The International Journal of Mycobacteriology

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 9  |  Issue : 2  |  Page : 116--120

Co-infection by dimorphic fungi in tuberculosis patients in Kenya


Joseph K Ngei. Kuria1, Donald Mogoi2, Samuel Guchu Gachuhi3 
1 Department of Veterinary Pathology, Microbiology and Parasitology, Faculty of Veterinary Medicine, University of Nairobi, Nairobi, Kenya
2 Department of Medical Services and Public Health, Ministry of Health Laikipia County, Nanyuki, Kenya
3 Department of Medical Laboratory Sciences, Ministry of Health Laikipia County, Nanyuki, Kenya

Correspondence Address:
Joseph K Ngei. Kuria
Department of Veterinary Pathology, Microbiology and Parasitology, Faculty of Veterinary Medicine, University of Nairobi, Nanyuki
Kenya

Background: Dimorphic fungi may cause infections and symptoms similar to tuberculosis (TB), in humans and animals. Such infections, individually or concurrently with TB, have been identified in cattle in Kenya, raising the possibility of infections in other animals, including humans. The study aimed to identify and quantify dimorphic fungi co-infection in persons with TB. Methods: Smear-positive sputum samples, 400, were obtained from TB clinics between October 2016 and November 2017. The samples were examined microscopically for yeast fungi, cultured for isolation of yeast, conversion to molds, and conversion from molds to yeasts. The isolates were characterized morphologically. Results: Blastopores, with morphological characteristics of Paracoccidiodes and Blastomyces, were observed in 37 smears of the sputum samples. Similar yeast cells were observed in smears of the sputum cultures. The yeast cultures were converted to molds on incubation at room temperature and back to yeasts on incubation at 37°C. Conclusion: Dimorphic fungi, morphologically identified as Paracoccidiodes and Blastomyces, concomitantly infect a proportion of TB patients in the study area. It is recommended that routine diagnosis for TB should consider infection or co-infection by dimorphic fungi for institution of appropriate treatment.


How to cite this article:
Ngei. Kuria JK, Mogoi D, Gachuhi SG. Co-infection by dimorphic fungi in tuberculosis patients in Kenya.Int J Mycobacteriol 2020;9:116-120


How to cite this URL:
Ngei. Kuria JK, Mogoi D, Gachuhi SG. Co-infection by dimorphic fungi in tuberculosis patients in Kenya. Int J Mycobacteriol [serial online] 2020 [cited 2020 Aug 7 ];9:116-120
Available from: http://www.ijmyco.org/article.asp?issn=2212-5531;year=2020;volume=9;issue=2;spage=116;epage=120;aulast=Ngei.;type=0