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

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...

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Main Authors:	How, Soon Hin, Tee, Hoi Poh, Ab Rahman, Jamalludin, Shah, Anis, Rathor, Mohammad Yousuf
Format:	Article
Language:	English
Published:	Faculty of Medicine, International Islamic University Malaysia 2005
Subjects:	R Medicine (General)
Online Access:	http://irep.iium.edu.my/29439/ http://irep.iium.edu.my/29439/ http://irep.iium.edu.my/29439/1/Pulmonary_Melioidosis.pdf

id	iium-29439
recordtype	eprints
spelling	iium-294392016-03-10T06:50:04Z http://irep.iium.edu.my/29439/ Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia How, Soon Hin Tee, Hoi Poh Ab Rahman, Jamalludin Shah, Anis Rathor, Mohammad Yousuf R Medicine (General) 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%. Faculty of Medicine, International Islamic University Malaysia 2005-06 Article PeerReviewed application/pdf en http://irep.iium.edu.my/29439/1/Pulmonary_Melioidosis.pdf 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 http://www.eimjm.com/Vol4-No1/Vol4-No1-B16.htm
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) How, Soon Hin Tee, Hoi Poh Ab Rahman, Jamalludin Shah, Anis Rathor, Mohammad Yousuf Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia
description	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%.
format	Article
author	How, Soon Hin Tee, Hoi Poh Ab Rahman, Jamalludin Shah, Anis Rathor, Mohammad Yousuf
author_facet	How, Soon Hin Tee, Hoi Poh Ab Rahman, Jamalludin Shah, Anis Rathor, Mohammad Yousuf
author_sort	How, Soon Hin
title	Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia
title_short	Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia
title_full	Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia
title_fullStr	Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia
title_full_unstemmed	Pulmonary melioidosis: a review of 70 cases from Pahang, Malaysia
title_sort	pulmonary melioidosis: a review of 70 cases from pahang, malaysia
publisher	Faculty of Medicine, International Islamic University Malaysia
publishDate	2005
url	http://irep.iium.edu.my/29439/ http://irep.iium.edu.my/29439/ http://irep.iium.edu.my/29439/1/Pulmonary_Melioidosis.pdf
first_indexed	2023-09-18T20:43:13Z
last_indexed	2023-09-18T20:43:13Z
_version_	1777409503355994112

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

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