Melioidosis mimicking miliary tuberculosis

Ran Zhi Tan, Faridah Mohd. Nor, Swarhib Shafie, Lii Jye Tan

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish
JournalForensic Science, Medicine, and Pathology
DOIs
Publication statusAccepted/In press - 1 Jan 2018

Fingerprint

Melioidosis
Miliary Tuberculosis
Bacillus
Communicable Diseases
Cause of Death
Burkholderia pseudomallei
Sudden Death
Mycobacterium tuberculosis
Respiratory Insufficiency
Autopsy
Sepsis
Tuberculosis
Fever
Acids

Keywords

  • Burkholderia pseudomallei
  • Forensic
  • Melioidosis
  • Miliary tuberculosis

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

Cite this

Melioidosis mimicking miliary tuberculosis. / Tan, Ran Zhi; Mohd. Nor, Faridah; Shafie, Swarhib; Tan, Lii Jye.

In: Forensic Science, Medicine, and Pathology, 01.01.2018.

Research output: Contribution to journalArticle

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