Pulmonary melioidosis presenting with right paratracheal mass.
Southeast Asian J Trop Med Public Health
;
2004 Jun; 35(2): 384-7
Artigo
em Inglês
| IMSEAR
| ID: sea-31762
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.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Tailândia
/
Traqueia
/
Neoplasias Brônquicas
/
Broncoscopia
/
Humanos
/
Masculino
/
Ceftazidima
/
Combinação Trimetoprima e Sulfametoxazol
/
Burkholderia pseudomallei
/
Diabetes Mellitus
Tipo de estudo:
Estudo diagnóstico
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Southeast Asian J Trop Med Public Health
Ano de publicação:
2004
Tipo de documento:
Artigo
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