Bilateral Pneumothorax-rare Manifestation of Melioidosis
Published: September 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/37171.12057
Allen Aloysius D’silva, Jayasenan Jayannan, Ali Hazan Karnam, Sanjay R Nair, Natarajan Vasanthi
1. Postgraduate Resident, Department of General Medicine, Pondicherry Institute of Medical Sciences, Puducherry, India.
2. Postgraduate Resident, Department of General Medicine, Pondicherry Institute of Medical Sciences, Puducherry, India.
3. Assistant Professor, Department of Emergency Medicine, Pondicherry Institute of Medical Sciences, Puducherry, India.
4. Associate Professor, Department of Cardiothoracic Surgery, Pondicherry Institute of Medical Sciences, Puducherry, India.
5. Associate Professor, Department of General Medicine (Endocrinology), Pondicherry Institute of Medical Sciences, Puducherry, India.
Correspondence
Associate Professor, Department of General Medicine, Kalapet, Kanagachetikulam, Puducherry-605014, India.
E-mail: vasanthikarthi2004@yahoo.co.in
Melioidosis is caused by gram negative bacilli called Burkholderia pseudomallei. It is an infectious threat to southeast Asian population. It predominantly affects the diabetic people who have got exposure to the contaminated soil. As it affects multiple organs, it mimics other disease like-tuberculosis. Here we report an unusual pulmonary manifestation of Burkholderia infection in a diabetic patient. A 46-year-old male presented with neck swelling and bilateral pulmonary nodules with pneumothorax. His blood culture and pus culture from neck swelling confirmed Burkholderia pseudomallei. He was managed with bilateral intercostal drainage, sensitive antibiotics and showed improvement. Melioidosis causing bilateral pneumothorax with nodules and its complete recovery was not reported earlier.
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