A CASE OF PULMONARY INFECTION DUE TO MYCO BACTERIUM-SHIMOIDEI IN MADAGASCAR

In 1980, a 32 years-old Madagascan female developed a pulmonary tuberc ulosis, bacteriologically confirmed. She cured with right apical cavit ary sequellae. in 1989, she presented haemoptysis again. Antituberculo us treatment was adopted without bacteriological confirmation and did not improve clinical symptoms. in 1991 and 1992 cultures from sputa an d bronchic aspiration yielded acid-fast bacilli identified as Mycobact erium shimoidei. M. tuberculosis could not be detected. The patient di ed during treatment. This case is the fourth one in the literature. Wh ereas previous cases have been reported in Europe, Australia, Asia, th is new case shows M. shimoidei is also present in Africa.