A 50-year-old man from Myanmar presents to a UK respiratory clinic with chronic cough, low-grade fever, and a cavitating lung lesion. Sputum cultures ...

Question

A 50-year-old man from Myanmar presents to a UK respiratory clinic with chronic cough, low-grade fever, and a cavitating lung lesion. Sputum cultures grow Burkholderia pseudomallei. What is the diagnosis, and what is the recommended treatment?

Accepted Answer

Melioidosis; intravenous meropenem followed by oral co-trimoxazole

Answer

Tuberculosis; standard RIPE regimen

Answer

Lung abscess; intravenous co-amoxiclav

Answer

Nocardiosis; oral co-trimoxazole

Answer

Chronic pulmonary aspergillosis; oral itraconazole

uk-dtmh MCQ (SBA): Melioidosis

A 50-year-old man from Myanmar presents to a UK respiratory clinic with chronic cough, low-grade fever, and a cavitating lung lesion. Sputum cultures grow Burkholderia pseudomallei. What is the diagnosis, and what is the recommended treatment?