scholarly journals Pulmonary mucormycosis in post-pulmonary tuberculosis as an emerging risk factor: A rare case report

2021 ◽  
Vol 5 (1) ◽  
pp. 059-063
Author(s):  
Khanduja Divya ◽  
Pandhi Naveen

Pulmonary mucormycosis is an uncommon pulmonary fungal disease, which is commonly seen in immunocompromised individuals. It is caused by fungi of class Zygomycetes. It constitutes the third most common invasive fungal infection following aspergillosis and candidiasis. Risk factors include patients with hematological malignancies, diabetes mellitus, and immunocompromised states. It is difficult to diagnose early due to non-specific clinical presentation and delay in treatment associated with greater mortality. As we know that Tuberculosis and HIV are highly prevalent in country like India. Post pulmonary tuberculosis is emerging as a risk factor for Pulmonary mucormycosis in the developing countries like India. Patients with non-resolving pneumonia are generally misdiagnosed as Pulmonary tuberculosis. The diagnosis of Pulmonary Mucormycosis is based upon demonstration of fungal hyphae in the clinical specimen. We highlight the importance of clinical suspicion in these cases for early diagnosis and early treatment initiation can reverse morbidity and mortality associated with Pulmonary Mucormycosis. We report 2 cases of Pulmonary mucormycosis present in post-pulmonary tuberculosis patients.

PLoS ONE ◽  
2017 ◽  
Vol 12 (4) ◽  
pp. e0175278 ◽  
Author(s):  
Pryscila Miranda ◽  
Leonardo Gil-Santana ◽  
Marina G. Oliveira ◽  
Eliene D. D. Mesquita ◽  
Elisangela Silva ◽  
...  

2011 ◽  
Vol 14 (5) ◽  
pp. 899-913
Author(s):  
Patrinee Traisathit ◽  
Pattana Pokaew ◽  
Sakarin Chanwong ◽  
Virat Klinbuayaem ◽  
Jiratchaya Wongsabuta ◽  
...  

PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0235411
Author(s):  
Kiros Tedla ◽  
Girmay Medhin ◽  
Gebretsadik Berhe ◽  
Afework Mulugeta ◽  
Nega Berhe

2016 ◽  
Vol 14 (2) ◽  
pp. 45
Author(s):  
Mudiyono Mudiyono ◽  
Nur Endah Wahyuningsih ◽  
M. Sakundarno Adi

Background: Children’s Tuberculosis (TB) in Indonesia at 2013 was fourth ranks in the world. The cases of children’s pulmonary tuberculosis in Pekalongan at 2013 be amounted 88 (32%) of the total cases of TB (271), greater than 8% of national cases. Children’s pulmonary tuberculosis is a disease that can be cured and are not duly claimed the lives of children. The purpose of this study is analyze the relationship between the mother's behavior and physical environment house of children with the incidence of children’s pulmonary tuberculosis in Pekalongan City.Methods: The study was observational with case control design. The cases are pulmonary tuberculosis patients and control are child is not a child’s pulmonary tuberculosis. The subjects were 50 cases and 50 controls. Results: The results of the bivariate analysis are associated with incidence population density with children’s pulmonary tuberculosis (p = <0.001), ventilation (p = 0.004), temperature of room (p = 0.036), density occupancy (p = <0.001) and natural lighting (p = 0.016). The results of multivariate analysis are risk factor for the incidence of children’s pulmonary tuberculosis with mother’s knowledge (p = 0.049; OR = 2.918; 95% CI = 1.005 to 8.472), density occupancy (p = 0.020; OR = 3.379; 95% CI = 1.212 to 9.417), humidity (p = 0.025; OR = 3.236; 95% CI = 1.156 to 9.058) and ventilation (p = 0.022; OR = 3.224; 95% CI = 1.182 to 8.797).Conclusion: The density occupancy, humidity, ventilation, mother’s knowledge are a risk factor pulmonary TB incidence of children in Pekalongan City.  Keywords: Behavior Mother, the physical environment house, children’s pulmonary tuberculosis, Pekalongan City.


Author(s):  
Khanduja Divya ◽  
Kajal NC ◽  
Singh Rajbir ◽  
Sharma Shakti

2020 ◽  
Vol 41 (4) ◽  
pp. 438-445
Author(s):  
Rakesh Kumar ◽  
Anand Krishnan ◽  
Manjula Singh ◽  
Urvashi B. Singh ◽  
Archna Singh ◽  
...  

Background: Undernutrition is a leading risk factor for tuberculosis and is associated with adverse treatment outcomes. Energy-dense nutritional supplement (EDNS) may be helpful in managing undernutrition in tuberculosis patients. Methods: A longitudinal study was conducted among 102 newly diagnosed pulmonary tuberculosis patients in the Ballabgarh tuberculosis unit in Haryana, India, between September 2018 and February 2019. Participants were provided daily supplementation with 2 sachets of peanut-based EDNS providing 1000 kcal along with the tuberculosis chemotherapy for 2 months. Acceptability was assessed after one month of supplementation. Reported side effects were assessed every 15 days for 2 months and adherence, in terms of proportion of supplement consumed, was assessed on weekly basis for 2 months. Weight was measured at baseline and after 1 month and 2 months. Results: Mean age of participants was 33 years (standard deviation: 13.8) and 75.5% of the participants were male. Almost 100% of the participants found the taste, smell, consistency, and color of the EDNS acceptable. Three participants rejected it after one month of consuming EDNS and another 7 rejected after 2 months of consuming EDNS. After consuming EDNS for 2 months, 13.9% of the participants complained of nausea, 11.9% complained of vomiting, 10.9% complained of diarrhea, and 9.9% complained of pain in the abdomen and abdominal fullness or bloating anytime during the period of supplementation. The adherence to EDNS among the participants was reported as 92.6%. Conclusion: A peanut-based EDNS was highly acceptable and safe, and the adherence to it was high among patients with pulmonary tuberculosis.


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