve outcome and prevent transmission in community.

scholarly journals Severe Acute Respiratory Syndrome Coronavirus-2 and Pulmonary Tuberculosis Coinfection: Double Trouble

2020 ◽  
Author(s):  
Abhijeet Singh ◽  
Ayush Gupta ◽  
Kamanashish Das
Keyword(s):  
Throat Swab ◽  
Mycobacterium Tuberculosis Complex ◽  
Swab Sample ◽  
Rt Pcr ◽  
Tuberculosis Complex ◽  
Chain Reaction ◽  
Pcr Assay ◽  
Case Presentation ◽  
Polymerase Chain ◽  
Novel Coronavirus

Abstract Background: The ongoing pandemic of novel coronavirus disease 2019 (COVID-19) has received worldwide attention by becoming a major global health threat. We encountered one case with COVID-19 and tuberculosis (TB) coinfection which has not been frequently reported. Case presentation: A 76 year old female presented with acute respiratory symptoms superimposed on chronic symptoms, suggestive to have pneumonia. Oropharyngeal throat swab sample for COVID-19 was positive as detected by real-time reverse-transcriptase–polymerase-chain-reaction (RT-PCR) assay. GeneXpert Ultra detected Mycobacterium tuberculosis complex with Rifampicin resistance indeterminate. Patient was treated with appropriate management. Conclusion: Clinicians should suspect coinfection with TB during ongoing pandemic of COVID-19 as therapeutic strategies need to be determined timely to improve outcome and prevent transmission in community.

scholarly journals The VetMAXTM M. tuberculosis Complex PCR Kit detects MTBC DNA in antemortem and postmortem samples from White rhinoceros (Ceratotherium simum), African elephants (Loxodonta africana) and African buffaloes (Syncerus caffer).

2020 ◽  
Author(s):  
Wynand Johan Goosen ◽  
Tanya Jane Kerr ◽  
Léanie Kleynhans ◽  
Peter Buss ◽  
David Cooper ◽  
...  
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Mycobacterium Tuberculosis Complex ◽  
African Elephants ◽  
Tuberculosis Complex ◽  
Wildlife Species ◽  
Exposed Population ◽  
White Rhinoceros ◽  
Polymerase Chain ◽  
Positive Results ◽  
Culture Negative

Abstract Background: Bovine tuberculosis and tuberculosis are chronic infectious diseases caused by the Mycobacterium tuberculosis complex members, Mycobacterium bovis and Mycobacterium tuberculosis , respectively. Infection with M. bovis and M. tuberculosis have significant implications for wildlife species management, public health, veterinary disease control, and conservation endeavours. Results : Here we describe the first use of the VetMAX TM Mycobacterium tuberculosis complex (MTBC) DNA quantitative real-time polymerase chain reaction (qPCR) detection kit for African wildlife samples. DNA was extracted from tissues harvested from 48 African buffaloes and MTBC DNA was detected (test-positive) in all 26 M. bovis culture-confirmed animals with an additional 12 PCR-positive results in culture-negative buffaloes (originating from an exposed population). Of six MTBC-infected African rhinoceros tested, MTBC DNA was detected in antemortem and postmortem samples from five animals. The PCR was also able to detect MTBC DNA in samples from two African elephants confirmed to have M. bovis and M. tuberculosis infections (one each). Culture-confirmed uninfected rhinoceros and elephants’ samples tested negative in the PCR assay.Conclusions: These results suggest this new detection kit is a sensitive screening test for the detection of MTBC-infected African buffaloes, African elephants and white rhinoceros.

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