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A Rare Case of Bronchopulmonary Infection by Lophomonas Blattarum : A Case Report

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Abstract Lophomonas blattarum is a flagellated protozoan parasite found in cockroaches' and termites' hindgut. It can rarely cause bronchopulmonary infection in humans, especially in people with other comorbidities or immunocompromised, but the prevalence and characterization of the disease remains poorly understood. In this case report, we present a case of a 51-year-old male patient with underlying Hepatitis B presenting with a persistent cough for more than two weeks. During evaluation, microscopic examination of the wet mount of Bronchoalveolar lavage revealed actively motile trophozoite of Lophomonas blattarum. The patient was treated with metronidazole with significant improvement in two weeks.

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Arun Kumar Mahato Department of Pulmonary, Critical Care and Sleep Medicine, Nobel Medical College and Teaching Hospital, Kanchanwari, Biratnagar, Nepal Sonu Shah Department of Internal Medicine, Nobel Medical College and Teaching Hospital, Kanchanwari, Biratnagar, Nepal Rupak K C Department of Internal Medicine, Nobel Medical College and Teaching Hospital, Kanchanwari, Biratnagar, Nepal Sudarshan Kandel Department of Internal Medicine, Nobel Medical College and Teaching Hospital, Kanchanwari, Biratnagar, Nepal Neetika Paudel Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal Saharoj Siddiqui Department of Internal Medicine, Nepalgunj Medical College and Teaching Hospital, Kohalpur, Banke, Nepal Niranjan K C Department of Internal Medicine, Nobel Medical College and Teaching Hospital, Kanchanwari, Biratnagar, Nepal

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