Colombia medica (Cali, Colombia) · 2016
Tuberculosis and pulmonary candidiasis co-infection present in a previously healthy patient.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Fontalvo Dilia Mildret, Jiménez Borré Gustavo, Gómez Camargo Doris, Chalavé Jiménez Neylor, Bellido Rodríguez Javier, Cuadrado Cano Bernarda, Navarro Gómez Shirley
Аннотация
BACKGROUND: The coexistance among fungal pathogens and tuberculosis pulmonary is a clinical condition that generally occurs in immunosuppressive patients, however, immunocompetent patients may have this condition less frequently.
OBJECTIVE: We report the case of an immunocompetent patient diagnosed with coinfection Mycobacterium tuberculosis and Candida albicans.
CASE DESCRIPTION: A female patient, who is a 22-years old, with fever and a new onset of hemoptysis.
CLINICAL FINDINGS AND DIAGNOSIS: Diminished vesicular breath sounds in the apical region and basal crackling rales in the left lung base were found in the physical examination. Microbiological tests include: chest radiography and CAT scan pictograms in high resolution, Ziehl-Neelsen stain, growth medium for fungus and mycobacteria through Sabouraudís agar method with D-glucose. Medical examinations showed Candida albicans fungus and Mycobacterium tuberculosis present in the patient.
TREATMENT AND OUTCOME: Patient was treated with anti-tuberculosis and anti-fungal medications, which produced good responses.
CLINICAL RELEVANCE: Pulmonary tuberculosis and fungal co-infection are not common in immunocompetent patients. However, we can suspect that there is a presence of these diseases by detecting new onset of hemoptysis in patients.
OBJECTIVE: We report the case of an immunocompetent patient diagnosed with coinfection Mycobacterium tuberculosis and Candida albicans.
CASE DESCRIPTION: A female patient, who is a 22-years old, with fever and a new onset of hemoptysis.
CLINICAL FINDINGS AND DIAGNOSIS: Diminished vesicular breath sounds in the apical region and basal crackling rales in the left lung base were found in the physical examination. Microbiological tests include: chest radiography and CAT scan pictograms in high resolution, Ziehl-Neelsen stain, growth medium for fungus and mycobacteria through Sabouraudís agar method with D-glucose. Medical examinations showed Candida albicans fungus and Mycobacterium tuberculosis present in the patient.
TREATMENT AND OUTCOME: Patient was treated with anti-tuberculosis and anti-fungal medications, which produced good responses.
CLINICAL RELEVANCE: Pulmonary tuberculosis and fungal co-infection are not common in immunocompetent patients. However, we can suspect that there is a presence of these diseases by detecting new onset of hemoptysis in patients.