alexa Acute Low Grade Fever and Atypical Pneumonia in Asians Epidemic Area-Melioidosis is an Unequivocally Important Diagnostic Differential
ISSN: 2168-9784

Journal of Medical Diagnostic Methods
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Case Report

Acute Low Grade Fever and Atypical Pneumonia in Asians Epidemic Area-Melioidosis is an Unequivocally Important Diagnostic Differential

Noraini Sarina Abdullah1, Fathinul Fikri2*and Shahrir Mohamed Said1
1Medical Centre, Hospital Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
2Centre for Diagnostic Nuclear Imaging, Universiti Putra Malaysia, Selangor, Malaysia
Corresponding Author : Fathinul F
Centre for Diagnostic Nuclear Imaging
University Putra Malaysia, UPM Serdang
Serdang, 43400 Selangor, Malaysia
E-mail: [email protected]
Received: July 23, 2015 Accepted: August 03, 2015 Published: August 11, 2015
Citation:Abdullah NS, Fikri F and Said SM (2015) Acute Low Grade Fever and Atypical Pneumonia in Asian’s Epidemic Area-Melioidosis is an Unequivocally Important Diagnostic Differential. J Med Diagn Meth S1:003. doi:10.4172/2168-9784.1000.S1003
Copyright: © 2015 Abdullah NS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits
unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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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 acuteshortness 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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