Empyema thoracis in melioidosis successfully treated with medical therapy

Author: 
Ingrid PL Ting and Sanihah Abdul Halim

Melioidosis is endemic in Asia and it is also a great mimicker. A high index of suspicion is required in making the diagnosis. We reported a case of empyema thoracis secondary to melioidosis which was successfully treated using intravenous ceftazidime for 21 days during intensive phase, followed by maintenance therapy using Co-trimoxazole for 20 weeks. Apart from that, intrapleural streptokinase was used to promote drainage of empyema. Patient recovered well with evidence of resolution of empyema on chest imaging.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2019.3876.19929
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Volume8
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