Infection with Lophomonas blattarum in an immunocompetent patient and its misdiagnosis

Lophomonas Blattarum is a round-oval protozoan with a tuft of many flagellate at the apex. It has a diameter of 20-60 M. Cockroaches, for example, have it as an endocommensal in their hindgut. One of the causes of bronchopulmonary infection is becoming better known. For the previous year, a 22-year-old female had complained of cough with blood clots in the expectorant, shortness with exertion, wheezing, and low-grade fever. The patient had visited several medical facilities before coming to our Outpatient Department (OPD). Her tuberculosis was discovered there. She was seen in our OPD and had past reports reviewed, fresh investigations recommended, Antitubercular Therapy (ATT) maintained, and a bronchoscopy scheduled. Skin alterations are complicated by iron accumulation in tissue.