CASE REPORT |
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Year : 2022 | Volume
: 14
| Issue : 2 | Page : 87-89 |
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Melioidosis presenting predominantly as thoracic empyema
Ngoc-Huyen Dao-Thi1, Au Nguyen-Tiet2, Lam Nguyen-Ho3
1 University Medical Center HCMC, Ho Chi Minh City, Vietnam 2 Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam 3 University Medical Center HCMC; Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City; Respiratory Department, Cho Ray Hospital, Ho Chi Minh City, Vietnam
Correspondence Address:
Dr. Lam Nguyen-Ho Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, 217, Hong Bang, Ward 11, District 5, Ho Chi Minh City, Vietnam
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jgid.jgid_211_21
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Burkholderia pseudomallei has been rarely mentioned as a causative organism of thoracic empyema in previous literature. Here, we reported two cases (a 66-year-old male farmer and a 57-year-old male security guard) presenting with fever and pleuritic chest pain. Their chest computed tomography scans revealed pleural effusion which was frank pus confirmed through thoracentesis. The result of pus culture isolated B. pseudomallei suitable to diagnose melioidosis. These patients were treated successfully with appropriate antibiotics without chest tube drainage. Although uncommon, melioidosis could present exclusively as thoracic empyema.
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