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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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
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author Suntornsut, Pornpan
Kasemsupat, Kriangsak
Silairatana, Santi
Wongsuvan, Gumphol
Jutrakul, Yaowaruk
Wuthiekanun, Vanaporn
Day, Nicholas P. J.
Peacock, Sharon J.
Limmathurotsakul, Direk
author_facet Suntornsut, Pornpan
Kasemsupat, Kriangsak
Silairatana, Santi
Wongsuvan, Gumphol
Jutrakul, Yaowaruk
Wuthiekanun, Vanaporn
Day, Nicholas P. J.
Peacock, Sharon J.
Limmathurotsakul, Direk
author_sort Suntornsut, Pornpan
collection PubMed
description 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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spelling pubmed-38203472013-11-14 Prevalence of Melioidosis in Patients with Suspected Pulmonary Tuberculosis and Sputum Smear Negative for Acid-Fast Bacilli in Northeast Thailand Suntornsut, Pornpan Kasemsupat, Kriangsak Silairatana, Santi Wongsuvan, Gumphol Jutrakul, Yaowaruk Wuthiekanun, Vanaporn Day, Nicholas P. J. Peacock, Sharon J. Limmathurotsakul, Direk Am J Trop Med Hyg Articles 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. The American Society of Tropical Medicine and Hygiene 2013-11-06 /pmc/articles/PMC3820347/ /pubmed/24062474 http://dx.doi.org/10.4269/ajtmh.13-0286 Text en ©The American Society of Tropical Medicine and Hygiene This is an Open Access article distributed under the terms of the American Society of Tropical Medicine and Hygiene's Re-use License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Articles
Suntornsut, Pornpan
Kasemsupat, Kriangsak
Silairatana, Santi
Wongsuvan, Gumphol
Jutrakul, Yaowaruk
Wuthiekanun, Vanaporn
Day, Nicholas P. J.
Peacock, Sharon J.
Limmathurotsakul, Direk
Prevalence of Melioidosis in Patients with Suspected Pulmonary Tuberculosis and Sputum Smear Negative for Acid-Fast Bacilli in Northeast Thailand
title Prevalence of Melioidosis in Patients with Suspected Pulmonary Tuberculosis and Sputum Smear Negative for Acid-Fast Bacilli in Northeast Thailand
title_full Prevalence of Melioidosis in Patients with Suspected Pulmonary Tuberculosis and Sputum Smear Negative for Acid-Fast Bacilli in Northeast Thailand
title_fullStr Prevalence of Melioidosis in Patients with Suspected Pulmonary Tuberculosis and Sputum Smear Negative for Acid-Fast Bacilli in Northeast Thailand
title_full_unstemmed Prevalence of Melioidosis in Patients with Suspected Pulmonary Tuberculosis and Sputum Smear Negative for Acid-Fast Bacilli in Northeast Thailand
title_short Prevalence of Melioidosis in Patients with Suspected Pulmonary Tuberculosis and Sputum Smear Negative for Acid-Fast Bacilli in Northeast Thailand
title_sort prevalence of melioidosis in patients with suspected pulmonary tuberculosis and sputum smear negative for acid-fast bacilli in northeast thailand
topic Articles
url 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
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