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Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia

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

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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%.

Item Type: Article (Journal)
Additional Information: 2987/29439
Uncontrolled Keywords: pulmonary, melioidosis, Burkhoderia pseudomallei, Pahang.
Subjects: R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Community Health & Family Medicine
Kulliyyah of Medicine > Department of Internal Medicine
Depositing User: AP Soon Hin How
Date Deposited: 17 Apr 2013 15:44
Last Modified: 10 Mar 2016 14:50
URI: http://irep.iium.edu.my/id/eprint/29439

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