Lymphocytic Pleural Effusion in Acute Melioidosis

Autor: Chang-Hung Chen, Bruno Man-Hon Cheung, Kuo-Mou Chung, Deng-Wei Chou
Rok vydání: 2007
Předmět:
Zdroj: Journal of the Formosan Medical Association, Vol 106, Iss 10, Pp 874-877 (2007)
ISSN: 0929-6646
DOI: 10.1016/s0929-6646(08)60055-8
Popis: An endemic outbreak of melioidosis developed in southern Taiwan following a flood caused by a typhoon in July 2005. A total of 27 patients were diagnosed with the acute and indigenous form of pulmonary melioidosis. Parapneumonic pleural effusions were noted on chest X-rays in six patients. Thoracentesis was done in three patients and all revealed lymphocyte predominance in differential cell count. Burkholderia pseudomallei was isolated in the pleural effusion in one of them. All three patients survived after antibiotic treatment. Lymphocytic pleural effusion is generally seen in tuberculosis or malignancy. However, our findings suggest that melioidosis should be considered in the differential diagnosis of lymphocytic pleural effusion.
Databáze: OpenAIRE