open access

Vol 84, No 2 (2016)
CASE REPORTS
Submitted: 2016-03-23
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A case of systemic melioidosis: unravelling the etiology of chronic unexplained fever with multiple presentations

Srujana Mohanty, Gourahari Pradhan, Manoj Kumar Panigrahi, Prasanta Raghab Mohapatra, Baijayantimala Mishra
DOI: 10.5603/PiAP.2016.0012
·
Pneumonol Alergol Pol 2016;84(2):121-125.

open access

Vol 84, No 2 (2016)
CASE REPORTS
Submitted: 2016-03-23

Abstract

Melioidosis, caused by the environmental saprophyte, Burkholderia pseudomallei, is an important public health problem in Southeast Asia and Northern Australia. It is being increasingly reported from other parts, including India, China, and North and South America expanding the endemic zone of the disease. We report a case of systemic melioidosis in a 58-year-old diabetic, occupationally-unexposed male patient, who presented with chronic fever, sepsis, pneumonia, pleural effusion and subcutaneous abscess, was undiagnosed for long, misidentified as Pseudomonas aeruginosa infection elsewhere, but was saved due to correct identification of the etiologic agent and timely institution of appropriate therapy at our institute. A strong clinical and microbiological suspicion for melioidosis should be considered in the differential diagnosis of acute pyrexia of unknown origin, acute respiratory distress syndrome and acute onset of sepsis, especially in the tropics.

Abstract

Melioidosis, caused by the environmental saprophyte, Burkholderia pseudomallei, is an important public health problem in Southeast Asia and Northern Australia. It is being increasingly reported from other parts, including India, China, and North and South America expanding the endemic zone of the disease. We report a case of systemic melioidosis in a 58-year-old diabetic, occupationally-unexposed male patient, who presented with chronic fever, sepsis, pneumonia, pleural effusion and subcutaneous abscess, was undiagnosed for long, misidentified as Pseudomonas aeruginosa infection elsewhere, but was saved due to correct identification of the etiologic agent and timely institution of appropriate therapy at our institute. A strong clinical and microbiological suspicion for melioidosis should be considered in the differential diagnosis of acute pyrexia of unknown origin, acute respiratory distress syndrome and acute onset of sepsis, especially in the tropics.

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Keywords

melioidosis, Burkholderia pseudomallei, diabetes mellitus, systemic infection, pleural effusion

About this article
Title

A case of systemic melioidosis: unravelling the etiology of chronic unexplained fever with multiple presentations

Journal

Advances in Respiratory Medicine

Issue

Vol 84, No 2 (2016)

Pages

121-125

DOI

10.5603/PiAP.2016.0012

Bibliographic record

Pneumonol Alergol Pol 2016;84(2):121-125.

Keywords

melioidosis
Burkholderia pseudomallei
diabetes mellitus
systemic infection
pleural effusion

Authors

Srujana Mohanty
Gourahari Pradhan
Manoj Kumar Panigrahi
Prasanta Raghab Mohapatra
Baijayantimala Mishra

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