Prevalence of Melioidosis in Patients with Suspected Pulmonary Tuberculosis and Sputum Smear Negative for Acid-Fast Bacilli in Northeast Thailand

The clinical and radiological features of pulmonary melioidosis can mimic tuberculosis. We prospectively evaluated 118 patients with suspected pulmonary tuberculosis who were acid-fast bacilli (AFB) smear negative at Udon Thani Hospital, northeast Thailand. Culture of residual sputum from AFB testin...

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Detalles Bibliográficos
Autores principales: Suntornsut, Pornpan, Kasemsupat, Kriangsak, Silairatana, Santi, Wongsuvan, Gumphol, Jutrakul, Yaowaruk, Wuthiekanun, Vanaporn, Day, Nicholas P. J., Peacock, Sharon J., Limmathurotsakul, Direk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The American Society of Tropical Medicine and Hygiene 2013
Materias:
Articles
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3820347/
https://www.ncbi.nlm.nih.gov/pubmed/24062474
http://dx.doi.org/10.4269/ajtmh.13-0286
Descripción
Sumario:The clinical and radiological features of pulmonary melioidosis can mimic tuberculosis. We prospectively evaluated 118 patients with suspected pulmonary tuberculosis who were acid-fast bacilli (AFB) smear negative at Udon Thani Hospital, northeast Thailand. Culture of residual sputum from AFB testing was positive for Burkholderia pseudomallei in three patients (2.5%; 95% confidence interval [CI] 0.5–7.3%). We propose that in melioidosis-endemic areas, residual sputum from AFB testing should be routinely cultured for B. pseudomallei.

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