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A case of systemic melioidosis: unravelling the etiology of chronic unexplained fever with multiple presentations.
Pneumonol Alergol Pol. 2016; 84(2):121-5.PA

Abstract

Melioidosis, caused by the environmental saprophyte, Burkholderia pseudomallei, is an important public health problem in Southeast Asia and Northern Australia. It is being increasingly reported from other parts, including India, China, and North and South America expanding the endemic zone of the disease. We report a case of systemic melioidosis in a 58-year-old diabetic, occupationally-unexposed male patient, who presented with chronic fever, sepsis, pneumonia, pleural effusion and subcutaneous abscess, was undiagnosed for long, misidentified as Pseudomonas aeruginosa infection elsewhere, but was saved due to correct identification of the etiologic agent and timely institution of appropriate therapy at our institute. A strong clinical and microbiological suspicion for melioidosis should be considered in the differential diagnosis of acute pyrexia of unknown origin, acute respiratory distress syndrome and acute onset of sepsis, especially in the tropics.

Authors+Show Affiliations

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableAll India Institute of Medical Sciences, Bhubaneswar, Odisha, India. bm_mishra@hotmail.com.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27238172

Citation

Mohanty, Srujana, et al. "A Case of Systemic Melioidosis: Unravelling the Etiology of Chronic Unexplained Fever With Multiple Presentations." Pneumonologia I Alergologia Polska, vol. 84, no. 2, 2016, pp. 121-5.
Mohanty S, Pradhan G, Panigrahi MK, et al. A case of systemic melioidosis: unravelling the etiology of chronic unexplained fever with multiple presentations. Pneumonol Alergol Pol. 2016;84(2):121-5.
Mohanty, S., Pradhan, G., Panigrahi, M. K., Mohapatra, P. R., & Mishra, B. (2016). A case of systemic melioidosis: unravelling the etiology of chronic unexplained fever with multiple presentations. Pneumonologia I Alergologia Polska, 84(2), 121-5. https://doi.org/10.5603/PiAP.2016.0012
Mohanty S, et al. A Case of Systemic Melioidosis: Unravelling the Etiology of Chronic Unexplained Fever With Multiple Presentations. Pneumonol Alergol Pol. 2016;84(2):121-5. PubMed PMID: 27238172.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A case of systemic melioidosis: unravelling the etiology of chronic unexplained fever with multiple presentations. AU - Mohanty,Srujana, AU - Pradhan,Gourahari, AU - Panigrahi,Manoj Kumar, AU - Mohapatra,Prasanta Raghab, AU - Mishra,Baijayantimala, PY - 2016/03/23/received PY - 2016/5/31/entrez PY - 2016/5/31/pubmed PY - 2017/4/11/medline KW - Burkholderia pseudomallei KW - diabetes mellitus KW - melioidosis KW - pleural effusion KW - systemic infection SP - 121 EP - 5 JF - Pneumonologia i alergologia polska JO - Pneumonol Alergol Pol VL - 84 IS - 2 N2 - Melioidosis, caused by the environmental saprophyte, Burkholderia pseudomallei, is an important public health problem in Southeast Asia and Northern Australia. It is being increasingly reported from other parts, including India, China, and North and South America expanding the endemic zone of the disease. We report a case of systemic melioidosis in a 58-year-old diabetic, occupationally-unexposed male patient, who presented with chronic fever, sepsis, pneumonia, pleural effusion and subcutaneous abscess, was undiagnosed for long, misidentified as Pseudomonas aeruginosa infection elsewhere, but was saved due to correct identification of the etiologic agent and timely institution of appropriate therapy at our institute. A strong clinical and microbiological suspicion for melioidosis should be considered in the differential diagnosis of acute pyrexia of unknown origin, acute respiratory distress syndrome and acute onset of sepsis, especially in the tropics. SN - 0867-7077 UR - https://www.unboundmedicine.com/medline/citation/27238172/A_case_of_systemic_melioidosis:_unravelling_the_etiology_of_chronic_unexplained_fever_with_multiple_presentations_ L2 - https://journals.viamedica.pl/pneumonologia_i_alergologia_pol/article/view/45214 DB - PRIME DP - Unbound Medicine ER -