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Pulmonary melioidosis presenting with pleural effusion: A case report and review of literature
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 ceft...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681969/ https://www.ncbi.nlm.nih.gov/pubmed/26744655 http://dx.doi.org/10.1016/j.rmcr.2015.07.005 |
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author | Soo, Chun Ian Abdul Wahab, Sopian Abdul Hamid, Faisal |
author_facet | Soo, Chun Ian Abdul Wahab, Sopian Abdul Hamid, Faisal |
author_sort | Soo, Chun Ian |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4681969 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-46819692016-01-07 Pulmonary melioidosis presenting with pleural effusion: A case report and review of literature Soo, Chun Ian Abdul Wahab, Sopian Abdul Hamid, Faisal Respir Med Case Rep Case Report 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. Elsevier 2015-07-22 /pmc/articles/PMC4681969/ /pubmed/26744655 http://dx.doi.org/10.1016/j.rmcr.2015.07.005 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Soo, Chun Ian Abdul Wahab, Sopian Abdul Hamid, Faisal Pulmonary melioidosis presenting with pleural effusion: A case report and review of literature |
title | Pulmonary melioidosis presenting with pleural effusion: A case report and review of literature |
title_full | Pulmonary melioidosis presenting with pleural effusion: A case report and review of literature |
title_fullStr | Pulmonary melioidosis presenting with pleural effusion: A case report and review of literature |
title_full_unstemmed | Pulmonary melioidosis presenting with pleural effusion: A case report and review of literature |
title_short | Pulmonary melioidosis presenting with pleural effusion: A case report and review of literature |
title_sort | pulmonary melioidosis presenting with pleural effusion: a case report and review of literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681969/ https://www.ncbi.nlm.nih.gov/pubmed/26744655 http://dx.doi.org/10.1016/j.rmcr.2015.07.005 |
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