title: Tubercular and bacterial coinfection: A case series.
abstract: 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.
authors: Department of Pulmonary Medicine, MS Ramaiah Medical College, Bangalore, Karnataka, India.
authors: Anshum Aneja
authors: AA
authors: Arora
authors: Department of Pulmonary Medicine, MS Ramaiah Medical College, Bangalore, Karnataka, India.
authors: Uma Maheswari
authors: UM
authors: Krishnaswamy
authors: Department of Pulmonary Medicine, MS Ramaiah Medical College, Bangalore, Karnataka, India.
authors: Riyaz P
authors: RP
authors: Moideen
authors: Department of Pulmonary Medicine, MS Ramaiah Medical College, Bangalore, Karnataka, India.
authors: Mantha Satya
authors: MS
authors: Padmaja
keywords: Bacteria; Enterococcus; Enterococcus pneumonia; Klebsiella; Staphylococcus; concurrent infection; tuberculosis