Melioidosis: The Remarkable Imitator1,2

Abstract
Military personnel returning from Southeast Asia have made imperative an awareness of diseases endemic in that region. Among these is melioidosis, an infectious disease of man and animals caused by the Gram negative bacillus, Pseudomonas pseudomallei. Great variability in its mode of presentation can lead to misdiagnosis, inappropriate therapy, and possibly a disastrous conclusion. The case of melioidosis presented in this report emphasizes a presentation compatible with many other pulmonary diseases, ability of the disease to change rapidly from the more chronic indolent form to that of an acute fulminating process, the pitfalls in early bacteriologic diagnosis, and digital clubbing, a heretofore unreported physical finding in the disease.

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