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Erschienen in: Forensic Science, Medicine and Pathology 1/2019

06.10.2018 | Images in Forensics

Melioidosis mimicking miliary tuberculosis

verfasst von: Ran Zhi Tan, Faridah Mohd Nor, Swarhib Shafie, Lii Jye Tan

Erschienen in: Forensic Science, Medicine and Pathology | Ausgabe 1/2019

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Abstract

Melioidosis is an infectious disease caused by Burkholderia pseudomallei, a gram-negative intracellular bacillus. Tuberculosis, also an infectious disease, is caused by Mycobacterium tuberculosis, an acid fast bacillus. In both diseases, patients commonly present with fever and respiratory symptoms due to sepsis which might lead to respiratory failure or sudden death if left untreated. Not only are these two entities similar in clinical presentation, but the autopsy findings may mimic each other, giving rise to difficulties in determining the cause of death. We report a case of melioidosis and compare it to a typical case of miliary tuberculosis. Similarities between the cases on gross and histopathological examinations are discussed. In such circumstances, microbiological culture of bodily fluids and internal organs should be performed to ascertain the correct cause of death.
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Metadaten
Titel
Melioidosis mimicking miliary tuberculosis
verfasst von
Ran Zhi Tan
Faridah Mohd Nor
Swarhib Shafie
Lii Jye Tan
Publikationsdatum
06.10.2018
Verlag
Springer US
Erschienen in
Forensic Science, Medicine and Pathology / Ausgabe 1/2019
Print ISSN: 1547-769X
Elektronische ISSN: 1556-2891
DOI
https://doi.org/10.1007/s12024-018-0026-3

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