A mimic of bronchogenic carcinoma - pulmonary melioidosis.
Burkholderia pseudomallei
Melioidosis
Pulmonary mass
Journal
Respiratory medicine case reports
ISSN: 2213-0071
Titre abrégé: Respir Med Case Rep
Pays: England
ID NLM: 101604463
Informations de publication
Date de publication:
2020
2020
Historique:
received:
07
12
2019
revised:
19
01
2020
accepted:
24
01
2020
entrez:
7
2
2020
pubmed:
7
2
2020
medline:
7
2
2020
Statut:
epublish
Résumé
We report a case of a patient with pulmonary melioidosis which radiologically mirrored a bronchogenic carcinoma with mediastinal lymphadenopathy. Such findings were observed in a Computed Tomography (CT) scan (Thorax) and Positron Emission Tomography (PET) scan (Body) in a previously healthy 57-year-old man with no significant medical risk factors for melioidosis other than his previous exposures to soil during outfield military training in Thailand, 37 and 28 years ago. He presented with acute symptoms of dry cough, pleuritic pain and fever. A CT Scan thorax revealed a left lower lobe mass with left pleural and pericardial effusion and mediastinal lymph nodes. Similarly, the PET scan showed various fluorodeoxyglucose (FDG)-positron uptake in these areas. However the lung mass biopsy cultured Burkholderia pseudomallei concurrently with a Melioidosis serology titre of >1:1024. He responded to intravenous Meropenem followed by Co-Trimoxazole and Doxycycline over the course of 21 weeks, ultimately leading to the resolution of any significant radiological findings.
Identifiants
pubmed: 32025484
doi: 10.1016/j.rmcr.2020.101006
pii: S2213-0071(19)30395-8
pii: 101006
pmc: PMC6997614
doi:
Types de publication
Case Reports
Langues
eng
Pagination
101006Informations de copyright
© 2020 The Authors.
Déclaration de conflit d'intérêts
The authors do not have any conflict of interests to declare.
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