Differential diagnosis of lophomaniasis in patients with COVID-19 in northern Mexico: a case report
Pulmonary lophomoniasis is a rare infection produced by a multiflagellated and anaerobic pyriform or oval protozoan belonging to the family of Lophomonadidae. The study aimed learn the differential diagnosis of lophomoniasis in patients with COVID-19 in northern Mexico. Clinical case of a 37-years-o...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Emergency Department of Hospital San Pedro (Logroño, Spain)
2023-10-01
|
| Series: | Iberoamerican Journal of Medicine |
| Subjects: | |
| Online Access: | https://www.iberoamjmed.com/article/doi/10.53986/ibjm.2024.0004 |
| _version_ | 1797353224421769216 |
|---|---|
| author | José de Jesús Alba-Romero Benjamín Nogueda-Torres Rosa María SánchezManzano Damari Lizeth Alba-Romero Aurora Martínez-Romero |
| author_facet | José de Jesús Alba-Romero Benjamín Nogueda-Torres Rosa María SánchezManzano Damari Lizeth Alba-Romero Aurora Martínez-Romero |
| author_sort | José de Jesús Alba-Romero |
| collection | DOAJ |
| description | Pulmonary lophomoniasis is a rare infection produced by a multiflagellated and anaerobic pyriform or oval protozoan belonging to the family of Lophomonadidae. The study aimed learn the differential diagnosis of lophomoniasis in patients with COVID-19 in northern Mexico. Clinical case of a 37-years-old male patient diagnosed with pneumonia, respiratory syndrome, hemoptysis, and fever, which suggested pulmonary tuberculosis. Bronchial lavage was performed, and laboratory tests were requested, an RT-PCR test to search for SARS-CoV-2, which was positive. The results for TB and KOH for fungi were negative. In addition to the protocol, a fresh examination was performed by placing a drop from the sample on a glass slide and observing it with a 10X objective, then 40X searching for clinically structural elements. As a result, multiflagellated cellular elements in the continuous movement were observed that morphologically correspond to the genus Lophomonas spp concluding the bacteriological protocol of bronchial secretions should consider fresh examination to search for trophozoites of Lophomonas spp. Medical and laboratory personnel are unaware of the protozoa Lophomonas spp, since the fresh examination in the analysis protocol is not considered. This paper reports the first case of Lophomonas infection in a patient caused by chronic lung disease.
|
| first_indexed | 2024-03-08T13:28:04Z |
| format | Article |
| id | doaj.art-0396aaf27b9b4b25adb39e5bf6869100 |
| institution | Directory Open Access Journal |
| issn | 2695-5075 |
| language | English |
| last_indexed | 2024-03-08T13:28:04Z |
| publishDate | 2023-10-01 |
| publisher | Emergency Department of Hospital San Pedro (Logroño, Spain) |
| record_format | Article |
| series | Iberoamerican Journal of Medicine |
| spelling | doaj.art-0396aaf27b9b4b25adb39e5bf68691002024-01-17T12:11:56ZengEmergency Department of Hospital San Pedro (Logroño, Spain)Iberoamerican Journal of Medicine2695-50752023-10-01612327https://doi.org/10.53986/ibjm.2024.0004Differential diagnosis of lophomaniasis in patients with COVID-19 in northern Mexico: a case reportJosé de Jesús Alba-Romero0https://orcid.org/0000-0003-2324-3251Benjamín Nogueda-Torres1https://orcid.org/0000-0001-9564-7066Rosa María SánchezManzano2https://orcid.org/0009-0006-5953-2855Damari Lizeth Alba-Romero3https://orcid.org/0009-0005-1092-9897Aurora Martínez-Romero4https://orcid.org/0000-0002-9894-504XFaculty of Chemical Sciences Gómez Palacio Unit, Juárez University of the State of Durango, Durango, Mexico Laboratory of Entomology and Parasitology, National School of Biological Sciences, National Polytechnic Institute, Mexico City, Mexico Laboratory of Entomology and Parasitology, National School of Biological Sciences, National Polytechnic Institute, Mexico City, MexicoClinical Analysis Laboratory Specialized Advisors of La Laguna SA de CV, La Laguna, MexicoFaculty of Chemical Sciences Gómez Palacio Unit, Juárez University of the State of Durango, Durango, MexicoPulmonary lophomoniasis is a rare infection produced by a multiflagellated and anaerobic pyriform or oval protozoan belonging to the family of Lophomonadidae. The study aimed learn the differential diagnosis of lophomoniasis in patients with COVID-19 in northern Mexico. Clinical case of a 37-years-old male patient diagnosed with pneumonia, respiratory syndrome, hemoptysis, and fever, which suggested pulmonary tuberculosis. Bronchial lavage was performed, and laboratory tests were requested, an RT-PCR test to search for SARS-CoV-2, which was positive. The results for TB and KOH for fungi were negative. In addition to the protocol, a fresh examination was performed by placing a drop from the sample on a glass slide and observing it with a 10X objective, then 40X searching for clinically structural elements. As a result, multiflagellated cellular elements in the continuous movement were observed that morphologically correspond to the genus Lophomonas spp concluding the bacteriological protocol of bronchial secretions should consider fresh examination to search for trophozoites of Lophomonas spp. Medical and laboratory personnel are unaware of the protozoa Lophomonas spp, since the fresh examination in the analysis protocol is not considered. This paper reports the first case of Lophomonas infection in a patient caused by chronic lung disease. https://www.iberoamjmed.com/article/doi/10.53986/ibjm.2024.0004lophomonas spprespiratory medicinechronic lung disease |
| spellingShingle | José de Jesús Alba-Romero Benjamín Nogueda-Torres Rosa María SánchezManzano Damari Lizeth Alba-Romero Aurora Martínez-Romero Differential diagnosis of lophomaniasis in patients with COVID-19 in northern Mexico: a case report Iberoamerican Journal of Medicine lophomonas spp respiratory medicine chronic lung disease |
| title | Differential diagnosis of lophomaniasis in patients with COVID-19 in northern Mexico: a case report |
| title_full | Differential diagnosis of lophomaniasis in patients with COVID-19 in northern Mexico: a case report |
| title_fullStr | Differential diagnosis of lophomaniasis in patients with COVID-19 in northern Mexico: a case report |
| title_full_unstemmed | Differential diagnosis of lophomaniasis in patients with COVID-19 in northern Mexico: a case report |
| title_short | Differential diagnosis of lophomaniasis in patients with COVID-19 in northern Mexico: a case report |
| title_sort | differential diagnosis of lophomaniasis in patients with covid 19 in northern mexico a case report |
| topic | lophomonas spp respiratory medicine chronic lung disease |
| url | https://www.iberoamjmed.com/article/doi/10.53986/ibjm.2024.0004 |
| work_keys_str_mv | AT josedejesusalbaromero differentialdiagnosisoflophomaniasisinpatientswithcovid19innorthernmexicoacasereport AT benjaminnoguedatorres differentialdiagnosisoflophomaniasisinpatientswithcovid19innorthernmexicoacasereport AT rosamariasanchezmanzano differentialdiagnosisoflophomaniasisinpatientswithcovid19innorthernmexicoacasereport AT damarilizethalbaromero differentialdiagnosisoflophomaniasisinpatientswithcovid19innorthernmexicoacasereport AT auroramartinezromero differentialdiagnosisoflophomaniasisinpatientswithcovid19innorthernmexicoacasereport |