Abstract

The Journal of the Ceylon College of Physicians (JCCP) is a peer-reviewed, open access journal published bi-annually by the Ceylon College of Physicians (CCP) in the last week of June and December.The objective of the Journal is to promote good clinical practice and influence policy making across the medical world through publication of original research and peer reviewed articles on current issues and to foster responsible and balanced debate on issues that affect medicine and health care in Sri Lanka. Contributions to the JCCP reflect its national and multidisciplinary readership and include current thinking across a range of medical specialties.

Highlights

  • Melioidosis is endemic in certain parts of the world, such as Southeast Asia and Northern Australia causing a significant number of community-acquired pneumonia and sepsis.[1,2]

  • Pathological changes seen in pulmonary melioidosis can give rise to varying appearances on chest radiographs

  • Acute pneumonia may manifest as multiple small pulmonary nodules and multi lobar infiltrations starting from the upper lobes

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Summary

Introduction

Melioidosis is endemic in certain parts of the world, such as Southeast Asia and Northern Australia causing a significant number of community-acquired pneumonia and sepsis.[1,2] Melioidosis has protean clinical manifestations due to its ability to affect multiple organs in the body or causing bacteraemia.[3]. A 27-year-old woman was admitted with a four-day history of fever, cough, and shortness of breath She was known to have mild intermittent asthma. An 18-year-old woman with a history of asthma was admitted with severe shortness of breath She had a history of fever, cough and wheezing for 4 days and had been treated at the primary care level with antibiotics. A 60-year-old female farmer with a history of asthma was admitted with a five-day history of fever, cough, and wheezing On admission her temperature was 38.8°C, blood pressure was 100/80mm Hg, heart rate was 96 bpm, respiratory rate was 48 breaths per minute and oxygen saturation was 94% on room air. She recovered completely in three weeks with the antibody titre dropping to 1:80

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