Endobronchial mass in a patient with Burkholderia pseudomallei infection.

INTRODUCTION

Burkholderia pseudomallei infection, the great mimicker of infectious diseases, has protean clinical manifestations.

CLINICAL PICTURE: A 37-year-old man who presented with community-acquired pneumonia affecting the right upper lobe had unremitting fever. Bronchoscopy showed an endobronchial mass in the right upper lobe bronchus.

TREATMENT: Intravenous ceftriaxone and oral erythromycin, with empiric antituberculous treatment added later. This was subsequently switched to intravenous ceftazidime and oral doxycycline after the diagnosis was made.

OUTCOME: There was resolution of the endobronchial mass.

CONCLUSION

This case illustrates a unique and unreported presentation of melioidosis.