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Case of melioidosis misdiagnosed as pulmonary tuberculosis
  1. Chitra Veluthat1,
  2. Kavitha Venkatnarayan1,
  3. Priyadarshini Padaki2 and
  4. Uma Maheswari Krishnaswamy1
  1. 1Pulmonary Medicine, St John's National Academy of Health Sciences, Bangalore, Karnataka, India
  2. 2Microbiology, St John's National Academy of Health Sciences, Bangalore, Karnataka, India
  1. Correspondence to Dr Chitra Veluthat; chitraveluthat{at}


Melioidosis is an endemic infection caused by Burkholderia pseudomallei predominantly reported in the coastal parts of India. A 19-year-old male student with no comorbidities presented with features suggestive of pneumonia. He was initiated on antitubercular treatment empirically elsewhere. However, due to lack of response to therapy diagnosis was revisited. Microbiological investigations were unyielding initially. Despite antitubercular treatment, he presented with complications of pneumonia and was diagnosed to have melioidosis. He was initiated on appropriate antibiotics for the intensive and eradication phase. Obtaining microbiological confirmation is of utmost importance to prevent misdiagnosis and undue morbidity and mortality due to these uncommon infections.

  • infectious diseases
  • TB and other respiratory infections
  • pneumonia (respiratory medicine)

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  • Contributors Planning: KV and CV. Conduct: KV, CV, UMK and PP. Reporting: CV, KV, UMK and PP. Conception and design: CV and KV. Acquisition of data: CV and PP. Editing and revision: KV and UMK.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.