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Journal of Case Reports
Lurking in the Lungs: Unveiling Bronchopulmonary Lophomoniasis
Neeta Gade1, Satyajeet Sahoo2, Soumyabrata Nag1, Vishal Shete1, Meena Mishra1, Pooja Taiwade1
Departments of 1Microbiology and 2Pulmonary Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India.
Corresponding Author:
Dr. Neeta Gade
Email: drneetagade@aiimsnagpur.edu.in
Received: 09-JUL-2023 Accepted: 08-SEP-2023 Published Online: 05-OCT-2023
DOI: http://dx.doi.org/10.17659/01.2023.0026
Abstract
Background: Lophomonas, a protozoa gaining recognition as a pathogen, has drawn increased attention owing to its link with respiratory tract infections. Typically residing in the hind-gut of cockroaches, Lophomonas has been identified as a causative agent impacting both upper and lower respiratory tracts in humans. This case report presents an unusual instance of bronchopulmonary lophomoniasis in a patient from Central India. Case Report: A 44-year-old man, who had previously contracted COVID-19, visited the Pulmonary Medicine outpatient department (OPD) with enduring respiratory symptoms. Despite undergoing various rounds of both injectable and oral antibiotics, there was no improvement in the patient's condition. Radiological examination revealed interstitial haziness and consolidation in the left mid and lower zones, accompanied by mild cardiomegaly on chest X-ray. Broncho-alveolar lavage (BAL) fluid analysis through wet mount examination, Giemsa, and Trichrome stain unveiled the presence of Lophomonas blattarum. Conclusion: This unique case illuminates the need for heightened awareness among healthcare professionals regarding the potential involvement of uncommon pathogens like Lophomonas in respiratory illnesses. The successful diagnosis through microscopic examination demonstrates the pivotal role of such techniques in guiding appropriate and targeted treatment. 
Keywords : Antibiotics, Broncho Alveolar lavage, Fever, Lungs, Pneumonia.
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