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.
We report the case of an immunocompetent patient
diagnosed with coinfection Mycobacterium tuberculosis
and Candida albicans
A female patient, who is a 22-years old, with fever
and a new onset of hemoptysis.
Clinical findings and diagnosis:
PDiminished 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.
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.