{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T06:53:10Z","timestamp":1783407190042,"version":"3.54.6"},"reference-count":13,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,5,5]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>Melioidosis is an endemic infection caused by <jats:italic>Burkholderia pseudomallei<\/jats:italic> predominantly reported in the coastal parts of India. A 19-year-old male student with no comorbidities presented with features suggestive of pneumonia. He was initiated on antitubercular treatment empirically elsewhere. However, due to lack of response to therapy diagnosis was revisited. Microbiological investigations were unyielding initially. Despite antitubercular treatment, he presented with complications of pneumonia and was diagnosed to have melioidosis. He was initiated on appropriate antibiotics for the intensive and eradication phase. Obtaining microbiological confirmation is of utmost importance to prevent misdiagnosis and undue morbidity and mortality due to these uncommon infections.<\/jats:p>","DOI":"10.1136\/bcr-2021-242499","type":"journal-article","created":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T11:56:39Z","timestamp":1621857399000},"page":"e242499","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Case of melioidosis misdiagnosed as pulmonary tuberculosis"],"prefix":"10.1136","volume":"14","author":[{"given":"Chitra","family":"Veluthat","sequence":"first","affiliation":[{"name":"Pulmonary Medicine, St John's National Academy of Health Sciences, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavitha","family":"Venkatnarayan","sequence":"additional","affiliation":[{"name":"Pulmonary Medicine, St John's National Academy of Health Sciences, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyadarshini","family":"Padaki","sequence":"additional","affiliation":[{"name":"Microbiology, St John's National Academy of Health Sciences, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uma Maheswari","family":"Krishnaswamy","sequence":"additional","affiliation":[{"name":"Pulmonary Medicine, St John's National Academy of Health Sciences, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,5,24]]},"reference":[{"key":"2025082710054847000_14.5.e242499.1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu733"},{"key":"2025082710054847000_14.5.e242499.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2012.02.012"},{"key":"2025082710054847000_14.5.e242499.3","doi-asserted-by":"crossref","first-page":"51","DOI":"10.3390\/tropicalmed3020051","article-title":"Melioidosis in South Asia (India, Nepal, Pakistan, Bhutan and Afghanistan)","volume":"3","author":"Mukhopadhyay","year":"2018","journal-title":"Trop Med Infect Dis"},{"key":"2025082710054847000_14.5.e242499.4","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0002072","article-title":"Activities of daily living associated with acquisition of melioidosis in northeast Thailand: a matched case-control study","volume":"7","author":"Limmathurotsakul","year":"2013","journal-title":"PLoS Negl Trop Dis"},{"key":"2025082710054847000_14.5.e242499.5","doi-asserted-by":"publisher","DOI":"10.3201\/eid0912.020750"},{"key":"2025082710054847000_14.5.e242499.6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0000900"},{"key":"2025082710054847000_14.5.e242499.7","doi-asserted-by":"publisher","DOI":"10.1038\/490456a"},{"key":"2025082710054847000_14.5.e242499.8","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1398389"},{"key":"2025082710054847000_14.5.e242499.9","first-page":"1209","article-title":"Tuberculosis mimicked by melioidosis","volume":"12","author":"Vidyalakshmi","year":"2008","journal-title":"Int J Tuberc Lung Dis Off J Int Union Tuberc Lung Dis"},{"key":"2025082710054847000_14.5.e242499.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(08)70012-9"},{"key":"2025082710054847000_14.5.e242499.11","doi-asserted-by":"publisher","DOI":"10.4103\/jgid.jgid_39_17"},{"key":"2025082710054847000_14.5.e242499.12","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0b013e32833fb88c"},{"key":"2025082710054847000_14.5.e242499.13","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0008659","article-title":"2020 review and revision of the 2015 Darwin melioidosis treatment guideline; paradigm drift not shift","volume":"14","author":"Sullivan","year":"2020","journal-title":"PLoS Negl Trop Dis"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-242499","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:05:52Z","timestamp":1756314352000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-242499"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":13,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,24]]},"published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1136\/bcr-2021-242499"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-242499","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}