Wahid Wathiqah, Ahmad Fahmi Nur Athirah, Mohd Salleh Ahmad Firdaus, Mohd Yasin 'Azlin
Parasitology & Medical Entomology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
Respir Med Case Rep. 2019 Oct 11;28:100939. doi: 10.1016/j.rmcr.2019.100939. eCollection 2019.
Bronchopulmonary lophomoniasis is rare but immunocompromised individual is susceptible to this infection. We reported a case of bronchopulmonary lophomoniasis in a Malaysian female with systemic lupus erythromatosus. She presented with productive cough, shortness of breath and high-grade fever for 2 weeks. Physical examination revealed bronchial sound and crackles over the left lung with, reduced expansion and dull percussion in lower left lobe. Chest radiography showed consolidation of the left lung. Routine laboratory tests revealed general low cell count. Blood and sputum culture were negative. Bronchoalveolar lavage stain and culture for bacterial and fungal were negative. Bronchoalveolar lavage for was positive. Patient was treated with antiprotozoal drug, metronidazole. All her clinical problems resolved and she was discharged 14 days after admission.
支气管肺毛滴虫病较为罕见,但免疫功能低下者易受此感染。我们报告了一例患有系统性红斑狼疮的马来西亚女性支气管肺毛滴虫病病例。她出现了咳痰、气短和高热症状,持续了两周。体格检查发现左肺有支气管呼吸音和湿啰音,左下叶扩张受限且叩诊浊音。胸部X线检查显示左肺实变。常规实验室检查显示全血细胞计数普遍偏低。血液和痰液培养均为阴性。支气管肺泡灌洗细菌和真菌染色及培养均为阴性。支气管肺泡灌洗检测毛滴虫呈阳性。患者接受了抗寄生虫药物甲硝唑治疗。她所有的临床问题都得到了解决,入院14天后出院。