{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:21:18Z","timestamp":1785406878691,"version":"3.56.0"},"reference-count":13,"publisher":"American Society for Microbiology","issue":"5","license":[{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["ASM Case Rep"],"published-print":{"date-parts":[[2025,9,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:sec>\n                      <jats:title>Background<\/jats:title>\n                      <jats:p>\n                        Melioidosis, caused by\n                        <jats:italic toggle=\"yes\">Burkholderia pseudomallei<\/jats:italic>\n                        , is often misdiagnosed due to its clinical similarity with tuberculosis and broad-spectrum clinical manifestations. The infection is particularly prevalent in endemic areas, and a high index of suspicion is required for timely diagnosis and treatment.\n                      <\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>Case Summary<\/jats:title>\n                      <jats:p>\n                        We report a 50-year-old male construction worker from central India initially diagnosed with presumptive smear-negative tubercular lymphadenitis. Despite anti-tuberculosis treatment, his condition worsened, prompting further investigation. Culture and biochemical tests identified\n                        <jats:italic toggle=\"yes\">B. pseudomallei<\/jats:italic>\n                        , confirming melioidosis. The patient was started on intravenous ceftazidime and later transitioned to oral cotrimoxazole. He showed significant clinical improvement after treatment.\n                      <\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>Conclusion<\/jats:title>\n                      <jats:p>This case underscores the importance of considering melioidosis in the differential diagnosis of patients with lymphadenitis, particularly in areas where the pathogen is endemic. Timely identification and appropriate treatment are crucial for effective management. Heightened awareness of melioidosis is essential to avoid misdiagnosis and ensure optimal outcomes for patients.<\/jats:p>\n                    <\/jats:sec>\n                  <\/jats:sec>","DOI":"10.1128\/asmcr.00018-25","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T13:00:28Z","timestamp":1753966828000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":0,"title":["The need for vigilance: melioidosis mimicking tuberculosis"],"prefix":"10.1128","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7769-5918","authenticated-orcid":false,"given":"Sushree","family":"Sarathi","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ys8pq62","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Microbiology, All India Institute of Medical Sciences","place":["Raipur, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pragya","family":"Agarwala","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ys8pq62","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Microbiology, All India Institute of Medical Sciences","place":["Raipur, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7497-5113","authenticated-orcid":true,"given":"Padma","family":"Das","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ys8pq62","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Microbiology, All India Institute of Medical Sciences","place":["Raipur, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay R.","family":"Pandit","sequence":"additional","affiliation":[{"name":"Department of General Medicine, All India Institute of Medical Sciences","place":["Raipur, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"235","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2017.107"},{"key":"e_1_3_1_3_2","volume-title":"Mandell Douglas and Bennet\u2019s principles and practice of infectious diseases","author":"Mandell GL","year":"2005","unstructured":"Mandell GL, Bennett JE, Dolin RD. 2005. Mandell Douglas and Bennet\u2019s principles and practice of infectious diseases. 6th ed. 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