Case Report

COVID-19 and Pulmonary Tuberculosis Coinfection in a Moroccan Patient with Pulmonary Embolism: A Case Report and Literature Review

Table 1

Information on the reported cases.

StudyCountryNumber of patientsMedian ageComorbiditiesClinical presentationRadiological findingsSite of TBCOVID treatmentTB treatmentMortality

Tadolini et al. [28]Multicenter49498 COPD/asthma, 8 diabetes, 6 HIV, 5 kidney disease, 7 liver disease, 10 alcoholism, 20 smoking, 4 drug abuse32 fever, 27 cough, 17 dyspnea21 bilateral GGO, 23 cavitation, 25 infiltrates36 pulmonary, 1 extrapulmonary, 12 both22 HCQ, 12 antiviral therapy, 7 AZT, 1 otherNM6 deaths
Gupta et al. [12]India22443 diabetes, 4 hypertension, 2 seizure disorder, 1 hypothyroidism22 fever, 11 cough, 7 dyspnea, 1 weight loss, 1 headache14 bilateral infiltrates typical of COVID, 9 pulmonary fibrosis, 3 cavitations, 6 infiltrates/consolidation, 2 pleural effusion17 pulmonary, 4 extrapulmonary; 1 disseminatedNM21 (RIF, INH, PYR, ETB), 1 MDR therapy6 deaths
Stochino et al. [5]Italy20401 COPD, 4 diabetes, 1 psoriasis, 1 hypertension, 1 sickle cell disease12 fever, 9 cough, 3 dyspnea, 3 chest pain, 2 headache, 1 conjunctivitis, 3 asymptomatic1 GGO, 3 interstitial syndrome, 8 cavitations, 14 nodules, 1 pleural effusion, 1 calcification, 2 miliary16 pulmonary, 1 extrapulmonary, 2 both, 1 disseminated20 HCQ14 (RIF, INH, PYR, ETB), 2 MDR therapy, 4 tailored therapy1 death
Gül et al. [22]Turkey1640.682 smoking, 2 asthma, 2 cardiac disease, 2 diabetes3 fever, 7 cough, 3 dyspnea, 2 headache, 4 anorexia, 1 hemoptysis, 1 skin rash, 4 asymptomatic9 GGO, 6 infiltration, 4 cavitations, 1 nodules, 1 pleural effusion9 pulmonary, 5 extrapulmonary, 1 both10 HCQ, 8 FAV13 (RIF, INH, PYR, ETB), 1 (RIF, INH, PYR, STR), 1 (RIF, INH, STR, ETB)1 death
He et al. [16]China356.32 smoking3 fever, 3 cough, 1 chest pain, 2 dyspnea3 GGO, 1 cavitation3 pulmonary3 LOP/RIT, Arbidol1 (RIF, INH, PYR, ETB)0
Liu et al. [17]China3401 MDR-TB, 1 Aspergillus infection3 fever, 2 dyspnea, 2 cough, 1 myalgia, 1 sore throat, 1 chest pain, 2 respiratory distress, 2 hemoptysis3 GGO3 pulmonary1 AZT, 3 Arbidol, 3 MOX, 2 LNZ1 (ETB/PYR/AMK/LEV), 1 CS, 1 CFZ, 1 LNZ0
Yao et al. [18]China350.32 smoking, 1 diabetes3 fever, 3 cough, 3 weight loss, 1 night sweat3 GGO, 2 pleural effusion3 pulmonary2 LOP/RIT, 1 UMF HCL, 2 IFN-α2 RIF, INH, PYR, ETB1 death
Cao et al. [19]China147AsthmaUnwellness, poor appetiteCavern calcificationPulmonaryLOP/RITRIF, INH, PYR, ETB0
Tham et al. [10]Singapore431.75NM4 fever, 4 cough, 1 dyspnea, 1 weight loss1 GGO, 1 cavitation, 2 pleural effusion,3 consolidations4 pulmonaryNM4 RIF, INH, PYR, ETB0
Al Lawat et al. [29]Oman2491 smoking, 1 diabetes, 1 hypertension2 fever, 2 cough,1 dyspnea, 1 chest pain, 1 headache, 1 weight loss1 cavitations, 2 nodules2 pulmonary2 CTX, CLR, and OSE, 2 HCQ, 1 LOP/RIT2 RIF, INH, PYR, ETB0
Gadelha Farias et al. [20]Brazil2411 HIV, 1 hepatitis B1 fever, 1 cough, 2 respiratory distress, 1 headache, 1 hemoptysis2 GGO, 1 cavitation2 pulmonary2 HCQ, 2 AZT, 2 CTX2 RIF, INH, PYR, ETB0
Yousaf et al. [30]Qatar635.51 diabetes mellitus3 fever, 5 cough, 2 myalgia, 2 headache, 5 weight loss6 infiltrations, 6 cavitation, 1 pleural effusion6 pulmonary6 (HCQ, AZT, CTX)6 (RIF, INH, PYR, ETB)NM
Shabrawishi et al. [24]Saudi Arabia734.81 HIV7 fever, 6 cough, 2 hemoptysis, 4 night sweats, 6 anorexia, 6 weight loss1 GGO, 7 consolidation, 3 cavitations, 2 nodules, 1 pleural effusion, 1 pneumothorax6 pulmonary, 1 both4 (AZT, CTX), 1 HCQ, 1 (RIB, INH, LOP/RIT)7 RIF, INH, PYR, ETB1 death
