Infección pulmonar por Lophomonas sp en una paciente con leucemia mieloide aguda

Abstract

Las infecciones por protozoos son prevalentes a nivel mundial, en particular en pacientes inmunosuprimidos. Comunicamos el caso de una paciente procedente de la ciudad de Viña del Mar, Chile, portadora de leucemia mieloide aguda en quien se confirmó una infección por Lophomonas sp. en lavado bronquioalveolar. Se manejó con antibióticos, pero falleció de complicaciones de su enfermedad de base. Existe poca literatura disponible respecto a este microorganismo. Concluimos que debe considerarse a Lophomonas sp. como posibilidad diagnóstica si se encuentran protozoos en lavados bronquioalveolares de pacientes inmunosuprimidos.

Lophomonas sp. in the upper and lower respiratory tract of patients from a hospital in Lambayeque, Peru: clinical case studies

“…It indicates that Lophomonas enters the host regardless of the age, the sex, and the immune status. The reviewed publications show that there are new findings in countries like Turkey [ 3 ], Iran [ 10 ], India [ 11 ], and Chile [ 12 ]. Our study has shown that there are also cases in Peru; it may indicate that Lophomonas could be found in any country in it is being identified more frequently [ 2 , 4 , 8 , 13 ].…”

“…According to the case reports, the most common pre-existing condition is immunosuppression (approximately 70% of the patients), other conditions are, patients during the post-transplant periods (approximately, 30%) [ 2 , 10 ] or patients with acute myeloid leukemia (AML) [ 12 ]. In our study 3 of the patients had neoplasia, two had diabetes mellitus and 4 had non-systemic pathologies.…”