Author/Authors :
Alavi Darazam ، Ilad نويسنده Mycobacteriology Research Center, NRITLD, Shahid Beheshti University M.C., TEHRAN- IRAN. , , Kiani، Arda نويسنده Tracheal Disease Research Center,NRITLD, Shahid Beheshti University M.C., TEHRAN-IRAN. , , Ghasemi، Shahin نويسنده Tehran University of Medical Sciences , , Sadeghi، Hosein نويسنده Erfan General Hospital, Tehran- Iran. , , Alavi، Farhad نويسنده Erfan General Hospital, Tehran- Iran , , Moosavi، Mohammad Jafar نويسنده Erfan General Hospital, Tehran- Iran , , Akbari، Asghar نويسنده Erfan General Hospital, Tehran- Iran. , , Shahidi، Mojtaba نويسنده Erfan General Hospital, Tehran- Iran. , , Jalali، Mehran نويسنده Erfan General Hospital, Tehran- Iran. , , Pourfarziani، Vahid نويسنده , , Saba، Hossein نويسنده Erfan General Hospital, Tehran- Iran. , , Nazari، Shahram نويسنده , , Mohammadi، Forozan نويسنده , , Mansouri، Seyed-Davood نويسنده ,
Abstract :
In the modern world, with developed traveling facilities, tourism is an
important factor in emerging new infectious diseases in non-endemic areas.
Therefore, the epidemiology of infections is a considerable issue for physicians
and should be taken into account.
We report a case of melioidosis in a 69-year-old Iranian man during his trip to
Southeast Asia.
On admission, he was febrile with tachycardia and tachypnea and had diabetes
mellitus and hypertension since eleven years ago.
Bronchoscopy and bronchoalveolar lavage (BAL) were performed. Blood and
BAL cultures revealed heavy growth of Burkholderia pseudomallei.
According to the aforementioned culture results, the patient was treated with
meropenem and TMP-SMX, while other antibiotics were discontinued.
After 3 weeks, the patient was discharged with stable status and normal
pulmonary function; and eradication therapy with TMP-SMX continued for
about 3 months. The control lung CT scan after one month demonstrated
significant improvement
