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Endobronchial mass in a patient with Burkholderia pseudomallei infection
1Department of Respiratory & Critical Care Medicine, Singapore General Hospital, Singapore.
Introduction:
Burkholderia pseudomallei infection, the great mimicker of infectious diseases, has protean clinical manifestations.
Clinical Picture:
A 37-year-old man who presented with community-acquired pneumonia affecting the right upper lobe had unremitting fever. Bronchoscopy showed an endobronchial mass in the right upper lobe bronchus.
Treatment:
Intravenous ceftriaxone and oral erythromycin, with empiric antituberculous treatment added later. This was subsequently switched to intravenous ceftazidime and oral doxycycline after the diagnosis was made.
Outcome:
There was resolution of the endobronchial mass.
Conclusion:
This case illustrates a unique and unreported presentation of melioidosis.