Surgical presentation of melioidosis in India.
Article
in English
| IMSEAR
| ID: sea-119561
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.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Splenic Diseases
/
Female
/
Humans
/
Male
/
Ceftazidime
/
Cephalosporins
/
Adult
/
Abscess
/
India
/
Melioidosis
Type of study:
Prognostic study
Country/Region as subject:
Asia
Language:
English
Year:
1999
Type:
Article
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