Khoo K L, Cheng S C, Tan Y K
Department of Respiratory & Critical Care Medicine, Singapore General Hospital, Singapore.
Ann Acad Med Singap. 2000 Jan;29(1):108-9.
Burkholderia pseudomallei infection, the great mimicker of infectious diseases, has protean clinical manifestations.
A 37-year-old man who presented with community-acquired pneumonia affecting the right upper lobe had unremitting fever. Bronchoscopy showed an endobronchial mass in the right upper lobe bronchus.
Intravenous ceftriaxone and oral erythromycin, with empiric antituberculous treatment added later. This was subsequently switched to intravenous ceftazidime and oral doxycycline after the diagnosis was made.
There was resolution of the endobronchial mass.
This case illustrates a unique and unreported presentation of melioidosis.
类鼻疽伯克霍尔德菌感染是传染病的“模仿大师”，具有多种多样的临床表现。
一名37岁男性，表现为社区获得性肺炎，累及右上叶，持续发热。支气管镜检查显示右上叶支气管内有肿物。
静脉注射头孢曲松和口服红霉素，随后加用经验性抗结核治疗。确诊后改为静脉注射头孢他啶和口服多西环素。
支气管内肿物消退。
本病例说明了类鼻疽的一种独特且未报道过的表现形式。
