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Simplified Whole Body Plethysmography to Characterize Lung Function During Respiratory Melioidosis
Published on: February 24, 2023
Acute Pneumonia Like Illness and Sepsis in India: Is it Time to Suspect Pulmonary Melioidosis?
Ananyan Sampath1, M Sukumar1, Penuboina Tejaswini1
1General Medicine, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Abstract:
This article describes a case of melioidosis, a severe and potentially fatal disease caused by the Gram-negative bacillus Burkholderia pseudomallei, in a 55-year-old female in India. The disease is endemic in Southeast Asia and Northern Australia. Recently there has been an increased number of cases reported in India. The source of B. pseudomallei in India is thought to be soil and water, with the most common mode of infection being through skin contact. The clinical presentation of melioidosis in India varies greatly, making diagnosis difficult. The case presented here with a history of acute febrile illness and progressive dyspnoea, with clinical worsening leading to intensive care unit (ICU) care. We managed this acute pneumonia-like melioidosis with antibiotics and supportive care which showed rapid recovery at follow-up. This case highlights the need for a high index of suspicion and increased awareness of early diagnosis of melioidosis in the Indian subcontinent to improve the patient.
Insights
Melioidosis, a severe disease caused by Burkholderia pseudomallei, is increasingly reported in India. Early diagnosis and treatment are crucial for patient recovery.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Background:
- Melioidosis is a severe, potentially fatal disease caused by Burkholderia pseudomallei.
- Endemic in Southeast Asia and Northern Australia, with rising cases in India.
- B. pseudomallei is suspected to originate from soil and water in India, with skin contact as the primary infection route.
Observation:
- A 55-year-old female in India presented with acute febrile illness and progressive dyspnea.
- Clinical worsening necessitated intensive care unit (ICU) admission.
- The patient's symptoms mimicked acute pneumonia.
Findings:
- The case was diagnosed as melioidosis, a condition with varied clinical presentations in India, complicating diagnosis.
- Treatment involved antibiotics and supportive care.
- Rapid recovery was observed following treatment.
Implications:
- Highlights the need for increased awareness and a high index of suspicion for melioidosis in the Indian subcontinent.
- Emphasizes the importance of early diagnosis for improving patient outcomes.
- Underscores the diagnostic challenges posed by the varied clinical manifestations of melioidosis in India.
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