Shenoy V, Kamath M P, Hegde M C, D'Souza T, Mammen S S
Department of ENT and Head and Neck Surgery, Kasturba Medical College, Mangalore, Karnataka State, India.
J Laryngol Otol. 2009 Nov;123(11):1285-7. doi: 10.1017/S0022215109004460. Epub 2009 Jan 21.
Melioidosis is an infectious disease caused by a saprophytic bacterium, Burkholderia pseudomallei. It is endemic to Southeast Asia and Northern Australia. It may manifest as a pulmonary lesion, osteomyelitis, abscesses in soft tissue and various organs, or as septicaemia.
We report a case of a 40-year-old, diabetic man who presented with a neck lump resulting from super-infection of a tuberculosis cavity with B pseudomallei. The patient was successfully managed by drainage along with meticulous excision of the capsule and prolonged antibiotic and anti-tubercular treatment.
Melioidosis may be confused diagnostically with tuberculosis, as both diseases are endemic in the same regions. Our patient was unfortunate to suffer from both endemic diseases simultaneously, perhaps representing the first such case in the world literature.
Increased awareness of melioidosis is important as, although the organism is easy to culture, it may be dismissed as a contaminant.
类鼻疽是一种由腐生菌伯克霍尔德菌引起的传染病。它在东南亚和澳大利亚北部地区流行。它可能表现为肺部病变、骨髓炎、软组织和各种器官的脓肿，或败血症。
我们报告一例40岁糖尿病男性患者，其颈部肿块是由结核空洞被伯克霍尔德菌超级感染所致。通过引流、仔细切除包膜以及延长抗生素和抗结核治疗，该患者得到了成功治疗。
类鼻疽在诊断上可能会与结核病混淆，因为这两种疾病在相同地区流行。我们的患者不幸同时患有这两种地方病，这可能是世界文献中首例此类病例。
提高对类鼻疽的认识很重要，因为尽管该病菌易于培养，但它可能会被当作污染物而被忽视。
