Endobronchial mass in a patient with Burkholderia pseudomallei infection.
BACKGROUND
Burkholderia pseudomallei infection, the great mimicker of infectious diseases, has protean clinical manifestations.


METHODS
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.


METHODS
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.


RESULTS
There was resolution of the endobronchial mass.


CONCLUSIONS
This case illustrates a unique and unreported presentation of melioidosis.
Khoo
K L
KL
Department of Respiratory & Critical Care Medicine, Singapore General Hospital, Singapore.
Cheng
S C
SC
Tan
Y K
YK
D000328:Adult; D000900:Anti-Bacterial Agents; D001982:Bronchial Diseases / Q000175:diagnosis*; D001999:Bronchoscopy; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D006386:Hemagglutination Tests; D006801:Humans; D008297:Male; D008554:Melioidosis / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents