title: Melioidosis: It is not Far from here.
abstract: In the modern world, with developed traveling facilities, tourism is an important factor in emerging new infectious diseases in non-endemic areas. Therefore, the epidemiology of infections is a considerable issue for physicians and should be taken into account. We report a case of melioidosis in a 69-year-old Iranian man during his trip to Southeast Asia. On admission, he was febrile with tachycardia and tachypnea and had diabetes mellitus and hypertension since eleven years ago. Bronchoscopy and bronchoalveolar lavage (BAL) were performed. Blood and BAL cultures revealed heavy growth of Burkholderia pseudomallei. According to the aforementioned culture results, the patient was treated with meropenem and TMP-SMX, while other antibiotics were discontinued. After 3 weeks, the patient was discharged with stable status and normal pulmonary function; and eradication therapy with TMP-SMX continued for about 3 months. The control lung CT scan after one month demonstrated significant improvement.
authors.affiliation: Chronic Respiratory Disease Research Center, Tehran-Iran ; Clinical Tuberculosis and Epidemiology Research Center, NRITLD, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran-Iran.
authors.forename: Ilad Alavi
authors.initials: IA
authors.lastname: Darazam
authors.affiliation: Chronic Respiratory Disease Research Center, Tehran-Iran.
authors.forename: Arda
authors.initials: A
authors.lastname: Kiani
authors.affiliation: Tehran University of Medical Sciences, Tehran-Iran ; Erfan General Hospital, Tehran-Iran.
authors.forename: Shahin
authors.initials: S
authors.lastname: Ghasemi
authors.affiliation: Erfan General Hospital, Tehran-Iran.
authors.forename: Hosein
authors.initials: H
authors.lastname: Sadeghi
authors.affiliation: Erfan General Hospital, Tehran-Iran.
authors.forename: Farhad
authors.initials: F
authors.lastname: Alavi
authors.affiliation: Erfan General Hospital, Tehran-Iran.
authors.forename: Mohammad Jafar
authors.initials: MJ
authors.lastname: Moosavi
authors.affiliation: Erfan General Hospital, Tehran-Iran.
authors.forename: Asghar
authors.initials: A
authors.lastname: Akbari
authors.affiliation: Erfan General Hospital, Tehran-Iran.
authors.forename: Mojtaba
authors.initials: M
authors.lastname: Shahidi
authors.affiliation: Erfan General Hospital, Tehran-Iran.
authors.forename: Mehran
authors.initials: M
authors.lastname: Jalali
authors.affiliation: Erfan General Hospital, Tehran-Iran.
authors.forename: Vahid
authors.initials: V
authors.lastname: Pourfarziani
authors.affiliation: Erfan General Hospital, Tehran-Iran.
authors.forename: Hossein
authors.initials: H
authors.lastname: Saba
authors.affiliation: Erfan General Hospital, Tehran-Iran.
authors.forename: Shahram
authors.initials: S
authors.lastname: Nazari
authors.affiliation: Chronic Respiratory Disease Research Center, Tehran-Iran.
authors.forename: Forozan
authors.initials: F
authors.lastname: Mohammadi
authors.affiliation: Clinical Tuberculosis and Epidemiology Research Center, NRITLD, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran-Iran ; Erfan General Hospital, Tehran-Iran.
authors.forename: Seyed Davood
authors.initials: SD
authors.lastname: Mansouri
keywords: Burkholderia pseudomallei; Infection; Meloiodosis