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Pulmonary melioidosis in a patient with diabetes mellitus
  1. Irving Chofnas
  1. Pulmonary Disease Section, Pulmonary Function Laboratory, and Inhalation Therapy Clinic, Veterans Administration Center, Martinsburg, West Virginia 25401, U.S.A.


    A 32-year-old male diabetic developed an acute episode of progressive pulmonary melioidosis while employed in Vietnam. Ketosis and undue glycosuria frequently noted in diabetics with other acute infections were not recognized in this patient. The patient's response to combined and long-term antimicrobials was excellent. This approach to therapy is recommended in acute cases and refractory cases of chronic disease.

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