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Simplified Whole Body Plethysmography to Characterize Lung Function During Respiratory Melioidosis
Published on: February 24, 2023
Melioidosis: a case report
Purabi Barman1, Harish Sidhwa, Pinak A Shirkhande
1Super Religare Laboratories Ltd, Fortis Flt. Rajan Dhall Hospital, Vasant Kunj, New Delhi, India.
Abstract:
Burkhloderia pseudomallei has recently gained importance as an emerging pathogen in India. It causes various clinical manifestations like pneumoniae, septicaemia, arthritis, abscess etc. Cases have been reported from Southeast Asia mainly Thailand, Malaysia, Vietnam, etc. In India, few cases have been reported mainly from the southern part of the country. Patient was a 65-year-old male and presented with fever 1 month back, cough and breathlessness for same period, swelling on both ankles from 7 days. B. pseudomallei was isolated from endotracheal secretions, blood cultures, leg wound. He was successfully treated with Imipenem and Doxycycline and put on maintenance therapy now, and is currently doing well.
Insights
Burkholderia pseudomallei is an emerging pathogen in India, causing diverse infections. This case highlights successful treatment of a severe infection with Imipenem and Doxycycline.
Area of Science:
- Medical Microbiology
- Infectious Diseases
Background:
- Burkholderia pseudomallei is an emerging pathogen in India, primarily reported in the southern regions.
- It causes a range of clinical manifestations including pneumonia, septicaemia, arthritis, and abscesses.
Observation:
- A 65-year-old male presented with a month-long history of fever, cough, and breathlessness.
- Swelling in both ankles was noted for seven days prior to presentation.
- The patient had B. pseudomallei isolated from endotracheal secretions, blood cultures, and a leg wound.
Findings:
- The patient was diagnosed with a severe B. pseudomallei infection.
- Successful treatment was achieved using a combination of Imipenem and Doxycycline.
- The patient is currently on maintenance therapy and recovering well.
Implications:
- This case underscores the growing importance of B. pseudomallei in India.
- Prompt diagnosis and appropriate antibiotic therapy are crucial for favorable outcomes.
- Further surveillance and research are needed to understand the epidemiology and management of melioidosis in India.
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