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: 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.
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.
