Imaging manifestations of pulmonary melioidosis: A case series

Carrillo-Bayona, Jorge Alberto; Alvarado-Benavides, A.M.; Rodríguez, José Yesid; Álvarez-Moreno, Carlos

doi:10.1016/j.rxeng.2022.09.002

Radiología (English Edition)

2022

DOI: 10.1016/j.rxeng.2022.09.002

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Imaging manifestations of pulmonary melioidosis: A case series

Jorge Alberto Carrillo-Bayona

A.M. Alvarado-Benavides²,

José Yesid Rodríguez

et al.

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2024

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Cited by 2 publications

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“…Consolidation lesions accounted for 33.8%, followed by pleural effusions 22.1%. Patchy, interstitial and mediastinal lymphodema lesions accounted for a small proportion.This result was also similar to the Carrillo-Bayona study in which it reported 15 cases of pneumonia caused by Melioidosis, the most common was consolidation lesions followed by patchy lesions, cavity lesions, pleural effusion, and mediastinal lymphadenopathy [7] . Our study showed that lung damages caused by B. pseudomallei were diverse.…”

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confidence: 90%

Epidemiological and Clinical Characteristic of Sepsis Caused by Burkholderia Pseudomallei Infection at National Hospital for Tropical Diseases From 2016 - 2021

Viet

Nguyen

Ngoc

2021

vjid

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Objectives: Describing the epidemiological and clinical characteristics of sepsis caused by Burkholderia pseudomallei infection at the National Hospital for Tropical Diseases.Patients and methods: We did a cross - sectional descriptive analysis of 68 patients, diagnosis of sepsis caused by Burkholderia pseudomallei between January 2016 and July 2021 at the National Hospital for Tropical Diseases.Results and conclusions: The mean age was 52.69 years old, mainly male (82.4%). The patients live mostly in rural areas (89.7%), who are scattered in 19 provinces in North and Central Vietnam concentrated in Ha Tinh, Thanh Hoa, Nghe An, Bac Giang and Ha Noi. The majority of occupation is farming, accounting for 52.9%. The disease mainly occurs in the rainy season from June to November (79.4%). The disease occurs mostly in patients with underlying medical conditions of which the most common is diabetes (57.4%). The duration from symptom onset to hospital admission is mainly over 7 days (75%), max 90 days. Lungs were the most commonly affected organs (63.2%). Abscessmanifestations occurred in multiple organs: lung (2.9%), spleen (20.6%), liver (7.4%), kidney (1.5%), skin (7.4%), muscle (7.4%), brain (5.9%), salivary gland (1.5%). The rate of septic shock was high 20.6%.

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supporting

confidence: 90%

Epidemiological and Clinical Characteristic of Sepsis Caused by Burkholderia Pseudomallei Infection at National Hospital for Tropical Diseases From 2016 - 2021

Viet

Nguyen

Ngoc

2021

vjid

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Medical imaging in melioidosis – 20‐year experience in a non‐endemic Australian city

Earley,

Warne

2024

J Med Imag Rad Onc

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IntroductionMelioidosis may occasionally be encountered in non‐endemic areas and medical imaging is frequently used to identify and characterise sites of disease. The purpose of this study is to describe the spectrum of imaging findings encountered in melioidosis patients treated in the tertiary public hospitals of Perth, Western Australia, between 2002 and 2022.MethodsA database search and electronic medical record review was used to identify cases. Cases were included if they had Burkholderia pseudomallei isolated on culture and if they had at least one diagnostic imaging study performed at a Perth public tertiary hospital. The relevant imaging studies were reviewed, and imaging findings were recorded.ResultsThirty‐six cases were identified. The most common disease manifestation was bacteraemia (72%, 26 cases), followed by pulmonary infection (58%, 21 cases), skin and soft tissue infection (22%, eight cases), prostate abscess (14%, five cases) and septic arthritis (6%, two cases). A previously unreported case of isolated melioid pleural effusion was identified, as was a case of reactivated chronic latent pulmonary melioidosis with an apparent delay of over 20 years between the onset of symptoms and the time of infection. In cases with pulmonary melioidosis, the major lung abnormalities on CT chest could be categorised into one of two distinct patterns: nodular‐predominant (78%) or consolidation‐predominant (22%).ConclusionFurther research is required to assess the utility of the pattern‐based categorisation of lung abnormalities on CT chest seen in the pulmonary melioidosis cases of this series.

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Imaging manifestations of pulmonary melioidosis: A case series

Cited by 2 publications

References 11 publications

Epidemiological and Clinical Characteristic of Sepsis Caused by Burkholderia Pseudomallei Infection at National Hospital for Tropical Diseases From 2016 - 2021

Epidemiological and Clinical Characteristic of Sepsis Caused by Burkholderia Pseudomallei Infection at National Hospital for Tropical Diseases From 2016 - 2021

Medical imaging in melioidosis – 20‐year experience in a non‐endemic Australian city

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