Haemoptysis in a female with diabetes mellitus: a unique presentation of chronic pulmonary aspergillosis, pulmonary tuberculosis, and Klebsiella peumoniae co‐infection

• Published in: Clinical case reports Vol. 4; no. 4; pp. 432 - 436
• Main Authors: Ekwueme, Chinonso, Otu, Akaninyene Asuquo, Chinenye, Sunny, Unachukwu, Chioma, Oputa, Reginald N., Korubo, Ibitrokoemi, Enang, Ofem E.
• Format: Journal Article
• Language: English
• Published: England John Wiley & Sons, Inc 01.04.2016; John Wiley and Sons Inc
• Subjects: Aspergillosis; Blood; Body mass index; Case Report; Case Reports; Chronic obstructive pulmonary disease; Chronic pulmonary aspergillosis; Diabetes; diabetes mellitus; Fungal infections; HIV; Human immunodeficiency virus; Infections; Insulin; Klebsiella pneumonia; Medical imaging; Microscopy; Patients; Pneumonia; pulmonary tuberculosis; Surgery; Thoracic surgery; Tuberculosis; Nigeria; Klebsiella pneumonia; pulmonary tuberculosis; Chronic pulmonary aspergillosis; diabetes mellitus
• ISSN: 2050-0904; 2050-0904
• DOI: 10.1002/ccr3.542

Key Clinical Message While chronic pulmonary aspergillosis (CPA), pulmonary tuberculosis (PTB), and Klebsiella pneumoniae pneumonia co‐infection is rare, we present a 50‐year‐old woman with uncontrolled diabetes who presented with these three diseases. There is considerable overlap in symptoms of PTB and CPA. Treatment with antifungals, anti‐tuberculosis therapy, and antibiotics is beneficial. While chronic pulmonary aspergillosis (CPA), pulmonary tuberculosis (PTB), and Klebsiella pneumoniae pneumonia co‐infection is rare, we present a 50‐year‐old woman with uncontrolled diabetes who presented with these three diseases. There is considerable overlap in symptoms of PTB and CPA. Treatment with antifungals, anti‐tuberculosis therapy, and antibiotics is beneficial.