title: Hidden diagnosis of Tuberculous pleurisy masked by concomitant Pseudomonas oryzihabitans bacteremia.
abstract: The clinical presentations of tuberculous pleurisy are usually nonspecific and have an insidious course, thus resulting in diagnostic challenges. Pseudomonas oryzihabitans is a nonfermenting, oxidase-negative, catalase-positive, Gram-negative bacillus that has rarely been encountered  as a human pathogen. We present the case of a 30-year-old male patient who exhibited intermittent fever despite antibiotic treatment for Pseudomonas oryzihabitans bacteremia for 6 days. Tuberculous pleurisy was finally diagnosed by histopathologic and microbiologic studies. He recovered  after a 2-week antibiotic course and 6-month antituberculosis treatment.
authors.affiliation: Division of Infectious Diseases and Tropical Medicine, National Defense Medical Center, Taipei, Taiwan. lin.deyu@msa.hinet.net
authors.forename: Te-Yu
authors.initials: TY
authors.lastname: Lin
authors.forename: Shih-Wei
authors.initials: SW
authors.lastname: Wu
authors.forename: Gen-Min
authors.initials: GM
authors.lastname: Lin
authors.forename: Yu-Guang
authors.initials: YG
authors.lastname: Chen
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000995:Antitubercular Agents / Q000008:administration & dosage; D016470:Bacteremia / Q000382:microbiology*; D001706:Biopsy; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009169:Mycobacterium tuberculosis / Q000187:drug effects / Q000302:isolation & purification*; D010994:Pleura / Q000382:microbiology / Q000473:pathology; D011552:Pseudomonas Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D016958:Pseudomonas putida / Q000187:drug effects / Q000302:isolation & purification*; D011859:Radiography; D035583:Rare Diseases; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods; D016896:Treatment Outcome; D014396:Tuberculosis, Pleural / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D000995:Antitubercular Agents