Systemic Melioidosis Presenting as Suppurative Parotitis.

A 3-year-old child was brought with fever, left parotid swelling and altered sensorium. Cultures from blood, pus and throat swab grew Burkholderia pseudomallei. A diagnosis of septicemic melioidosis with encephalopathy was made. She recovered following treatment with parenteral ceftazidime for 14 days, and 6 months of oral co-trimoxazole and amoxycillin- clavulanate. She is doing well on follow-up.