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Melioidosis presenting predominantly as thoracic empyema


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:
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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jgid.jgid_211_21

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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    -  Dao-Thi NH
    -  Nguyen-Tiet A
    -  Nguyen-Ho L
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2008 Journal of Global Infectious Diseases | Published by Wolters Kluwer - Medknow
Online since 10th December, 2008