DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20150664

PUO with multiple abscesses due to Burkholderia pseudomallei: a case report

Partha Pratim Roy, Abinash Agarwala, Samir Kumar Sarkar, Animesh Mandal

Abstract


Melioidosis is an infectious disease of humans and animals caused by Burkholderia pseudomallei, previously called as Pseudomonas pseudomallei. We reported a case of a 14 year old female patient presented with fever for last 3 months and multiple swellings of joints, misdiagnosed as M.D.R. T.B. But after proper evaluation diagnosed as multiple joint abscess due to Pseudomonas pseudomallei mimiking tuberculosis. Sporadic cases of melioidosis from various parts of South Indiaand Western costal India have been reported, but remained underdiagnosed due to lack of awareness.


Keywords


PUO, Multiple abscesses, Osteomyelitis, Burkholderia pseudomallei, Melioidosis

Full Text:

PDF

References


Whitmore A, Krishnaswami CS. An account of the discovery of a hither - to undescribed infective disease among the population of Rangoon. Indian Med Gaz. 1912;47:262-7.

Dance DAB. Melioidosis: the tip of iceberg? Clin Microb Rev. 1991;4:52-60.

Dias M, Antony B, Aithala S, Hanumanthappa B, Pinto H, Rekha B. Burkholderia pseudomallei septicaemia - a case report. Indian J Med Microbiol. 2004;22(4):266-8.

Vidyalakshmi K, Shrikala B, Bharathi B, Suchitra U. Melioidosis: an under-diagnosed entity in western coastal India: a clinico-microbiological analysis. Indian J Med Microbiol. 2008;25(3):245-8.

Gordon C. Cook, Alimuddin Zumla. Chapter 66. In: Gordon C. Cook, Alimuddin Zumla, eds. Manson’s Tropical diseases. 22nd ed. Philadelphia: Saunders Ltd.; 2008: 1127-1131.

Pandey V, Rao SP, Rao S, Acharya KK, Chhabra SS. Burkholderia pseudomallei musculoskeletal infections (melioidosis) in India. Indian J Orthop. 2010;44(2):216-20.

Cherian T, Jacob John T, Ramakrishna B, Lalitha MK, Raghupathy P. Disseminated melioidosis. Indian Pediatr. 1996;33:403-6.

Centers for Disease Control and Prevention (CDC). Emerging infectious diseases. EID J. 2007;13(2):179.