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Infected aneurysm after returning from Southeast Asia: think Burkholderia pseudomallei!
BMJ Case Rep. 2019 May 22; 12(5)BC

Abstract

Melioidosis is a protean disease which is endemic to Southeast Asia and northern Australia. Here, we report a case of infected aortic aneurysm due to Burkholderia pseudomallei in an immunocompetent man 6 months after a trip to northern Malaysia. This patient initially received inappropriate surgical and antibiotic treatment, leading to a peri-prosthetic aortic infection with lumbar spondylitis and contiguous psoas muscle abscess. This case highlights the difficulty of diagnosing melioidosis given its diverse clinical manifestations and the limits of routine microbiological methods to identify B. pseudomallei Melioidosis should be considered a possible diagnosis in individuals with unexplained fever subsequent to travel in an endemic area.

Authors+Show Affiliations

Infectious Diseases Department, François Mitterrand Teaching Hospital, Dijon, France.Laboratory of Bacteriology, François Mitterrand Teaching Hospital, Dijon, France.Infectious Diseases Department, François Mitterrand Teaching Hospital, Dijon, France.Infectious Diseases Department, François Mitterrand Teaching Hospital, Dijon, France. Université Bourgogne Franche-Comté, INSERM, LNC UMR 1231, LipSTIC LabEx, Dijon, France.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

31122956

Citation

Auvens, Clément, et al. "Infected Aneurysm After Returning From Southeast Asia: Think Burkholderia Pseudomallei!" BMJ Case Reports, vol. 12, no. 5, 2019.
Auvens C, Neuwirth C, Piroth L, et al. Infected aneurysm after returning from Southeast Asia: think Burkholderia pseudomallei! BMJ Case Rep. 2019;12(5).
Auvens, C., Neuwirth, C., Piroth, L., & Blot, M. (2019). Infected aneurysm after returning from Southeast Asia: think Burkholderia pseudomallei! BMJ Case Reports, 12(5). https://doi.org/10.1136/bcr-2018-228856
Auvens C, et al. Infected Aneurysm After Returning From Southeast Asia: Think Burkholderia Pseudomallei. BMJ Case Rep. 2019 May 22;12(5) PubMed PMID: 31122956.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Infected aneurysm after returning from Southeast Asia: think Burkholderia pseudomallei! AU - Auvens,Clément, AU - Neuwirth,Catherine, AU - Piroth,Lionel, AU - Blot,Mathieu, Y1 - 2019/05/22/ PY - 2019/5/25/entrez PY - 2019/5/28/pubmed PY - 2019/12/18/medline KW - bone and joint infections KW - cardiovascular system KW - infections KW - tropical medicine (infectious disease) KW - urinary tract infections JF - BMJ case reports JO - BMJ Case Rep VL - 12 IS - 5 N2 - Melioidosis is a protean disease which is endemic to Southeast Asia and northern Australia. Here, we report a case of infected aortic aneurysm due to Burkholderia pseudomallei in an immunocompetent man 6 months after a trip to northern Malaysia. This patient initially received inappropriate surgical and antibiotic treatment, leading to a peri-prosthetic aortic infection with lumbar spondylitis and contiguous psoas muscle abscess. This case highlights the difficulty of diagnosing melioidosis given its diverse clinical manifestations and the limits of routine microbiological methods to identify B. pseudomallei Melioidosis should be considered a possible diagnosis in individuals with unexplained fever subsequent to travel in an endemic area. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/31122956/Infected_aneurysm_after_returning_from_Southeast_Asia:_think_Burkholderia_pseudomallei L2 - https://casereports.bmj.com/lookup/pmidlookup?view=long&pmid=31122956 DB - PRIME DP - Unbound Medicine ER -