Pulmonary melioidosis presenting with pleural effusion: A case report and review of literature.

January 13, 2016 at 12:21 pm

Respir Med Case Rep. 2015 Jul 22;16:54-6.

Soo CI1, Abdul Wahab S1, Abdul Hamid F1.

Author information

1Respiratory Unit, Department of Medicine, Universiti Kebangsaan Malaysia Medical Center, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.

Abstract

Melioidosis is a serious infection, which can involve multiple systems. We report a case of pulmonary melioidosis with the initial presentation mimicking a partially treated pneumonia complicated by right-sided pleural effusion. The patient is a 49-year old man who did not respond to parenteral ceftriaxone and tazobactam/piperacillin therapy. However, upon culture and sensitivity results from blood and pleural samples isolated Burkholderia pseudomallei; antimicrobial therapy was de-escalated to parenteral ceftazidime. Within 72 h duration, his fever subsided and other respiratory symptoms improved tremendously. This case highlights the importance of early recognition of B. pseudomallei in pulmonary infection in order for prompt institution of appropriate antibiotics treatment; thus reducing morbidity and mortality

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681969/pdf/main.pdf

Entry filed under: Antimicrobianos, Bacterias, Bacteriemias, Biología Molecular, Epidemiología, Infecciones respiratorias, Metodos diagnosticos, REPORTS, REVIEWS, Sepsis, Update. Tags: .

Predicted global distribution of Burkholderia pseudomallei and burden of melioidosis Intravenous therapy duration and outcomes in melioidosis: a new treatment paradigm.


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