title: Expect the unexpected: pleuro-pulmonary melioidosis in a renal transplant recipient.
abstract: Melioidosis is an infectious disease endemic in tropical northern Australia and Southeast Asia, and, if treated late or inappropriately, is usually fatal. We report a rare case of pleuro-pulmonary melioidosis with septicemia in a renal transplant recipient to highlight the potential risk of acquiring this infection in at-risk patients living in, or visiting, regions that are endemic for melioidosis, and to convey the importance of its early diagnosis and specific treatment.
authors.affiliation: Department of Nephrology, Division of Medicine, Royal Darwin Hospital, Northern Territory Medical Program, Flinders University, Darwin, Northern Territory, Australia. Zulfikar.Jabbar@nt.gov.au
authors.forename: Z
authors.initials: Z
authors.lastname: Jabbar
authors.forename: T M
authors.initials: TM
authors.lastname: Han
authors.forename: F
authors.initials: F
authors.lastname: Gagan
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001210:Asia, Southeastern; D001315:Australia; D016470:Bacteremia / Q000175:diagnosis* / Q000188:drug therapy; D016957:Burkholderia pseudomallei / Q000302:isolation & purification*; D019353:Endemic Diseases; D005260:Female; D006801:Humans; D007165:Immunosuppression Therapy; D016030:Kidney Transplantation; D008554:Melioidosis / Q000175:diagnosis* / Q000188:drug therapy; D010995:Pleural Diseases / Q000175:diagnosis* / Q000188:drug therapy; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D014195:Travel; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents