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Pulmonary melioidosis presenting with right paratracheal mass.

Abstract

A rare case of pulmonary melioidosis is reported. The patient was a 62-year-old man presenting with subacute fever, dry cough, and significant weight loss. A chest x-ray revealed a right paratracheal mass. The findings from fiberoptic bronchoscopy were a blunt carina and normal tracheobronchial tree. The patient had an underlying disease of poorly controlled diabetes mellitus, heavy smoking, and heavy alcoholic drinking. One of the two cultured blood specimens grew B. pseudomallei. The pathological finding of transbronchial biopsy at the apical segment of the right upper lung showed lymphocytic infiltrates. He was treated with two weeks of intravenous ceftazidime plus cotrimoxazole followed by 5 months of oral doxycycline plus cotrimoxazole. Clinical symptoms significantly improved and the right paratracheal mass disappeared.

Authors+Show Affiliations

Department of Medicine, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen, Thailand.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15691141

Citation

Reechaipichitkul, Wipa. "Pulmonary Melioidosis Presenting With Right Paratracheal Mass." The Southeast Asian Journal of Tropical Medicine and Public Health, vol. 35, no. 2, 2004, pp. 384-7.
Reechaipichitkul W. Pulmonary melioidosis presenting with right paratracheal mass. Southeast Asian J Trop Med Public Health. 2004;35(2):384-7.
Reechaipichitkul, W. (2004). Pulmonary melioidosis presenting with right paratracheal mass. The Southeast Asian Journal of Tropical Medicine and Public Health, 35(2), 384-7.
Reechaipichitkul W. Pulmonary Melioidosis Presenting With Right Paratracheal Mass. Southeast Asian J Trop Med Public Health. 2004;35(2):384-7. PubMed PMID: 15691141.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pulmonary melioidosis presenting with right paratracheal mass. A1 - Reechaipichitkul,Wipa, PY - 2005/2/5/pubmed PY - 2005/5/10/medline PY - 2005/2/5/entrez SP - 384 EP - 7 JF - The Southeast Asian journal of tropical medicine and public health JO - Southeast Asian J Trop Med Public Health VL - 35 IS - 2 N2 - A rare case of pulmonary melioidosis is reported. The patient was a 62-year-old man presenting with subacute fever, dry cough, and significant weight loss. A chest x-ray revealed a right paratracheal mass. The findings from fiberoptic bronchoscopy were a blunt carina and normal tracheobronchial tree. The patient had an underlying disease of poorly controlled diabetes mellitus, heavy smoking, and heavy alcoholic drinking. One of the two cultured blood specimens grew B. pseudomallei. The pathological finding of transbronchial biopsy at the apical segment of the right upper lung showed lymphocytic infiltrates. He was treated with two weeks of intravenous ceftazidime plus cotrimoxazole followed by 5 months of oral doxycycline plus cotrimoxazole. Clinical symptoms significantly improved and the right paratracheal mass disappeared. SN - 0125-1562 UR - https://www.unboundmedicine.com/medline/citation/15691141/Pulmonary_melioidosis_presenting_with_right_paratracheal_mass_ DB - PRIME DP - Unbound Medicine ER -