Cases reported "Melioidosis"

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1/6. melioidosis.

    melioidosis is an infection with the gram-negative bacillus Burkholdria pseudomallei, previous known as pseudomonas pseudomallei. We present a case report of a man with Non-Hodgkin's lymphoma, who after visiting indonesia presented himself with a urosepsis, with positive cultures to B. pseudomallei. melioidosis is endemic in areas of southeast asia and the northern part of australia. infection with the B. pseudomallei has a high mortality rate. diagnosis can be made on the basis of cultures, the bacteria grow on standard media. Treatment should be based up on sensitivity studies. The optimum duration of therapy and choice of antibiotics remain to be determined. Due to the increase in travel, the infection will be seen more frequently in other parts of the world.
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2/6. Relapsing melioidosis as cause of iliac mycotic aneurysm: an indigenous case in taiwan.

    melioidosis, an infectious disease caused by burkholderia pseudomallei, an aerobic gram-negative bacillus, is normally transmitted through skin wounds and contact with infected human beings and animals. Its primary source is rice paddy soil and stagnant water. melioidosis manifesting as an arterial mycotic aneurysm is rare, and, to our knowledge, infected true and false aneurysms of the iliac artery have never been reported. We report the case of a patient without contact with the normal sources of infection in whom an iliac mycotic aneurysm was caused by relapsing melioidosis and treated with an extra-anatomic bypass graft.
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3/6. burkholderia pseudomallei: a case report of a human infection in Ceara, brazil.

    burkholderia pseudomallei has rarely been isolated from environmental and clinical specimens in south america, particularly, in brazil. This report describes a case of melioidosis with fulminant sepsis in a 10 year old boy, from rural area, in Tejucuoca, State of Ceara, brazil. blood samples were positive and, through the analysis of results from biochemical tests and of drugs susceptibility profile, identified this gram-negative bacillus as B. pseudomallei. The contamination source remains obscure in this case, as soil and water tanks samples submitted to microbiological analyses did not indicate the presence of B. pseudomallei.
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4/6. Cutaneous melioidosis in a man who was taken as a prisoner of war by the Japanese during world war ii.

    melioidosis, an infection caused by the gram-negative bacillus burkholderia pseudomallei, is endemic to Southeast asia and Northern australia. Human infection is acquired through contact with contaminated water via percutaneous inoculation. Clinical manifestations range from skin and soft tissue infection to pneumonia with sepsis. We report a case of a man who was taken as a prisoner of war by the Japanese during world war ii who presented with a nonhealing ulcer on his right hand 62 years after the initial exposure.
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5/6. Tropical disease in the immunocompromised host: melioidosis and pythiosis.

    melioidosis is an infection of humans and animals caused by a gram-negative motile bacillus, pseudomonas pseudomallei. Forty-nine patients with melioidosis complicating diabetes mellitus, collagen vascular disorders, leukemia/lymphoma, and other hematologic malignancies are described. Twenty-nine of these patients had disseminated/septicemic infection, two developed toxic shock syndrome, and one with AIDS experienced recrudescent melioidosis. patients with disseminated melioidosis often have a variety of defects in cellular immunity both in vitro and in vivo. In humans with recrudescent melioidosis, cellular immunity can be transferred by a transfer factor and by levamisole, a cellular immunopotentiating agent. The results of the treatment of our patients with disseminated/septicemic melioidosis with antimicrobial agents in combination have been successful. In recent years, four cases of fungal arteritis due to pythium species and one case of keratitis due to pythium were seen. Almost all patients with fungal arteritis had thalassemia; all presented with pain in the lower extremities and gangrenous lesions of the toes. pythium species, an aquatic Phycomycetes, was identified in these cases as a human pathogen on the basis of clinical features, pathologic findings, and--of greatest importance--the isolation of the etiologic fungi. These five cases with remarkably similar presentations exhibited certain similarities with and differences from cases of mucormycosis, entomophthoromycosis, and peniciliosis.
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6/6. melioidosis presenting as epididymo-orchitis.

    We report a rare case of suppurative epididymo-orchitis caused by pseudomonas pseudomallei in a 56-year-old male. This is a gram negative bacillus found mainly in tropical zones. diagnosis was reached by culture of the organisms after drainage of the scrotal abscess, and the patient was treated by a course of oral chloramphenicol 500 mg qid for 6 months.
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