Burkholderia pseudomallei infection manifests as mediastinal/hilar lymphadenopathy: A case report

• 作者: Qi Li Qian-Feng Xia Qiong-Fang Sun Xiang-Dong Zhou
• 来源期刊: 亚太热带医药杂志（英文版）
• 年，卷（期）: 2021,（3）
• 所属期刊栏目: Case Report
• 页码范围: 139-142
• 页数: 4页
• 语种: 英文
• DOI: 10.4103/1995-7645.307535

摘要

Rationale: This case report presents the diagnosis and etiology of hilar/mediastinal lymphadenopathy in a male patient.Patient concerns: A 49-year-old man presented with fever and dyspnea after physical exertion. Diagnosis: The patient was diagnosed with melioidosis by cultivation of lymph node aspirate on blood agar using the VITEK 2 compact system. Interventions: The patient was treated with ceftazidime intravenously, combined with trimethoprim/sulfamethoxazole orally for 1 week. Once the patient was discharged, he began a 12-week course of trimethoprim/sulfamethoxazole. Outcomes: The patient recovered after treatment with ceftazidime and trimethoprim/sulfamethoxazole. Conclusions: Melioidosis is an infectious disease that mainly occurs in tropical regions. It can cause severe sepsis and pneumonia, and the infection in some patients may become chronic. Endobronchial ultrasound-transbronchial needle aspiration is a useful technique in the diagnosis of patients with hilar/mediastinal lymphadenopathy.