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ORIGINAL ARTICLE
Year : 2019  |  Volume : 68  |  Issue : 4  |  Page : 584

Chest radiographic finding: a summary on 266 Thai pulmonary melioidosis cases


1 Medical Center, TWS Medical Center, Bangkok, Thailand
2 Department of Community Medicine, Dr DY Patil University, Pune, Maharashtra, India

Date of Submission26-Oct-2018
Date of Acceptance01-Jan-2019
Date of Web Publication8-Nov-2019

Correspondence Address:
PhD Pathum Sookaromdee
Medical Center, TWS Medical Center, Bangkok, 10140
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejcdt.ejcdt_164_18

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  Abstract 


Background Melioidosis is an important bacterial infection that is common in tropical countries.
Methods The authors performed a summarization on the previous report on pulmonary melioidosis cases in Thailand regarding chest radiographic findings.
Results Most of the patients (56.6%) had infiltration in any form. Nevertheless, the noninfiltration lung lesion is also common.
Conclusion The chest radiographic finding in pulmonary melioidosis cases varies, and there is a high possibility that there is no lung infiltration lesion.

Keywords: melioidosis, Pulmonary, radiography


How to cite this article:
Sookaromdee P, Wiwanitkit V. Chest radiographic finding: a summary on 266 Thai pulmonary melioidosis cases. Egypt J Chest Dis Tuberc 2019;68:584

How to cite this URL:
Sookaromdee P, Wiwanitkit V. Chest radiographic finding: a summary on 266 Thai pulmonary melioidosis cases. Egypt J Chest Dis Tuberc [serial online] 2019 [cited 2019 Dec 8];68:584. Available from: http://www.ejcdt.eg.net/text.asp?2019/68/4/584/270517





Melioidosis is an important bacterial infection that is common in tropical countries. In Indochina, an extremely high prevalence of melioidosis is reported. The disease has a wide clinical manifestation. The lung presentation is an important clinical presentation. In this short letter, the authors performed a summarization on the previous report on pulmonary melioidosis cases in Thailand regarding chest radiographic findings. The reported data documented in the publications included in both national (Thai Index Medicus) and international databases (PubMed and Scopus) are summarized. According to the literature assessment, we obtained data on chest radiographic findings of 240 Thai pulmonary melioidosis cases [1],[2]. Of these cases, 67.5% are males and 32.5% are females, with an average age of 53.55 years old. The types of pulmonary melioidosis are acute and subacute/chronic in 137 (57.1%) and 103 (42.9%) cases, respectively. The chest radiographic finding are the detailed in [Table 1]. According to the summary, most of the patients (56.6%) had infiltration in any form. Nevertheless, the noninfiltration lung lesion is also common. Those lesions include lung abscess, pleural effusion, pneumothorax, and hydropneumothorax. The concomitant pericardial effusion is also observed as concomitant finding from chest radiographic in two (0.8%) cases. Based on the present finding, it can be concluded that the chest radiographic finding in pulmonary melioidosis cases varies, and there is a high possibility that there is no lung infiltration lesion. The difficulty in diagnosis of pulmonary meliodosis is usually owing to the lack of awareness of the practitioners who are not familiar with this tropical disease and the variety in chest radiographic finding [3].
Table 1 Chest radiographic finding in pulmonary melioidosis

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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Reechaipichitkul W. Clinical manifestation of pulmonary melioidosis in adults. Southeast Asian J Trop Med Public Health 2004; 35:664–669.  Back to cited text no. 1
    
2.
Mahatthanphak K. Radiologic manifestation of pulmonary melioidosis. Lampang Med J 2009; 30:105–144.  Back to cited text no. 2
    
3.
Muttarak M, Peh WC, Euathrongchit J, Lin SE, Tan AG, Lerttumnongtum P, Sivasomboon C. Spectrum of imaging findings in melioidosis. Br J Radiol 2009; 82:514–521.  Back to cited text no. 3
    



 
 
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