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Volume 7
Journal of Infectious Diseases & Therapy
Page 49
Bacterial and Rare Diseases 2019
June 17-18, 2019
June 17-18, 2019 Dubai, UAE
Joint Meeting on
&
2
nd
Annual Congress on Bacterial, Viral and Infectious Diseases
6
th
International Conference on Rare Diseases & Orphan Drug
Ruchika Butola, J Infect Dis Ther 2019, Volume 7
Lophomonas blattarum infection in an immuncompetent patient and its misdiagnosis: A
case report
Ruchika Butola
Rajiv Gandhi Super Speciality Hospital, India
Introduction:
Lophomonas Blattarum
is a round-oval shaped protozoan, 20-60 µM diameter with apical tuft
of numerous flagellate. It resides as an endocommensal in the hindgut of insects such as cockroaches. It’s
increasingly being recognized as one of the cause bronchopulmonary infection.
Case Report:
A 22-year-old female presented with complaints of cough with blood clots in expectorant,
breathlessness on exertion, wheeze and low-grade fever, for past one year. Before arriving to our Outpatient
Department (OPD), patient had consulted other medical centers. There she was diagnosed with tuberculosis.
In our OPD she was reviewed with previous reports, advised new investigations, continued on Anti-
tubercular Therapy (ATT) and was planned for bronchoscopy. The Bronchoaleveolar Lavage (BAL) was sent
for laboratory testing. Wet mount of the sample revealed a motile multiflagellate protozoan resembling ciliated
respiratory epithelium. After further assessment, it was reported as
Lophomonas blattarum
. The patient was
kept on ATT, while awaiting Mycobacterium Tuberculosis (MTb) test results. Ongoing ATT had no positive
effect patient’s condition. Patient was admitted and started on Anti-protozoan treatment.
Discussion:
It is difficult to differentiate
Lophomonas blattarum
symptoms from other respiratory infections
displaying similar symptoms. Laboratory diagnosis relies on identification of morphological features under
light microscopy. Missed identification could be due to delayed sample processing and its close resemblance
to bronchial epithelium. With development of serological and molecular methods of identification, diagnosis
and treatment can improve.
Biography
Ruchika Butola has completed her MD Microbiology from Swami Vivekanand University, Meerut, India. She is currently working as a Senior
Resident in the Department of Clinical Microbiology of Rajiv Gandhi Super Speciality Hospital, India.
drbutolaruchika@live.com