Pulmonary tuberculosis and melioidosis coinfection in Brunei Darussalam: the importance of awareness and screening
10.5365/wpsar.2022.13.4.957
- Author:
Abdur Rahman Rubel
1
;
Babu Ivan Mani
1
;
Panduru Venkata Kishore
2
;
Vui Heng Chong
1
,
3
Author Information
1. Department of Medicine, Pengiran Muda Mahkota Pengiran Muda Haji Al-Muhtadee Billah Hospital, Tutong, Brunei Darussalam
2. Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei Darussalam
3. Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei Darussalam
- Publication Type:Journal Article
- Keywords:
Mycobacterium tuberculosis, pulmonary tuberculosis, Burkholderia pseudomallei, melioidosis, coinfection
- From:
Western Pacific Surveillance and Response
2022;13(4):43-48
- CountryWHO-WPRO
- Language:English
-
Abstract:
Both tuberculosis (TB) and melioidosis are endemic to certain parts of the world, including Brunei Darussalam, with TB being more widespread. Despite this, coinfection with TB and melioidosis is rarely encountered and reported. Although still uncommon, there has been an increase in the number of cases of this coinfection reported during the past 10 years, all of which have been in India and the World Health Organization’s Western Pacific Region. We report a case of coinfection with pulmonary TB and melioidosis in a patient with poorly controlled diabetes mellitus. This 64-year-old man presented with symptoms and radiological features of pulmonary TB, confirmed by sputum smear, but sputum culture also yielded Burkholderia pseudomallei, the pathogen that causes melioidosis. Coinfection was detected due to our practice of routinely screening for other infections in patients suspected or confirmed to have pulmonary TB. This highlights the importance of awareness of melioidosis and the need to consider screening for infection, especially in endemic regions.
- Full text:2024061713260959658wpsar-13-957.pdf
