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CASE REPORT
Year : 2021  |  Volume : 14  |  Issue : 3  |  Page : 139-142

Burkholderia pseudomallei infection manifests as mediastinal/hilar lymphadenopathy: A case report


1 Respiratory Medicine, The First Affiliated Hospital of Hainan Medical University; Key Laboratory of Emergency and Trauma of Ministry of Education, Hainan Medical University, Haikou, China
2 Key Laboratory of Tropical Translational Medicine of Ministry of Education, School of Tropical Medicine and Laboratory Medicine, Hainan Medical University, Haikou, China
3 Radiology Department, The First Affiliated Hospital of Hainan Medical University, Haikou, China

Correspondence Address:
Xiang-Dong Zhou
Respiratory Medicine, The First Affiliated Hospital of Hainan Medical University; Key Laboratory of Emergency and Trauma of Ministry of Education, Hainan Medical University, Haikou
China
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Source of Support: This work was supported by the National Natural Science Foundation of China (grant No.: 31660329, 81660010 and 81860001), Conflict of Interest: None


DOI: 10.4103/1995-7645.307535

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Rationale: This case report presents the diagnosis and etiology of hilar/mediastinal lymphadenopathy in a male patient. Patient concerns: A 49-year-old man presented with fever and dyspnea after physical exertion. Diagnosis: The patient was diagnosed with melioidosis by cultivation of lymph node aspirate on blood agar using the VITEK 2 compact system. Interventions: The patient was treated with ceftazidime intravenously, combined with trimethoprim/sulfamethoxazole orally for 1 week. Once the patient was discharged, he began a 12-week course of trimethoprim/sulfamethoxazole. Outcomes: The patient recovered after treatment with ceftazidime and trimethoprim/sulfamethoxazole. Conclusions: Melioidosis is an infectious disease that mainly occurs in tropical regions. It can cause severe sepsis and pneumonia, and the infection in some patients may become chronic. Endobronchial ultrasound-transbronchial needle aspiration is a useful technique in the diagnosis of patients with hilar/mediastinal lymphadenopathy.


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