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Acute low grade fever and atypical pneumonia in Asian’s epidemic area-melioidosis is an unequivocally important diagnostic differential


Citation

Abdullah, Noraini Sarina and Ahmad Saad, Fathinul Fikri and Mohamed Said, Shahrir (2015) Acute low grade fever and atypical pneumonia in Asian’s epidemic area-melioidosis is an unequivocally important diagnostic differential. Journal of Medical Diagnostic Methods, S1 (1). pp. 1-3. ISSN 2168-9784

Abstract / Synopsis

Background: High grade fever and atypical pneumonia in a susceptible Asian epidemic area could construe fatal consequences attributable to specific prevalence factitious organism: i.e Bukholderia pseudomallei. Case report: A 59 years old Indonesian man with predisposing factors of meliodosis initially presented with acute shortness of breath and severe frontal headache associated in Emergency Department of Hospital Teluk Intan, Malaysia. He had history of prolonged low grade fever and non-productive cough for 5 days. Methods/Results: Culture and sensitivity test for blood and pleural fluid were negative for pathogenic organism. The specific tests for tuberculosis were non-reactive for Tuberculos bacilli. The specific oxidase-negative culture and sensitivity for psedomonas was positive after day 3 of hospitalisation and the IGM-ELISA titre antibody level for meliodosis was positive. The patient was well responded to immediate treatment and was discharged for a regular outpatient follow-up for eradication therapy. Conclusion: This case report documents the potential symptoms associated with atypical pneumonia in recognising Meliodosis in an epidemic Asian area. Early suspicion may avert untowards fatal consequences and improved the quality of life.


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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: 10.4172/2168-9784.1000.S1003
Publisher: OMICS International
Keywords: Fever; Cough; Melioidosis; Atypical pneumonia; Malaysia; Epidemic; Asian
Depositing User: Mohd Hafiz Che Mahasan
Date Deposited: 08 Aug 2016 12:19
Last Modified: 08 Aug 2016 12:19
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.4172/2168-9784.1000.S1003
URI: http://psasir.upm.edu.my/id/eprint/43654
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