
Trilogy of sequential infections in a diabetic male
Author(s) -
Dogra Vikas,
Talwar Deepak,
Saxena Rajat,
Dabral Charul,
Joshi Sharad,
Bansal Shobhit
Publication year - 2015
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.132
Subject(s) - medicine , mucormycosis , diabetes mellitus , tuberculosis , intensive care medicine , fluconazole , trilogy , immunology , surgery , antifungal , dermatology , pathology , endocrinology , art , literature
Uncontrolled diabetes is a known immunosuppressive state. It predisposes individuals to bacterial and fungal infections. The present case report demonstrates sequential infections by K lebsiella followed by tuberculosis and later development of mucormycosis in a poorly controlled diabetic patient. Timing of diagnosis is of essence because of high mortality seen with such pulmonary infections. High index of suspicion needs to be maintained as the same individual may harbor multiple infections as highlighted in this case.