title: An indigenous melioidosis: a case report.
abstract: Melioidosis is a rare but potentially fatal infectious disease in Taiwan, although it has been endemic in Southeast Asia, especially northeast Thailand, and northern Australia. In this article, we report a male diabetes with fulminant pneumonia, and septicemia caused by Burkholderia pseudomallei without traveling abroad before this episode. Productive cough and intermittent chills, high fever for one week, followed by progressively deteriorating dyspnea, shock, disturbed consciousness status were the major presentations. Blood culture grew B. pseudomallei on the fifth admission day. Unfortunately, the patient died on the 9th admission day, despite intensive care and the broad-spectrum antimicrobial regimen used.
authors.affiliation: Department of Internal Medicine, Kaohsiung Medical College, Taiwan, Republic of China.
authors.forename: Y H
authors.initials: YH
authors.lastname: Chen
authors.forename: C F
authors.initials: CF
authors.lastname: Peng
authors.forename: K P
authors.initials: KP
authors.lastname: Hwang
authors.forename: J J
authors.initials: JJ
authors.lastname: Tsai
authors.forename: P L
authors.initials: PL
authors.lastname: Lu
authors.forename: T P
authors.initials: TP
authors.lastname: Chen
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008554:Melioidosis / Q000175:diagnosis* / Q000188:drug therapy