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Melioidosis: an uncommon cause of neck abscess.
Am J Otolaryngol. 2008 Jan-Feb; 29(1):72-4.AJ

Abstract

INTRODUCTION

Melioidosis is a life-threatening disease caused by B. pseudomallei. It is endemic in Southeast Asia with a few reports from the Western world. It is transmitted via inhalation, ingestion or direct contact with an open wound. Clinically it may present with local or systemic symptoms. Mortality rate is very high in systemic disease; but local infection is usually mild, which causes delay in seeking medical attention.

CASE REPORT

We report a case of neck melioidosis presenting as a parapharyngeal abscess that was successfully managed with incision and drainage and intravenous ceftazidime and co-trimoxazole for 6 weeks followed by eradication therapy with oral co amoxiclav.

CONCLUSION

Neck melioidosis must be considered one of differential diagnoses for "cold abscesses" of the neck, especially in an endemic area, in Asian migrants, or in those with history of previous visit from the endemic regions.

Authors+Show Affiliations

Department of Otolaryngology, University Malaya Medical Center, University Malaya, Kuala Lumpur. ab_zulkiflee@yahoo.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18061838

Citation

Zulkiflee, Abu Bakar, et al. "Melioidosis: an Uncommon Cause of Neck Abscess." American Journal of Otolaryngology, vol. 29, no. 1, 2008, pp. 72-4.
Zulkiflee AB, Prepageran N, Philip R. Melioidosis: an uncommon cause of neck abscess. Am J Otolaryngol. 2008;29(1):72-4.
Zulkiflee, A. B., Prepageran, N., & Philip, R. (2008). Melioidosis: an uncommon cause of neck abscess. American Journal of Otolaryngology, 29(1), 72-4.
Zulkiflee AB, Prepageran N, Philip R. Melioidosis: an Uncommon Cause of Neck Abscess. Am J Otolaryngol. 2008 Jan-Feb;29(1):72-4. PubMed PMID: 18061838.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Melioidosis: an uncommon cause of neck abscess. AU - Zulkiflee,Abu Bakar, AU - Prepageran,Narayanan, AU - Philip,Rajan, PY - 2007/01/08/received PY - 2007/02/06/accepted PY - 2007/12/7/pubmed PY - 2008/2/8/medline PY - 2007/12/7/entrez SP - 72 EP - 4 JF - American journal of otolaryngology JO - Am J Otolaryngol VL - 29 IS - 1 N2 - INTRODUCTION: Melioidosis is a life-threatening disease caused by B. pseudomallei. It is endemic in Southeast Asia with a few reports from the Western world. It is transmitted via inhalation, ingestion or direct contact with an open wound. Clinically it may present with local or systemic symptoms. Mortality rate is very high in systemic disease; but local infection is usually mild, which causes delay in seeking medical attention. CASE REPORT: We report a case of neck melioidosis presenting as a parapharyngeal abscess that was successfully managed with incision and drainage and intravenous ceftazidime and co-trimoxazole for 6 weeks followed by eradication therapy with oral co amoxiclav. CONCLUSION: Neck melioidosis must be considered one of differential diagnoses for "cold abscesses" of the neck, especially in an endemic area, in Asian migrants, or in those with history of previous visit from the endemic regions. SN - 0196-0709 UR - https://www.unboundmedicine.com/medline/citation/18061838/Melioidosis:_an_uncommon_cause_of_neck_abscess_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0196-0709(07)00026-9 DB - PRIME DP - Unbound Medicine ER -