Surgical presentation of melioidosis in India.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Maladies de la rate
/
Femelle
/
Humains
/
Mâle
/
Ceftazidime
/
Céphalosporines
/
Adulte
/
Abcès
/
Inde
/
Mélioïdose
Type d'étude:
Étude pronostique
Pays comme sujet:
Asie
langue:
Anglais
Année:
1999
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS