Multidrug resistant tuberculosis co-existing with aspergilloma and invasive aspergillosis in a 50 year old diabetic woman: a case report.
Aspergilloma and invasive aspergillosis coexisting with multidrug resistant Mycobacterium tuberculosis (MDR-TB) in the same patient is a rare entity. We report a 50 year old South Indian woman, a diabetic, who presented to us with complaints of productive cough and hemoptysis for the past 2 months. She was diagnosed to have pulmonary tuberculosis 2 years ago for which she took irregular treatment. Lung imaging showed features of a thick walled cavity in the right upper lobe with an indwelling aspergilloma. She underwent a right lung upper lobe resection. Biopsy and culture of the resected specimen showed the coexistence of Aspergillus fumigatus and multi-drug resistant Mycobacterium tuberculosis. 2 blood cultures grew Aspergillus fumigatus. She was successfully treated with Voriconazole and anti tuberculous therapy against MDR-TB.
Kumar
Anita A
AA
Department of General Medicine, Sri Ramachandra University, Chennai, India. anitakumar84@hotmail.com.
Shantha
Ghanshyam Palamaner Subash
GP
Jeyachandran
Vijay
V
Rajkumar
K
K
Natesan
Senthilkumar
S
Srinivasan
Devasena
D
Joseph
Leena Dennis
LD
Sundaresan
Manjunath
M
Rajamanickam
Deepan
D