Case of Multidrug Resistant Tuberculosis with Aspergilloma
Author Information
Author(s): Kumar Anita A, Shantha Ghanshyam Palamaner Subash, Jeyachandran Vijay, Rajkumar K, Natesan Senthilkumar, Srinivasan Devasena, Joseph Leena Dennis, Sundaresan Manjunath, Rajamanickam Deepan
Primary Institution: Sri Ramachandra University, Chennai, India
Conclusion
Aspergilloma, invasive aspergillosis, and multidrug resistant tuberculosis can coexist in the same patient.
Supporting Evidence
- The patient had a history of irregular treatment for pulmonary tuberculosis.
- Biopsy and culture confirmed the presence of both Aspergillus fumigatus and multidrug resistant Mycobacterium tuberculosis.
- After treatment, hemoptysis completely resolved and sputum became negative for acid fast bacilli.
Takeaway
A woman with diabetes had a rare combination of lung infections caused by both tuberculosis and a fungus. After surgery and medication, she got better.
Methodology
The patient underwent a right lung upper lobe resection and was treated with Voriconazole and anti-tuberculous therapy.
Limitations
The case report is based on a single patient, limiting generalizability.
Participant Demographics
50 year old South Indian woman, diabetic, low socio-economic class.
Digital Object Identifier (DOI)
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