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Surgical presentation of melioidosis in India.
Natl Med J India. 1999 Mar-Apr; 12(2):59-61.NM

Abstract

BACKGROUND

Melioidosis, the disease caused by Burkholderia pseudomallei, is common in Southeast Asia. It has also been reported from India, where some investigators feel it is under-diagnosed and under-reported. We report our experience with melioidosis presenting as abscesses at unusual sites.

METHODS

All consecutive patients with culture proven B. pseudomallei, who presented to a single surgical unit between 1995 and 1998, were evaluated.

RESULTS

Three patients presented with splenic abscesses and one with a soft tissue abscess in the neck. One patient developed septicaemia. All patients responded favourably to ceftazidime and/or co-trimoxazole which was started as soon as the diagnosis was confirmed.

CONCLUSION

Melioidosis is under-diagnosed in India, probably due to a low index of suspicion of this disease among clinicians. It should be considered as a possibility when abscesses are encountered at unusual sites. The pus must then be cultured to identify the causative agent.

Authors+Show Affiliations

Christian Medical College, Vellore, Tamil Nadu, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10416320

Citation

Mathew, S, et al. "Surgical Presentation of Melioidosis in India." The National Medical Journal of India, vol. 12, no. 2, 1999, pp. 59-61.
Mathew S, Perakath B, Mathew G, et al. Surgical presentation of melioidosis in India. Natl Med J India. 1999;12(2):59-61.
Mathew, S., Perakath, B., Mathew, G., Sitaram, V., Nair, A., Lalitha, M. K., & John, T. J. (1999). Surgical presentation of melioidosis in India. The National Medical Journal of India, 12(2), 59-61.
Mathew S, et al. Surgical Presentation of Melioidosis in India. Natl Med J India. 1999 Mar-Apr;12(2):59-61. PubMed PMID: 10416320.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical presentation of melioidosis in India. AU - Mathew,S, AU - Perakath,B, AU - Mathew,G, AU - Sitaram,V, AU - Nair,A, AU - Lalitha,M K, AU - John,T J, PY - 1999/7/23/pubmed PY - 1999/7/23/medline PY - 1999/7/23/entrez SP - 59 EP - 61 JF - The National medical journal of India JO - Natl Med J India VL - 12 IS - 2 N2 - BACKGROUND: Melioidosis, the disease caused by Burkholderia pseudomallei, is common in Southeast Asia. It has also been reported from India, where some investigators feel it is under-diagnosed and under-reported. We report our experience with melioidosis presenting as abscesses at unusual sites. METHODS: All consecutive patients with culture proven B. pseudomallei, who presented to a single surgical unit between 1995 and 1998, were evaluated. RESULTS: Three patients presented with splenic abscesses and one with a soft tissue abscess in the neck. One patient developed septicaemia. All patients responded favourably to ceftazidime and/or co-trimoxazole which was started as soon as the diagnosis was confirmed. CONCLUSION: Melioidosis is under-diagnosed in India, probably due to a low index of suspicion of this disease among clinicians. It should be considered as a possibility when abscesses are encountered at unusual sites. The pus must then be cultured to identify the causative agent. SN - 0970-258X UR - https://www.unboundmedicine.com/medline/citation/10416320/Surgical_presentation_of_melioidosis_in_India_ L2 - https://medlineplus.gov/abscess.html DB - PRIME DP - Unbound Medicine ER -