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Infected aneurysm after returning from Southeast Asia: think Burkholderia pseudomallei !
- Source :
-
BMJ case reports [BMJ Case Rep] 2019 May 22; Vol. 12 (5). Date of Electronic Publication: 2019 May 22. - Publication Year :
- 2019
-
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.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Aneurysm, Infected complications
Aneurysm, Infected diagnostic imaging
Aneurysm, Infected microbiology
Anti-Bacterial Agents therapeutic use
Diagnosis, Differential
Humans
Malaysia
Male
Melioidosis complications
Melioidosis diagnostic imaging
Melioidosis microbiology
Middle Aged
Pyelonephritis complications
Pyelonephritis diagnostic imaging
Pyelonephritis microbiology
Tomography, X-Ray Computed
Aneurysm, Infected diagnosis
Burkholderia pseudomallei isolation & purification
Melioidosis diagnosis
Pyelonephritis diagnosis
Renal Artery
Travel
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 12
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 31122956
- Full Text :
- https://doi.org/10.1136/bcr-2018-228856