Khayat et al. [25]Saudi Arabia140NoneFever, cough, body aches, chest pain, anorexiaConsolidationPulmonaryNMRIF, INH, PYR, ETB0
Baskara et al. [31]Indonesia142DiabetesDizziness, headache, cough, abdominal pain, night sweatsGGOPulmonaryAZT, CTX, CTZ, HCQ, OSERIF, INH, PYR, ETB0
Vilbrun et al. [32]Haiti126MDR-TBFever, cough, dyspnea, weight lossCavitation ConsolidationPulmonaryNMBDQ, LEV, LNZ, CFZ PYR0
Luciani et al. [6]Italy132BCG vaccinationFever, myalgiaConsolidation pleural effusionLOP/RIT, HCQ, LNZ, CLR, TZPRIF, INH, PYR, ETB0
Musso et al. [7]Italy145Immunosuppression, alcoholismFever, cough, fatigue, weight loss, respiratory failure.GGO, cavitation, hydropneumothorax, atelectasisPulmonaryHCQ, corticosteroidsRIF, INH, ETB, PYR, AMK, MOXDeath
Lovino et al. [8]Italy145NoneFever, productive cough, hemoptysis, myalgiaGGO, excavated consolidationPulmonaryNMNM0
Rivas et al. [33]Panama2412 HIV2 fever, 1 cough, 2 dyspnea, 1 weight loss2 infiltrationsPulmonary2 AZT, 2 HCQ, 1 CTX, 1 LEV, 1 antiviral therapy2 RIF, INH, PYR, ETB0
Pozdnyakov et al. [34]Canada164Diabetes, hypertension, and dyslipidemiaDyspnea, respiratory distress syndromeGGO, interstitial syndromePulmonaryCTXRIF, INH, PYR, ETB1 death
Faqihi et al. [26]Saudi Arabia160Diabetes, hypertensionFever, cough, chest pain, respiratory distress,GGOPulmonaryLOP/RIT, RIB, DEXRIF, INH, PYR, ETB0
Starshinova et al. [35]Russia159Heart disease, COPD, emphysema, tuberculosisFever, rhinitis, cough, shortness of breathGGO, infiltration, consolidation, pneumothorax, emphysemaPulmonaryCTX, LEV, AZTRIF, INH, PYR, ETB0
Orozco et al. [27]Mexico151DiabetesAnosmia, dysgeusia, cough, dyspneaGGO cavitationPulmonaryOxygenotherapyRIF, INH, PYR, ETB0
Marwah et al. [13]India134MDR tuberculosis, chronic hepatitis BProductive cough, dyspnea, weight loss, fever, respiratory failureCavitation nodulesPulmonaryCorticosteroids, oxygenotherapyRIF, INH, ETB, PYR, BDQ0
PatiL and Gondhali [14]India175Ex-smokerFever, productive cough, dyspnea, anorexia, weight loss, hemoptysis.GGO, cavitation infiltratesPulmonaryRemdesivir, corticosteroids, anticoagulationRIF, INH, ETB, PYR0
Yadav and Rawal [15]India143NoneFever productive cough, chest pain, dyspnea, night sweats, respiratory distress.Bilateral consolidationPulmonaryNMRIF, INH, ETB, PYR0
Yadav et al. [36]India126NoneFever productive cough, chest pain, dyspnea, hemoptysis, weight loss, anorexia.ConsolidationPulmonaryNMINH, ETB, PYR, kanamycin, MOX, CFZ, ethionamide0
Jacob et al. [37]India120Multiple sclerosisFever productive cough, weight lossOpacityPulmonaryCorticosteroids, oxygenotherapy, antibioticsRIF, INH, ETB, PYR0
Ata et al. [38]India128GliomaDizziness, headache, vomitingGGO nodulesPulmonary with CNS involvementHCQ, AZTRIF, INH, PYR, ETB, pyridoxine0
Goel Sharma et al. [39]India153Diabetes chronic kidney diseaseFever, cough, dyspnea, hemoptysis, respiratory distressGGO, consolidation, fibrosisPulmonaryAmpicillin, AZT, HCQRIF, INH, PYR, ETB0
Singh et al. [40]India176HypertensionFever, respiratory distress, cough, anorexia, weight lossGGO Consolidation, pleural effusionPulmonaryAZT, HCQ, corticosteroidsRIF, INH, PYR, ETB0
Sahara and Yokota [41]Japan159NoneFever, productive cough, hemoptysis, anorexia, taste and smell disordersGGO, tree-in-bud patternPulmonaryNMRIF, INH, ETB, PYR0
Ortiz-Martínez et al. [42]Colombia134HIV drug use, anxiety disorderFever, dyspnea, headache, cachexia, respiratory distressGGO, miliary, pleural effusionPulmonarySAM, DOX, corticosteroids, oxygenotherapyNMDeath
