Melioidosis is caused by an environmental Gram‐negative bacilli Burkholderia pseudomallei. Diabetes mellitus, occupational exposure to soil and water, pre‐existing renal diseases and thalassemia are significant independent risk factors for melioidosis. A 30‐year‐old male carpenter and smoker had a history of accidental aspiration of foreign body 2 months prior. On presentation, he had cough with expectoration and low‐grade intermittent fever for 1 month. His chest x‐ray displayed left lower zone consolidation with cavitation and presence of foreign body in the left lower lobe bronchus. Bronchoalveolar lavage inoculated onto 5% sheep blood agar and MacConkey agar grew B. pseudomallei. Melioidosis due to foreign body aspiration is rare. To the best of our knowledge, there have not been reports of melioidosis infection associated with foreign body inhalation. Hence, pulmonary melioidosis can be considered as a differential diagnosis in cases of foreign body with secondary infection even in immunocompetent host.
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机译：醚类是由环保革兰阴性Bacilli Burkholderia pseudomallei引起的。糖尿病，土壤和水的职业暴露，预先存在的肾病和地中海贫血是融合中的显着独立的危险因素。一个30岁的男性木匠和吸烟者在前2个月内有一个外国体内意外愿望的历史。在介绍时，他咳嗽咳嗽和低级间歇性发烧，1个月。他的胸部X射线显示左下区域合并，左下叶支气管中的外身体积和存在的外身。支气管肺泡灌洗接种到5％绵羊血琼脂和macconkey agar grow b. pseudomallei。由于异物吸入引起的融合化是罕见的。据我们所知，尚未报道与异物吸入相关的融合感染。因此，即使在免疫活性宿主中，肺醚类也可被认为是异物的患情况下的差异诊断。
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