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Melioidosis – a case series from south India

2008; Oxford University Press; Volume: 102; Linguagem: Inglês

10.1016/s0035-9203(08)70006-3

1878-3503

Kavitha Saravu, Satya Vishwanath, Raghu Suresh Kumar, Ananthakrishna Shastry Barkur, George Varghese, Chiranjay Mukhyopadhyay, Indira Bairy,

Burkholderia infections and melioidosis

Melioidosis is sporadically reported from various parts of India. We present a case series from south India, highlighting the varied manifestations of the disease. Seven cases of culture-proven melioidosis are presented in whom Burkholderia pseudomallei were isolated from aspirate or blood. Melioidosis had a varied presentation involving multiple abscesses in the soft tissues, liver, spleen, mediastinum and the subdural space. It presented as either acute fulminant sepsis or followed a chronic indolent course, mimicking tuberculosis. Most cases had predisposing risk factors such as diabetes and chronic alcoholism.