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Melioidosis and tuberculosis: dual pathogens in a neck abscess.
J Laryngol Otol. 2009 Nov; 123(11):1285-7.JL

Abstract

INTRODUCTION

Melioidosis is an infectious disease caused by a saprophytic bacterium, Burkholderia pseudomallei. It is endemic to Southeast Asia and Northern Australia. It may manifest as a pulmonary lesion, osteomyelitis, abscesses in soft tissue and various organs, or as septicaemia.

CASE REPORT

We report a case of a 40-year-old, diabetic man who presented with a neck lump resulting from super-infection of a tuberculosis cavity with B pseudomallei. The patient was successfully managed by drainage along with meticulous excision of the capsule and prolonged antibiotic and anti-tubercular treatment.

DISCUSSION

Melioidosis may be confused diagnostically with tuberculosis, as both diseases are endemic in the same regions. Our patient was unfortunate to suffer from both endemic diseases simultaneously, perhaps representing the first such case in the world literature.

CONCLUSION

Increased awareness of melioidosis is important as, although the organism is easy to culture, it may be dismissed as a contaminant.

Authors+Show Affiliations

Department of ENT and Head and Neck Surgery, Kasturba Medical College, Mangalore, Karnataka State, India. drvijendras@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19154649

Citation

Shenoy, V, et al. "Melioidosis and Tuberculosis: Dual Pathogens in a Neck Abscess." The Journal of Laryngology and Otology, vol. 123, no. 11, 2009, pp. 1285-7.
Shenoy V, Kamath MP, Hegde MC, et al. Melioidosis and tuberculosis: dual pathogens in a neck abscess. J Laryngol Otol. 2009;123(11):1285-7.
Shenoy, V., Kamath, M. P., Hegde, M. C., D'Souza, T., & Mammen, S. S. (2009). Melioidosis and tuberculosis: dual pathogens in a neck abscess. The Journal of Laryngology and Otology, 123(11), 1285-7. https://doi.org/10.1017/S0022215109004460
Shenoy V, et al. Melioidosis and Tuberculosis: Dual Pathogens in a Neck Abscess. J Laryngol Otol. 2009;123(11):1285-7. PubMed PMID: 19154649.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Melioidosis and tuberculosis: dual pathogens in a neck abscess. AU - Shenoy,V, AU - Kamath,M P, AU - Hegde,M C, AU - D'Souza,T, AU - Mammen,S S, Y1 - 2009/01/21/ PY - 2009/1/22/entrez PY - 2009/1/22/pubmed PY - 2010/4/21/medline SP - 1285 EP - 7 JF - The Journal of laryngology and otology JO - J Laryngol Otol VL - 123 IS - 11 N2 - INTRODUCTION: Melioidosis is an infectious disease caused by a saprophytic bacterium, Burkholderia pseudomallei. It is endemic to Southeast Asia and Northern Australia. It may manifest as a pulmonary lesion, osteomyelitis, abscesses in soft tissue and various organs, or as septicaemia. CASE REPORT: We report a case of a 40-year-old, diabetic man who presented with a neck lump resulting from super-infection of a tuberculosis cavity with B pseudomallei. The patient was successfully managed by drainage along with meticulous excision of the capsule and prolonged antibiotic and anti-tubercular treatment. DISCUSSION: Melioidosis may be confused diagnostically with tuberculosis, as both diseases are endemic in the same regions. Our patient was unfortunate to suffer from both endemic diseases simultaneously, perhaps representing the first such case in the world literature. CONCLUSION: Increased awareness of melioidosis is important as, although the organism is easy to culture, it may be dismissed as a contaminant. SN - 1748-5460 UR - https://www.unboundmedicine.com/medline/citation/19154649/Melioidosis_and_tuberculosis:_dual_pathogens_in_a_neck_abscess_ L2 - https://www.cambridge.org/core/product/identifier/S0022215109004460/type/journal_article DB - PRIME DP - Unbound Medicine ER -