Aissaoui et al. [43]French Guiana130NMFever, cough, dyspnea, genera status alteration, weight loss, night sweatsConsolidation, tree-in-bud patternPulmonaryCTX, DOXRIF, INH, ETB, PYR0
Bouaré et al. [44]Morocco132HIVFever cough, headache, myalgia.MiliaryPulmonaryHCQ, AZTRIF, INH, ETB, PYR0
Cutler et al. [45]USA161ParkinsonFever, cough, hemoptysisPleural effusion, atelectasisPulmonaryHCQ, oxygenotherapyRIF, INH, ETB, PYR0
Freij et al. [46]USA15Group A streptococcal pharyngitisFever, headacheClearExtrapulmonaryAMX, HCQ, AZT, corticosteroids, remdesivirNoneDeath
Butt et al. [47]UK142NoneDyspnea fever, dry cough, fatigueGGO, Pleural effusion, ConsolidationPulmonaryDEX, remdesivirRIF, INH, ETB, PYR0
Çinar et al. [23]Turkey155Myelodysplastic disease, kidney disease, Klebsiella pneumoniae infectionFever, cough, dyspneaGGODisseminatedPlasma therapy, FAV, TCZ, meropenemRIF, INH, PYR, ETB0
Tolossa et al. [48]Ethiopia155HIVFever productive cough, headache, chest pain, dyspnea, night sweats, weight loss, anorexia, fatigue, hemoptysisPatchy opacitiesPulmonaryCefepime, corticosteroidsRIF, INH, PYR, ETB0
Bongomin et al. [49]Uganda137HIV, cryptococcal meningitisFever productive cough, dyspnea, night sweats, weight loss, anosmia, headache, myalgia, episodes of loss of consciousness.GGO, miliaryDisseminatedTZP, corticosteroids, oxygenationNoneDeath
Wong et al. [11]Singapore147NoneFever, chest pain, productive cough, dyspnea.Opacities cardiomegalyExtrapulmonary (pericardiac)Remdesivir, oxygenotherapyRIF, INH, PYR, ETB0
Kozinska and Augustynowicz-Kopeć [50]Poland267.51 smoking, 1 HIV, 1 atrial fibrillation,1 renal insufficiency, 2 treated pulmonary TB, treated urogenital TB1 (cough, fever, dyspnea, sore throat.), 1 no data1 (atelectasis pleural effusion), 1 no data1 pulmonary, 1 disseminatedNo data1 (RIF, INH, PYR, ETB), 1 no data1 death
Gerstein et al. [51]USA149Alcoholism cirrhosisFever, dry cough, orthopnea, abdominal painPleural effusion, opacitiesDisseminatedHCQ, plasma infusionRIF, INH, ETB, LEV0
Mulale et al. [52]Botswana13 monthsNoneFever, cough, respiratory distress, failure to thriveInfiltrates, opacities, consolidationsDisseminatedAmpicillin, gentamicin, oxygenotherapyRIF, INH, PYR, ETBDeath
Essajee et al. [53]South Africa12 y 7 monthsCerebral venous thrombosisLethargy, hemiplegia, respiratory distressMiliaryDisseminatedCorticosteroids, oxygenotherapy, antibioticsRIF, INH, PYR, ethionamide, corticosteroids0
Brandi et al. [9]Italy178Bladder cancer, BCG intravesical instillation, diabetes, COPD, abdominal aortic aneurysmFever, cough, dysuria, dyspnea, respiratory distressGGO, miliaryDisseminatedNMRIF, INH, ETBDeath
Osejo-Betancourt et al. [54]Colombia171SmokingFever, dry cough, dyspnea, malaise, anosmia, dysgeusiaBilateral alveolar opacities, cavitation, consolidation, nodulesPulmonaryDEX, SAM, oxygenotherapyRIF, INH, PYR, ETB0
Pinheiro et al. [21]Brazil168Diabetes, hypertension, chronic liver diseaseFever dyspnea, cough,GGO, opacities, consolidationsPulmonaryNMNMNM
Orozco et al. [27]Mexico151DiabetesAnosmia, dysgeusia, nocturnal diaphoresis, cough, respiratory distress.GGO, cavitation, nodulesPulmonaryOxygenotherapyRIF, INH, PYR, ETB0
Gbenga et al. [55]Nigeria231.5None2 fever, 2 cough, 2 weight loss, 1 respiratory distress, 1 sore throat.1 reticulonodular infiltrates, 1 opacityPulmonary2 AZT, 2 LOP/RIT, 2 (Vit C, zinc sulfate, prednisone)2 RIF, 2 INH,2 PYR, 2 ETB0