• Resp Care · Feb 2012

    Case Reports

    Hidden diagnosis of Tuberculous pleurisy masked by concomitant Pseudomonas oryzihabitans bacteremia.

    • Te-Yu Lin, Shih-Wei Wu, Gen-Min Lin, and Yu-Guang Chen.
    • Division of Infectious Diseases and Tropical Medicine, National Defense Medical Center, Taipei, Taiwan. lin.deyu@msa.hinet.net
    • Resp Care. 2012 Feb 1;57(2):298-301.

    AbstractThe clinical presentations of tuberculous pleurisy are usually nonspecific and have an insidious course, thus resulting in diagnostic challenges. Pseudomonas oryzihabitans is a nonfermenting, oxidase-negative, catalase-positive, Gram-negative bacillus that has rarely been encountered as a human pathogen. We present the case of a 30-year-old male patient who exhibited intermittent fever despite antibiotic treatment for Pseudomonas oryzihabitans bacteremia for 6 days. Tuberculous pleurisy was finally diagnosed by histopathologic and microbiologic studies. He recovered after a 2-week antibiotic course and 6-month antituberculosis treatment.

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