Detection of <i>Lophomonas</i> in pericardial effusion sample in a COVID-19 patient with systemic sclerosis: An unusual case report

Zakariaei, Zakaria; Sharifpour, Ali; Fakhar, Mahdi; Soleymani, Mostafa; Banimostafavi, Elham Sadat; Taheri, Amirmasoud

doi:10.1177/2050313x221102021

Cited by 2 publications

(1 citation statement)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 9 L. blattarum has been observed in pericardial fluid. 10 Although our patient did not undergo a thoracentesis for the analysis of pleural fluid, it is possible that her pleural effusion was caused by L. blattarum .…”

Section: Discussionmentioning

confidence: 92%

Severe lophomoniasis in a patient with diabetes and past history of COVID-19 in Central Iran: case report

Mirbadie,

Taheri,

Roshanzamir

et al. 2024

J Int Med Res

Self Cite

View full text Add to dashboard Cite

In this case report, we address the diagnostic challenges and clinical implications of severe infection with Lophomonas blattarum in a patient initially suspected of experiencing long COVID symptoms. We describe the patient's medical history, initial symptoms, diagnostic tests, and treatment. A female patient with diabetes in her early 60s presented with severe shortness of breath and was initially diagnosed with diabetic ketoacidosis (DKA). After resolution of her DKA symptoms, persistent respiratory issues led to a COVID-19 test, which was negative. A chest computed tomography scan revealed abnormalities, prompting bronchoscopy and bronchoalveolar lavage fluid analysis, which confirmed the presence of L. blattarum. Notably, the protozoan remained mobile and viable even after a 4-day transport at ambient temperature. This case emphasizes the importance of considering alternative diagnoses and improving awareness about L. blattarum infection in patients with respiratory symptoms, for timely and accurate management.

show abstract

Section: Discussionmentioning

confidence: 92%

Severe lophomoniasis in a patient with diabetes and past history of COVID-19 in Central Iran: case report

Mirbadie,

Taheri,

Roshanzamir

et al. 2024

J Int Med Res

Self Cite

View full text Add to dashboard Cite

show abstract

Insights into parasites and COVID-19 co-infections in Iran: a systematic review

Molaei,

Asfaram,

Mashhadi

et al. 2024

Transactions of the Royal Society of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Background It is well-documented that using immunosuppressive drugs such as corticosteroids or cytokine blockers in treating coronavirus disease 2019 (COVID-19) increases the risk of co-infections. Here we systematically summarized the cases of COVID-19-associated parasitic infections (CAPIs) in Iran. Methods From 19 February 2020 to 10 May 2023, all studies on Iranian patients suffering from CAPIs were collected from several databases using a systematic search strategy. Results Of 540 records, 11 studies remained for data extraction. In this research, most of the studies were related to Lophomonas and Toxoplasma. Of 411 cases of CAPIs, toxoplasmosis (385 [93.7%]) had the highest rate of infection among Iranian patients, followed by blastocystosis (15 [3.6%]), fascioliasis (4 [0.97%]), leishmaniasis (3 [0.7%]), lophomoniasis (3 [0.7%]) and strongyloidiasis (1 [0.2%]). In general, Blastocystis enhanced diarrhoea in patients with COVID-19. Lophomonas, Toxoplasma and Strongyloides increased the severity of COVID-19, but Fasciola decreased its intensity. Patients with a history of cutaneous leishmaniasis showed mild symptoms of COVID-19. Also, patients with a prior history of hydatid cysts were not affected by COVID-19. Conclusions Due to the similar symptoms of some parasitic diseases and COVID-19 and immunosuppressive treatment regimens in these patients that may cause the reactivation or recurrence of parasitic infections, early diagnosis and treatment are required.

show abstract

Detection of Lophomonas in pericardial effusion sample in a COVID-19 patient with systemic sclerosis: An unusual case report

Cited by 2 publications

References 23 publications

Severe lophomoniasis in a patient with diabetes and past history of COVID-19 in Central Iran: case report

Severe lophomoniasis in a patient with diabetes and past history of COVID-19 in Central Iran: case report

Insights into parasites and COVID-19 co-infections in Iran: a systematic review

Contact Info

Product

Resources

About