A rare presentation of Mycobacterium africanum after two decades: a case report from Brunei Darussalam

Mycobacterium africanum in Brunei Darussalam

Authors

  • Abdur Rahman Rubel Department of Medicine, Pengiran Muda Mahkota Pengiran Muda Haji Al-Muhtadee Billah Hospital, Tutong, Brunei Darussalam
  • Panduru Venkata Kishore Division of Respiratory Medicine, Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei Darussalam
  • May Thu Hla Aye Department of Medicine, Pengiran Muda Mahkota Pengiran Muda Haji Al-Muhtadee Billah Hospital, Tutong, Brunei Darussalam
  • Nor Azian Hafneh National Mycobacteria Reference Laboratory, Department of Laboratory Services, Ministry of Health, Bandar Seri Begawan, Brunei Darussalam
  • Vui Heng Chong Department of Medicine, Pengiran Muda Mahkota Pengiran Muda Haji Al-Muhtadee Billah Hospital, Tutong, Brunei Darussalam; Pengiran Anak Puteri Rashidah Sa’adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam, Brunei Darussalam

DOI:

https://doi.org/10.5365/wpsar.2022.13.3.926

Keywords:

pulmonary tuberculosis, Mycobacterium tuberculosis complex, latency, Mycobacterium africanum

Abstract

Mycobacterium africanum is endemic to West Africa and is rare outside this region. Most of the people infected with M. africanum outside Africa are migrants from affected parts of Africa. We report a rare case of pulmonary tuberculosis (TB) secondary to M. africanum in a man in Brunei Darussalam who had lived and worked in Guinea, West Africa for 6 years more than 20 years ago. He had been well until December 2020, when he presented with a chronic cough and was diagnosed with coinfections of Klebsiella pneumoniae and M. africanum, and newly diagnosed diabetes mellitus. This case highlights an interesting manifestation of pulmonary TB secondary to M. africanum in a patient whose last exposure was 20 years ago, contributed to by development of diabetes mellitus.

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Published

22-07-2022

How to Cite

Rubel, A. R., Kishore, P. V., Hla Aye, M. T., Hafneh, N. A., & Chong, V. H. (2022). A rare presentation of Mycobacterium africanum after two decades: a case report from Brunei Darussalam: Mycobacterium africanum in Brunei Darussalam. Western Pacific Surveillance and Response, 13(3), 4. https://doi.org/10.5365/wpsar.2022.13.3.926

Issue

Section

Case Report / Case Series