{"title":"伪装成其他热带病的类鼻疽病:来自三个具有挑战性的病例的诊断教训。","authors":"Ram Arvind Viswanathan, Rangarajan Devanathan, Manokaran Chinnusamy","doi":"10.1177/00494755251384377","DOIUrl":null,"url":null,"abstract":"<p><p>Melioidosis, an infection caused by the Gram-negative bacterium <i>Burkholderia pseudomallei</i>, has earned the nickname 'the great mimicker' owing to its tendency to resemble common infections, often leading to a delayed diagnosis and high mortality. We report three cases where it mimicked scrub typhus, tubercular arthritis, and <i>Klebsiella pneumoniae</i> infection. The diagnosis of melioidosis was achieved by extensive workup; our case series sends the lesson that none should stop and settle for less, but continuously search for the actual pathogen where no adequate response to treatment is perceived.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251384377"},"PeriodicalIF":0.6000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Melioidosis masquerading as other tropical diseases: Diagnostic lessons from three challenging cases.\",\"authors\":\"Ram Arvind Viswanathan, Rangarajan Devanathan, Manokaran Chinnusamy\",\"doi\":\"10.1177/00494755251384377\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Melioidosis, an infection caused by the Gram-negative bacterium <i>Burkholderia pseudomallei</i>, has earned the nickname 'the great mimicker' owing to its tendency to resemble common infections, often leading to a delayed diagnosis and high mortality. We report three cases where it mimicked scrub typhus, tubercular arthritis, and <i>Klebsiella pneumoniae</i> infection. The diagnosis of melioidosis was achieved by extensive workup; our case series sends the lesson that none should stop and settle for less, but continuously search for the actual pathogen where no adequate response to treatment is perceived.</p>\",\"PeriodicalId\":49415,\"journal\":{\"name\":\"Tropical Doctor\",\"volume\":\" \",\"pages\":\"494755251384377\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Tropical Doctor\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00494755251384377\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tropical Doctor","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00494755251384377","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Melioidosis masquerading as other tropical diseases: Diagnostic lessons from three challenging cases.
Melioidosis, an infection caused by the Gram-negative bacterium Burkholderia pseudomallei, has earned the nickname 'the great mimicker' owing to its tendency to resemble common infections, often leading to a delayed diagnosis and high mortality. We report three cases where it mimicked scrub typhus, tubercular arthritis, and Klebsiella pneumoniae infection. The diagnosis of melioidosis was achieved by extensive workup; our case series sends the lesson that none should stop and settle for less, but continuously search for the actual pathogen where no adequate response to treatment is perceived.
期刊介绍:
The only journal written by and for health workers in low and middle-income countries, Tropical Doctor provides medical expertise and practical advice on how to apply current medical knowledge to the special circumstances of LMIC countries. This journal provides an ideal forum for sharing experiences and establishing best practice, aiding communication between medical professionals in different environments.