Open AccessTubercular and bacterial coinfection: A case series
Author(s) -
Anshum Aneja Arora,
Uma Maheswari Krishnaswamy,
Riyaz Moideen,
Mantha Satya Padmaja
Publication year - 2015
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/0970-2113.152645
Subject(s) - medicine , coinfection , tuberculosis , intensive care medicine , presentation (obstetrics) , pulmonary tuberculosis , immunology , pathology , surgery , human immunodeficiency virus (hiv)
Tuberculosis (TB) is a major public health issue in India. Although dual infection with tuberculosis and bacteria/fungi has been reported in immunocompromised patients, their co-occurrence in individuals with preserved immunity may complicate the clinical presentation, leading to inadequate treatment and unsatisfactory outcomes. In patients with pulmonary tuberculosis, the occurrence of tubercular lesions in atypical locations may further confound the clinical picture if only one of the pathogens is isolated, initially leading to a suboptimal therapeutic response. A strong index of suspicion and additional diagnostic testing may be required for diagnosis and treatment of the second infection. We report three unusual cases of concurrent tubercular and bacterial infection, of which two are pulmonary and one is extrapulmonary.