title: Tuberculosis and pulmonary candidiasis co-infection present in a previously healthy patient.
abstract: BACKGROUND
  The coexistance among fungal pathogens and tuberculosis pulmonary is a clinical condition that generally occurs in immunosuppressive patients, however, immunocompetent patients may have this condition less frequently.
  
  
  OBJECTIVE
  We report the case of an immunocompetent patient diagnosed with coinfection Mycobacterium tuberculosis and Candida albicans.
  
  
  METHODS
  A female patient, who is a 22-years old, with fever and a new onset of hemoptysis.
  
  
  RESULTS
  Diminished vesicular breath sounds in the apical region and basal crackling rales in the left lung base were found in the physical examination. Microbiological tests include: chest radiography and CAT scan pictograms in high resolution, Ziehl-Neelsen stain, growth medium for fungus and mycobacteria through Sabouraudís agar method with D-glucose. Medical examinations showed Candida albicans fungus and Mycobacterium tuberculosis present in the patient.
  
  
  RESULTS
  Patient was treated with anti-tuberculosis and anti-fungal medications, which produced good responses.
  
  
  CONCLUSIONS
  Pulmonary tuberculosis and fungal co-infection are not common in immunocompetent patients. However, we can suspect that there is a presence of these diseases by detecting new onset of hemoptysis in patients.
authors.affiliation: Departamento de Postgrado, Doctorado en Medicina Tropical, Universidad de Cartagena, Cartagena, Colombia.; Grupo de investigación UNIMOL. Universidad de Cartagena, Cartagena, Colombia.
authors.forename: Dilia Mildret
authors.initials: DM
authors.lastname: Fontalvo
authors.affiliation: Unidad de Cuidados Intensivo Adultos, Departamento de Medicina Interna, Clinica Nuestra. Cartagena, Colombia.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Jiménez Borré
authors.affiliation: Departamento de Postgrado, Doctorado en Medicina Tropical, Universidad de Cartagena, Cartagena, Colombia.; Grupo de investigación UNIMOL. Universidad de Cartagena, Cartagena, Colombia.
authors.forename: Doris
authors.initials: D
authors.lastname: Gómez Camargo
authors.affiliation: Unidad de Cuidados Intensivo Adultos, Departamento de Medicina Interna, Clinica Nuestra. Cartagena, Colombia.
authors.forename: Neylor
authors.initials: N
authors.lastname: Chalavé Jiménez
authors.affiliation: Unidad de Cuidados Intensivo Adultos, Departamento de Medicina Interna, Clinica Nuestra. Cartagena, Colombia.
authors.forename: Javier
authors.initials: J
authors.lastname: Bellido Rodríguez
authors.affiliation: Departamento de Postgrado, Doctorado en Medicina Tropical, Universidad de Cartagena, Cartagena, Colombia .
authors.forename: Bernarda
authors.initials: B
authors.lastname: Cuadrado Cano
authors.affiliation: Departamento de Postgrado, Doctorado en Medicina Tropical, Universidad de Cartagena, Cartagena, Colombia .
authors.forename: Shirley
authors.initials: S
authors.lastname: Navarro Gómez
mesh_terms: D002176:Candida albicans; D002177:Candidiasis / Q000175:diagnosis* / Q000382:microbiology; D060085:Coinfection / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D007121:Immunocompetence; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000382:microbiology; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000382:microbiology; D055815:Young Adult
keywords: Invasive candidiasis; coinfection; immunocompetent; pulmonary fungal infection; pulmonary tuberculosis