International Islamic University Malaysia, Kulliyyah of Medicine, Department of Family Medicine, Kuantan, Pahang, Malaysia.
Klinik Kesihatan Peramu Jaya, Pekan, Pahang, Malaysia.
Med J Malaysia. 2021 Sep;76(5):734-736.
Pulmonary Tuberculosis (PTB) is an endemic disease in Malaysia and continues to cause great morbidity and mortality. However, the diagnosis and treatment may pose a challenge to the attending physician since other diseases such as melioidosis can mimic tuberculosis. Hence, the final diagnosis should be done thorough history of illness, physical examination, investigations, and interpretation of findings. We present here a case of a 27-year-old man who presented at our primary care clinic with underlying diabetes mellitus whose symptoms were suggestive of PTB, and who was treated with anti-tuberculosis but later his sputum grew culture Burkholderia pseudomallei.
肺结核（PTB）是马来西亚的地方病，仍然导致很大的发病率和死亡率。然而，由于其他疾病，如类鼻疽，可能模仿肺结核，因此诊断和治疗可能对主治医生构成挑战。因此，最终诊断应该通过彻底的病史、体检、检查和对结果的解释来完成。我们在这里介绍一个 27 岁的糖尿病患者，他因疑似肺结核到我们的初级保健诊所就诊，并接受了抗结核治疗，但后来他的痰液培养出了伯克霍尔德菌。
