Pulmonary melioidosis in febrile neutropenia: the rare and deadly duet.
We present the first two fulminant cases of pulmonary melioidosis in febrile neutropenic patients with acute and varied presentations seen in our institution and their fatal outcome. A high index of suspicion coupled with microbiological confirmation can facilitate the administration of the appropriate therapy in cases of melioidosis that differ from other bacterial infections in terms of presentation and the response to antimicrobials.
Mukhopadhyay
C
C
Department of Microbiology, Kasturba Medical College and Hospital, Manipal 576104, India. chiranjay@yahoo.co.in
Chawla
K
K
Vandana
K E
KE
Krishna
S
S
Saravu
K
K
D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology; D016957:Burkholderia pseudomallei / Q000302:isolation & purification*; D002423:Cause of Death; D004359:Drug Therapy, Combination; D017809:Fatal Outcome; D005260:Female; D005334:Fever / Q000150:complications* / Q000209:etiology; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology*; D008297:Male; D008554:Melioidosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D008875:Middle Aged; D009503:Neutropenia / Q000097:blood / Q000150:complications* / Q000188:drug therapy / Q000209:etiology; D013183:Sputum / Q000382:microbiology
D000890:Anti-Infective Agents