An unusual presentation of diarrhea by Fasciolopsis Buski, Taenia Spp. and Aspergillus Spp. in a retro positive patient. A first case report from rural coastal India - Manipal, Karnataka

We report a rare case of diarrhea caused by Fasciolopsis buski, Taenia spp, and Aspergillus spp in a retro positive patient. A 41-year-old man presented to the gastroenterology department with complaints of bleeding per rectum. He had a history of retro positive illness for the past 15 years and is a known alcoholic. His physical and systemic examination revealed concern and laboratory tests showed values below normal range. Microbiological investigations were processed as per standard guidelines. The etiology of his diarrhea was identified as Fasciolopsis buski along with Taenia species and Aspergillus species. Following an appropriate treatment, his diarrhea resolved. To the best of our knowledge and PubMed search, this is the first case of a parasitic and fungal co-infection causing diarrhea in an immunocompromised (HIV) patient reported in literature from Manipal, India.