A traveller presenting with severe melioidosis complicated by a pericardial effusion: a case report
<p>Abstract</p> <p>Background</p> <p><it>Burkholderia pseudomallei</it>, the etiologic agent of melioidosis, is endemic to tropic regions, mainly in Southeast Asia and northern Australia. Melioidosis occurs only sporadically in travellers returning from dise...
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| Format: | Article |
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BMC
2012-10-01
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| Series: | BMC Infectious Diseases |
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| Online Access: | http://www.biomedcentral.com/1471-2334/12/242 |
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| author | Schultze Detlev Müller Brigitt Bruderer Thomas Dollenmaier Günter Riehm Julia M Boggian Katia |
| author_facet | Schultze Detlev Müller Brigitt Bruderer Thomas Dollenmaier Günter Riehm Julia M Boggian Katia |
| author_sort | Schultze Detlev |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p><it>Burkholderia pseudomallei</it>, the etiologic agent of melioidosis, is endemic to tropic regions, mainly in Southeast Asia and northern Australia. Melioidosis occurs only sporadically in travellers returning from disease-endemic areas. Severe clinical disease is seen mostly in patients with alteration of immune status. In particular, pericardial effusion occurs in 1-3% of patients with melioidosis, confined to endemic regions. To our best knowledge, this is the first reported case of melioidosis in a traveller complicated by a hemodynamically significant pericardial effusion without predisposing disease.</p> <p>Case presentation</p> <p>A 44-year-old Caucasian man developed pneumonia, with bilateral pleural effusions and complicated by a hemodynamically significant pericardial effusion, soon after his return from Thailand to Switzerland. Cultures from different specimens including blood cultures turned out negative. Diagnosis was only accomplished by isolation of <it>Burkholderia pseudomallei</it> from the pericardial aspirate, thus finally enabling the adequate antibiotic treatment.</p> <p>Conclusions</p> <p>Melioidosis is a great mimicker and physicians in non-endemic countries should be aware of its varied manifestations. In particular, melioidosis should be considered in differential diagnosis of pericardial effusion in travellers , even without risk factors predisposing to severe disease.</p> |
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| id | doaj.art-67d6c79a076c4bb896b47787059cc98e |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-12-11T20:43:13Z |
| publishDate | 2012-10-01 |
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| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-67d6c79a076c4bb896b47787059cc98e2022-12-22T00:51:26ZengBMCBMC Infectious Diseases1471-23342012-10-0112124210.1186/1471-2334-12-242A traveller presenting with severe melioidosis complicated by a pericardial effusion: a case reportSchultze DetlevMüller BrigittBruderer ThomasDollenmaier GünterRiehm Julia MBoggian Katia<p>Abstract</p> <p>Background</p> <p><it>Burkholderia pseudomallei</it>, the etiologic agent of melioidosis, is endemic to tropic regions, mainly in Southeast Asia and northern Australia. Melioidosis occurs only sporadically in travellers returning from disease-endemic areas. Severe clinical disease is seen mostly in patients with alteration of immune status. In particular, pericardial effusion occurs in 1-3% of patients with melioidosis, confined to endemic regions. To our best knowledge, this is the first reported case of melioidosis in a traveller complicated by a hemodynamically significant pericardial effusion without predisposing disease.</p> <p>Case presentation</p> <p>A 44-year-old Caucasian man developed pneumonia, with bilateral pleural effusions and complicated by a hemodynamically significant pericardial effusion, soon after his return from Thailand to Switzerland. Cultures from different specimens including blood cultures turned out negative. Diagnosis was only accomplished by isolation of <it>Burkholderia pseudomallei</it> from the pericardial aspirate, thus finally enabling the adequate antibiotic treatment.</p> <p>Conclusions</p> <p>Melioidosis is a great mimicker and physicians in non-endemic countries should be aware of its varied manifestations. In particular, melioidosis should be considered in differential diagnosis of pericardial effusion in travellers , even without risk factors predisposing to severe disease.</p>http://www.biomedcentral.com/1471-2334/12/242MelioidosisBurkholderia pseudomalleiPericardial effusionTraveller |
| spellingShingle | Schultze Detlev Müller Brigitt Bruderer Thomas Dollenmaier Günter Riehm Julia M Boggian Katia A traveller presenting with severe melioidosis complicated by a pericardial effusion: a case report BMC Infectious Diseases Melioidosis Burkholderia pseudomallei Pericardial effusion Traveller |
| title | A traveller presenting with severe melioidosis complicated by a pericardial effusion: a case report |
| title_full | A traveller presenting with severe melioidosis complicated by a pericardial effusion: a case report |
| title_fullStr | A traveller presenting with severe melioidosis complicated by a pericardial effusion: a case report |
| title_full_unstemmed | A traveller presenting with severe melioidosis complicated by a pericardial effusion: a case report |
| title_short | A traveller presenting with severe melioidosis complicated by a pericardial effusion: a case report |
| title_sort | traveller presenting with severe melioidosis complicated by a pericardial effusion a case report |
| topic | Melioidosis Burkholderia pseudomallei Pericardial effusion Traveller |
| url | http://www.biomedcentral.com/1471-2334/12/242 |
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