TABLE 1

Characteristics of patients co-infected with active TB and COVID-19

Pts.AgeSexBMI#ComorbiditiesTB localisationSigns and symptomsPTB pattern at TB diagnosisTime since TB (days)COVID-19 radiological signsPulmonary pattern (days from previous CXR/CT scan)Abnormal biochemistryO2 supply
P0120sMLDS-PTBFever, cough, headacheUnilateral cavities§20None§Improvement (19)TLC=770·mm−3
Hb=9.9 g·dL−1
CRP=180 mg·L−1
Fer.=623 ng·mL−1
DD=3206 ng·mL−1
P0260sMNCOPD and epilepsyDS-PTBFeverUnilateral nodules§84Minimal signs of interstitial thickening§Worsening (15)No abnormalitiesYes§§
P0310sFLDS-PTBFever, chest pain, dyspnoea, vomit, conjunctivitisBilateral nodules and cavities§20None§Worsening (14)DD=1104 ng·mL−1
P0420sMLDS-PTBFever, cough, vomitMiliary and cavities§14None§Improvement (17)TLC=980·mm−3
Fer.=517 ng·mL−1
DD=2161 ng·mL−1
P0530sFLDS-PTBFever, coughBilateral reticules, nodules and cavities§302None§Improvement (7)Fer.=511 ng·mL−1
K+=2.50 mmol·L−1
DD=1179 ng·mL−1
Yes
P0670sFLCachexia, chronic vomit and diarrhoea, hypertension, diabetes, mental disordersDS-PTBFever, severe dyspnoea, and respiratory failureBilateral nodules and cavities§, tree in budƒ26Interstitial-alveolar thickening§Worsening (28)TLC=920·mm−3
K+=2.8 mmol·L−1
DD=5244 ng·mL−1
Fer. unevaluated ##
Yes++
P0730sMLHr-PTBFever, coughBilateral cavitary nodules§21None§Improvement (34)TLC=8620·mm−3
Fer.=379 ng·mL−1
DD=2516 ng·mL−1
P0820sMNDS-PTBFever, coughBilateral nodules and reticules§19None§Improvement (31)No abnormalitiesYes§§
P0940sMHPsoriasis and FLDDS-PTBCough, chest painUnilateral nodules§6None§Improvement (25)Fer.=978 ng·mL−1
P1040sFHDiabetesHr-PTB+FeverBilateral reticules, cavitary nodules§8None§Improvement (18)Fer.=370 ng·mL−1
DD=1029 ng·mL−1
P1120sMLDS-PTB plus renal, brain, and meningeal TBFever, cough, chest pain, headacheMiliary and cavities§53None§Worsening (57)TLC=680·mm−3
LDH=283 U·L−1
Fer=513 ng·mL−1
DD=3065 ng·mL−1
Na+=125 mmol·L−1
Yes++ƒƒ
P1260sFNDiabetesDS-PTBFeverUnilateral thickenings§56None§Improvement (32)No abnormalities
P1340sFLAnorexia nervosaDS-PTB plus renal, brain, and meningeal TBNoneBilateral nodules§152Ground glassƒImprovement (34)TLC=720·mm−3
Hb=6.1 g·dL−1
CRP=244 mg·L−1
Fer.=768 ng·mL−1
Yes++
P1460sMNDS-PTB plus pericardial, pleural, splenic, and bone TBNoneBilateral nodules and pleural effusion§62None§Worsening (27)DD=1233 ng·mL−1
P1530sMLDS-PTBCoughBilateral nodules and cavities§97None§Improvement (88)Fer.=449 ng·mL−1
DD=1657 ng·mL−1
Na+=132 mmol·L−1
P1640sMNDiabetesDS-PTBFeverBilateral reticules and nodules§43None§Worsening (44)Fer.=775 ng·mL−1
DD=1492 ng·mL−1
P1720sFNHr-PTBVomitUnilateral reticules and nodules§38None§Improvement (10)No abnormalitiesYes§§
P1830sMNPre-XDR-PTBCoughUnilateral nodules and cavities§30None§Worsening (37)TLC=1350·mm−3
DD=1322
P1920sFLSickle cell diseaseDS-EPTB: abdominal LNChest pain, dyspnoea, vomitCalcific lesions§87None§Unchanged (47)Hb=8.4 g·dL−1
PLT=9.2×103·mm−3
AST=49 U·L−1
ALT=46 U·L−1
Fer.=5036 ng·mL−1¶¶
P2030sMNMDR-PTB (relapse: already treated in 2015)NoneUnilateral thickening§40Interstitial-alveolar thickening§Improvement (46)TLC=1390·mm−3
AST=132 U·L−1
ALT=111 U·L−1

Abbreviations: ALT: alanine transaminase; AST: aspartame transaminase; BMI: body mass index; COPD: chronic obstructive pulmonary disease; COVID-19: coronavirus disease 2019; CRP: C-reactive protein; CT: computed tomography; CXR: chest X-rays; DD: D-dimer; DS: drug-susceptible; EPTB: extrapulmonary tuberculosis; Fer.: ferritin; FLD: fatty liver disease; Hb: haemoglobin; Hr: isoniazid resistant; LDH: lactate dehydrogenase; LN: lymph node; MDR: multidrug-resistant; PLT: platelets; PNX: pneumothorax; PTB: pulmonary tuberculosis; TB: tuberculosis; TLC: total lymphocyte count; XDR: extensively drug resistant.

#BMI was categorised as “low“ (L) if <18.5 Kg·m−2, “normal” (N) if 18.5–25 Kg·m−2, “high” (H) if 25–30 Kg·m−2;.

¶at COVID-19 diagnosis compared to the last available CXR result;.

+isoniazid-resistance was detected only through genotypic drug-susceptibility test;.

§lung pattern at chest radiography;.

ƒlung pattern at chest computed tomography scan;.

##ferritin was not routinely assessed but was part of a set of exams to perform only in patients affected by COVID-19, however, due to the lag obtaining the swab results for SARS-CoV-2 it was not included;.

¶¶Frequent blood transfusions to treat severe anaemia due to sickle cell disease;.

++O2 supply ex novo;.

§§O2 supply at admission ad then stopped;.

ƒƒoxygen supply was required temporarily due to pleural blebs rupture and consequent pneumothorax.