Canadian Medical Association Journal
Volume 131, Issue 11, 1984, Pages 1365-1367

Pleuropulmonary melioidosis in a Cambodian refugee (Article)

Chan C.K. , Hyland R.H. , Leers W.D. , Hutcheon M.A. , Chang D.
  • a Department of Medicine, Wellesley Hospital, University of Toronto, Toronto, Ont. M4Y 1J3, Canada
  • b Department of Medicine, Wellesley Hospital, University of Toronto, Toronto, Ont. M4Y 1J3, Canada
  • c Department of Medicine, Wellesley Hospital, University of Toronto, Toronto, Ont. M4Y 1J3, Canada
  • d [Affiliation not available]
  • e [Affiliation not available]

Abstract

A 47-year-old Cambodian refugee presented with an acute respiratory illness that featured consolidation of the lower lobe of the left lung and progressive involvement of the adjacent pleura caused by Pseudomonas pseudomallei. Initial difficulty in identifying the organism resulted in an inadequate duration of therapy. Chronic pleural disease followed, and the organism became resistant to many antibiotics during therapy. A diagnosis of pleuropulmonary melioidosis should be entertained and the microbiology laboratory alerted when patients with pneumonia who are from endemic areas are encountered, so that a diagnosis can be made early and the appropriate treatment begun.

Author Keywords

[No Keywords available]

Index Keywords

Pleural Diseases Drug Resistance, Microbial tetracycline Respiratory Tract Infections Cambodia ampicillin gentamicin human chloramphenicol melioidosis middle aged priority journal geographic distribution Burkholderia pseudomallei latamoxef tobramycin Humans male case report piperacillin in vitro study penicillin G therapy cotrimoxazole cefotaxime pneumonia Respiratory System antiinfective agent Anti-Bacterial Agents drug therapy
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0021717519&partnerID=40&md5=886ac0693c8d7832c03dc4516ee6b984
ISSN: 08203946
Cited by: 19
Original Language: English