Severe lophomoniasis in a patient with diabetes and past history of COVID-19 in Central Iran: case report

In this case report, we address the diagnostic challenges and clinical implications of severe infection with Lophomonas blattarum in a patient initially suspected of experiencing long COVID symptoms. We describe the patient's medical history, initial symptoms, diagnostic tests, and treatment. A...

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Main Authors: Seyed Reza Mirbadie, Amirmasoud Taheri, Elahe Roshanzamir, Eissa Soleymani, Mahdi Fakhar
Format: Article
Language:English
Published: SAGE Publishing 2024-02-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605241232917
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author Seyed Reza Mirbadie
Amirmasoud Taheri
Elahe Roshanzamir
Eissa Soleymani
Mahdi Fakhar
author_facet Seyed Reza Mirbadie
Amirmasoud Taheri
Elahe Roshanzamir
Eissa Soleymani
Mahdi Fakhar
author_sort Seyed Reza Mirbadie
collection DOAJ
description In this case report, we address the diagnostic challenges and clinical implications of severe infection with Lophomonas blattarum in a patient initially suspected of experiencing long COVID symptoms. We describe the patient's medical history, initial symptoms, diagnostic tests, and treatment. A female patient with diabetes in her early 60s presented with severe shortness of breath and was initially diagnosed with diabetic ketoacidosis (DKA). After resolution of her DKA symptoms, persistent respiratory issues led to a COVID-19 test, which was negative. A chest computed tomography scan revealed abnormalities, prompting bronchoscopy and bronchoalveolar lavage fluid analysis, which confirmed the presence of L. blattarum . Notably, the protozoan remained mobile and viable even after a 4-day transport at ambient temperature. This case emphasizes the importance of considering alternative diagnoses and improving awareness about L. blattarum infection in patients with respiratory symptoms, for timely and accurate management.
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spelling doaj.art-6ac8489649864e2d9c5845a83f8acb0b2024-02-27T12:03:38ZengSAGE PublishingJournal of International Medical Research1473-23002024-02-015210.1177/03000605241232917Severe lophomoniasis in a patient with diabetes and past history of COVID-19 in Central Iran: case reportSeyed Reza MirbadieAmirmasoud TaheriElahe RoshanzamirEissa SoleymaniMahdi FakharIn this case report, we address the diagnostic challenges and clinical implications of severe infection with Lophomonas blattarum in a patient initially suspected of experiencing long COVID symptoms. We describe the patient's medical history, initial symptoms, diagnostic tests, and treatment. A female patient with diabetes in her early 60s presented with severe shortness of breath and was initially diagnosed with diabetic ketoacidosis (DKA). After resolution of her DKA symptoms, persistent respiratory issues led to a COVID-19 test, which was negative. A chest computed tomography scan revealed abnormalities, prompting bronchoscopy and bronchoalveolar lavage fluid analysis, which confirmed the presence of L. blattarum . Notably, the protozoan remained mobile and viable even after a 4-day transport at ambient temperature. This case emphasizes the importance of considering alternative diagnoses and improving awareness about L. blattarum infection in patients with respiratory symptoms, for timely and accurate management.https://doi.org/10.1177/03000605241232917
spellingShingle Seyed Reza Mirbadie
Amirmasoud Taheri
Elahe Roshanzamir
Eissa Soleymani
Mahdi Fakhar
Severe lophomoniasis in a patient with diabetes and past history of COVID-19 in Central Iran: case report
Journal of International Medical Research
title Severe lophomoniasis in a patient with diabetes and past history of COVID-19 in Central Iran: case report
title_full Severe lophomoniasis in a patient with diabetes and past history of COVID-19 in Central Iran: case report
title_fullStr Severe lophomoniasis in a patient with diabetes and past history of COVID-19 in Central Iran: case report
title_full_unstemmed Severe lophomoniasis in a patient with diabetes and past history of COVID-19 in Central Iran: case report
title_short Severe lophomoniasis in a patient with diabetes and past history of COVID-19 in Central Iran: case report
title_sort severe lophomoniasis in a patient with diabetes and past history of covid 19 in central iran case report
url https://doi.org/10.1177/03000605241232917
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