Melioidosis

Case contributed by Dr Paresh K Desai

Presentation

Chest pain.

Patient Data

Age: 45 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

X-ray

Wide right paratracheal stripe. 

CT

Right paratracheal adenopathy.

Case Discussion

Biopsy of this lesion proved it to be melioidosis, which is an infectious disease caused by Burkholderia pseudomallei. 

The lung is the most commonly affected organ. Despite the advent of new diagnostic techniques, chest radiographs are still useful in the diagnosis of melioidosis.

The radiological findings include multiple small pulmonary nodules due to hematogenous spread, and multilobar infiltrations that start at the upper lobes in acute pneumonia, which with rapid progression of disease, may result in cavity or abscess formation

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