Acute low grade fever and atypical pneumonia in Asian’s epidemic area-melioidosis is an unequivocally important diagnostic differential

Background: High grade fever and atypical pneumonia in a susceptible Asian epidemic area could construe fatal consequences attributable to specific prevalence factitious organism: i.e Bukholderia pseudomallei. Case report: A 59 years old Indonesian man with predisposing factors of meliodosis i...

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Main Authors: Abdullah, Noraini Sarina, Ahmad Saad, Fathinul Fikri, Mohamed Said, Shahrir
Format: Article
Language:English
Published: OMICS International 2015
Online Access:http://psasir.upm.edu.my/id/eprint/43654/
http://psasir.upm.edu.my/id/eprint/43654/1/Acute%20low%20grade%20fever%20and%20atypical%20pneumonia%20in%20Asian%E2%80%99s%20epidemic%20area-.pdf
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author Abdullah, Noraini Sarina
Ahmad Saad, Fathinul Fikri
Mohamed Said, Shahrir
author_facet Abdullah, Noraini Sarina
Ahmad Saad, Fathinul Fikri
Mohamed Said, Shahrir
author_sort Abdullah, Noraini Sarina
building UPM Institutional Repository
collection Online Access
description Background: High grade fever and atypical pneumonia in a susceptible Asian epidemic area could construe fatal consequences attributable to specific prevalence factitious organism: i.e Bukholderia pseudomallei. Case report: A 59 years old Indonesian man with predisposing factors of meliodosis initially presented with acute shortness of breath and severe frontal headache associated in Emergency Department of Hospital Teluk Intan, Malaysia. He had history of prolonged low grade fever and non-productive cough for 5 days. Methods/Results: Culture and sensitivity test for blood and pleural fluid were negative for pathogenic organism. The specific tests for tuberculosis were non-reactive for Tuberculos bacilli. The specific oxidase-negative culture and sensitivity for psedomonas was positive after day 3 of hospitalisation and the IGM-ELISA titre antibody level for meliodosis was positive. The patient was well responded to immediate treatment and was discharged for a regular outpatient follow-up for eradication therapy. Conclusion: This case report documents the potential symptoms associated with atypical pneumonia in recognising Meliodosis in an epidemic Asian area. Early suspicion may avert untowards fatal consequences and improved the quality of life.
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spelling upm-436542016-08-08T04:19:22Z http://psasir.upm.edu.my/id/eprint/43654/ Acute low grade fever and atypical pneumonia in Asian’s epidemic area-melioidosis is an unequivocally important diagnostic differential Abdullah, Noraini Sarina Ahmad Saad, Fathinul Fikri Mohamed Said, Shahrir Background: High grade fever and atypical pneumonia in a susceptible Asian epidemic area could construe fatal consequences attributable to specific prevalence factitious organism: i.e Bukholderia pseudomallei. Case report: A 59 years old Indonesian man with predisposing factors of meliodosis initially presented with acute shortness of breath and severe frontal headache associated in Emergency Department of Hospital Teluk Intan, Malaysia. He had history of prolonged low grade fever and non-productive cough for 5 days. Methods/Results: Culture and sensitivity test for blood and pleural fluid were negative for pathogenic organism. The specific tests for tuberculosis were non-reactive for Tuberculos bacilli. The specific oxidase-negative culture and sensitivity for psedomonas was positive after day 3 of hospitalisation and the IGM-ELISA titre antibody level for meliodosis was positive. The patient was well responded to immediate treatment and was discharged for a regular outpatient follow-up for eradication therapy. Conclusion: This case report documents the potential symptoms associated with atypical pneumonia in recognising Meliodosis in an epidemic Asian area. Early suspicion may avert untowards fatal consequences and improved the quality of life. OMICS International 2015 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/43654/1/Acute%20low%20grade%20fever%20and%20atypical%20pneumonia%20in%20Asian%E2%80%99s%20epidemic%20area-.pdf Abdullah, Noraini Sarina and Ahmad Saad, Fathinul Fikri and Mohamed Said, Shahrir (2015) Acute low grade fever and atypical pneumonia in Asian’s epidemic area-melioidosis is an unequivocally important diagnostic differential. Journal of Medical Diagnostic Methods, S1 (1). pp. 1-3. ISSN 2168-9784 http://www.omicsgroup.org/journals/acute-low-grade-fever-and-atypical-pneumonia-in-asians-epidemic-areamelioidosis-is-an-unequivocally-important-diagnostic-differential-2168-9784-1000S1003.pdf 10.4172/2168-9784.1000.S1003
spellingShingle Abdullah, Noraini Sarina
Ahmad Saad, Fathinul Fikri
Mohamed Said, Shahrir
Acute low grade fever and atypical pneumonia in Asian’s epidemic area-melioidosis is an unequivocally important diagnostic differential
title Acute low grade fever and atypical pneumonia in Asian’s epidemic area-melioidosis is an unequivocally important diagnostic differential
title_full Acute low grade fever and atypical pneumonia in Asian’s epidemic area-melioidosis is an unequivocally important diagnostic differential
title_fullStr Acute low grade fever and atypical pneumonia in Asian’s epidemic area-melioidosis is an unequivocally important diagnostic differential
title_full_unstemmed Acute low grade fever and atypical pneumonia in Asian’s epidemic area-melioidosis is an unequivocally important diagnostic differential
title_short Acute low grade fever and atypical pneumonia in Asian’s epidemic area-melioidosis is an unequivocally important diagnostic differential
title_sort acute low grade fever and atypical pneumonia in asian’s epidemic area-melioidosis is an unequivocally important diagnostic differential
url http://psasir.upm.edu.my/id/eprint/43654/
http://psasir.upm.edu.my/id/eprint/43654/
http://psasir.upm.edu.my/id/eprint/43654/
http://psasir.upm.edu.my/id/eprint/43654/1/Acute%20low%20grade%20fever%20and%20atypical%20pneumonia%20in%20Asian%E2%80%99s%20epidemic%20area-.pdf