title: Lophomonas blattarum infection presented as acute exacerbation of chronic obstructive pulmonary disease.
abstract: The present case described a 70-year-old male who was initially diagnosed and treated as acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Ultimately Lophomonas blattarum (L. blattarum), a rare protozoan causing opportunistic infection, was found in suction sputum smear. Bronchoscopy showed a lot of purulent sputum in airways, diffusely swelling and friable mucus on bronchus. After single tinidazole treatment, symptoms and image showed marked improvement. It indicates though in the untraditional immunocompromised case, the suspect of opportunistic diseases is necessary, especially in the cases failed to improvement under empirical treatment. It also supports the tinidazole treatment is efficacy in L. blattarum infection.
authors: 1 Department of Respiratory Medicine, The Second Xiangya Hospital, Central South University, No.139 Renmin Road, Changsha 410011, China ; 2 Department of Respiratory Medicine, The First Hospital of Changsha, No.311 Yingpan Road, Changsha 410011, China ; 3 Clinical Laboratory, The Second Xiangya Hospital, Central South University, No.139 Renmin Road, Changsha 410011, China.
authors: Huihui
authors: H
authors: Zeng
authors: 1 Department of Respiratory Medicine, The Second Xiangya Hospital, Central South University, No.139 Renmin Road, Changsha 410011, China ; 2 Department of Respiratory Medicine, The First Hospital of Changsha, No.311 Yingpan Road, Changsha 410011, China ; 3 Clinical Laboratory, The Second Xiangya Hospital, Central South University, No.139 Renmin Road, Changsha 410011, China.
authors: Xianglong
authors: X
authors: Kong
authors: 1 Department of Respiratory Medicine, The Second Xiangya Hospital, Central South University, No.139 Renmin Road, Changsha 410011, China ; 2 Department of Respiratory Medicine, The First Hospital of Changsha, No.311 Yingpan Road, Changsha 410011, China ; 3 Clinical Laboratory, The Second Xiangya Hospital, Central South University, No.139 Renmin Road, Changsha 410011, China.
authors: Xinrui
authors: X
authors: Chen
authors: 1 Department of Respiratory Medicine, The Second Xiangya Hospital, Central South University, No.139 Renmin Road, Changsha 410011, China ; 2 Department of Respiratory Medicine, The First Hospital of Changsha, No.311 Yingpan Road, Changsha 410011, China ; 3 Clinical Laboratory, The Second Xiangya Hospital, Central South University, No.139 Renmin Road, Changsha 410011, China.
authors: Hong
authors: H
authors: Luo
authors: 1 Department of Respiratory Medicine, The Second Xiangya Hospital, Central South University, No.139 Renmin Road, Changsha 410011, China ; 2 Department of Respiratory Medicine, The First Hospital of Changsha, No.311 Yingpan Road, Changsha 410011, China ; 3 Clinical Laboratory, The Second Xiangya Hospital, Central South University, No.139 Renmin Road, Changsha 410011, China.
authors: Ping
authors: P
authors: Chen
authors: 1 Department of Respiratory Medicine, The Second Xiangya Hospital, Central South University, No.139 Renmin Road, Changsha 410011, China ; 2 Department of Respiratory Medicine, The First Hospital of Changsha, No.311 Yingpan Road, Changsha 410011, China ; 3 Clinical Laboratory, The Second Xiangya Hospital, Central South University, No.139 Renmin Road, Changsha 410011, China.
authors: Yan
authors: Y
authors: Chen
keywords: Lophomonas blattarum infection; chronic obstructive pulmonary disease (COPD)