Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia
We retrospectively reviewed 70 cases of adult pulmonary melioidosis in Pahang from January 2000 to June 2003. There was a strong association with diabetes mellitus, 82.8% of them were diabetic. Fever was the commonest presentation (96%) followed by cough (75%). 11.8% of patients presented with shock...
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| Format: | Article |
| Language: | English |
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Faculty of Medicine, International Islamic University Malaysia
2005
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| Online Access: | http://irep.iium.edu.my/29439/ http://irep.iium.edu.my/29439/1/Pulmonary_Melioidosis.pdf |
| _version_ | 1848780123533213696 |
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| author | How, Soon Hin Tee, Hoi Poh Ab Rahman, Jamalludin Shah, Anis Rathor, Mohammad Yousuf |
| author_facet | How, Soon Hin Tee, Hoi Poh Ab Rahman, Jamalludin Shah, Anis Rathor, Mohammad Yousuf |
| author_sort | How, Soon Hin |
| building | IIUM Repository |
| collection | Online Access |
| description | We retrospectively reviewed 70 cases of adult pulmonary melioidosis in Pahang from January 2000 to June 2003. There was a strong association with diabetes mellitus, 82.8% of them were diabetic. Fever was the commonest presentation (96%) followed by cough (75%). 11.8% of patients presented with shock of whom 87.5% died within 24 hours. There was no pathognomonic feature on chest radiograph; but multi-lobar involvement was more common. In our series, B.pseudomallei was most commonly sensitive to cefoperazone-sulbactam (100%), imipenem(100%) and ceftazidime (98.6%). Nearly half (51.4%) of our patients received appropriate empirical antibiotics and the mortality was 71%.
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| first_indexed | 2025-11-14T15:28:40Z |
| format | Article |
| id | iium-29439 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T15:28:40Z |
| publishDate | 2005 |
| publisher | Faculty of Medicine, International Islamic University Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-294392016-03-10T06:50:04Z http://irep.iium.edu.my/29439/ Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia How, Soon Hin Tee, Hoi Poh Ab Rahman, Jamalludin Shah, Anis Rathor, Mohammad Yousuf R Medicine (General) We retrospectively reviewed 70 cases of adult pulmonary melioidosis in Pahang from January 2000 to June 2003. There was a strong association with diabetes mellitus, 82.8% of them were diabetic. Fever was the commonest presentation (96%) followed by cough (75%). 11.8% of patients presented with shock of whom 87.5% died within 24 hours. There was no pathognomonic feature on chest radiograph; but multi-lobar involvement was more common. In our series, B.pseudomallei was most commonly sensitive to cefoperazone-sulbactam (100%), imipenem(100%) and ceftazidime (98.6%). Nearly half (51.4%) of our patients received appropriate empirical antibiotics and the mortality was 71%. Faculty of Medicine, International Islamic University Malaysia 2005-06 Article PeerReviewed application/pdf en http://irep.iium.edu.my/29439/1/Pulmonary_Melioidosis.pdf How, Soon Hin and Tee, Hoi Poh and Ab Rahman, Jamalludin and Shah, Anis and Rathor, Mohammad Yousuf (2005) Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia. International Medical Journal Malaysia, 4 (1). (1-7). ISSN 1823-4631 http://www.eimjm.com/Vol4-No1/Vol4-No1-B16.htm |
| spellingShingle | R Medicine (General) How, Soon Hin Tee, Hoi Poh Ab Rahman, Jamalludin Shah, Anis Rathor, Mohammad Yousuf Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia |
| title | Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia |
| title_full | Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia |
| title_fullStr | Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia |
| title_full_unstemmed | Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia |
| title_short | Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia |
| title_sort | pulmonary melioidosis: a review of 70 cases from pahang, malaysia |
| topic | R Medicine (General) |
| url | http://irep.iium.edu.my/29439/ http://irep.iium.edu.my/29439/ http://irep.iium.edu.my/29439/1/Pulmonary_Melioidosis.pdf |