Abstract
The clinical presentations of tuberculous pleurisy are usually nonspecific and have an insidious course, thus resulting in diagnostic challenges. Pseudomonas oryzihabitans is a nonfermenting, oxidase-negative, catalase-positive, Gram-negative bacillus that has rarely been encountered as a human pathogen. We present the case of a 30-year-old male patient who exhibited intermittent fever despite antibiotic treatment for Pseudomonas oryzihabitans bacteremia for 6 days. Tuberculous pleurisy was finally diagnosed by histopathologic and microbiologic studies. He recovered after a 2-week antibiotic course and 6-month antituberculosis treatment.
MeSH terms
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Adult
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Anti-Bacterial Agents / administration & dosage
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Antitubercular Agents / administration & dosage
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Bacteremia / microbiology*
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Biopsy
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Diagnosis, Differential
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Humans
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Male
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Mycobacterium tuberculosis / drug effects
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Mycobacterium tuberculosis / isolation & purification*
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Pleura / microbiology
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Pleura / pathology
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Pseudomonas Infections* / complications
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Pseudomonas Infections* / diagnosis
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Pseudomonas Infections* / drug therapy
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Pseudomonas Infections* / microbiology
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Pseudomonas putida / drug effects
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Pseudomonas putida / isolation & purification*
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Radiography
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Rare Diseases
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Thoracic Surgery, Video-Assisted / methods
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Treatment Outcome
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Tuberculosis, Pleural* / complications
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Tuberculosis, Pleural* / diagnostic imaging
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Tuberculosis, Pleural* / drug therapy
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Tuberculosis, Pleural* / microbiology
Substances
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Anti-Bacterial Agents
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Antitubercular Agents