Cases reported "Melioidosis"

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1/13. An indigenous melioidosis: a case report.

    melioidosis is a rare but potentially fatal infectious disease in taiwan, although it has been endemic in Southeast asia, especially northeast thailand, and northern australia. In this article, we report a male diabetes with fulminant pneumonia, and septicemia caused by burkholderia pseudomallei without traveling abroad before this episode. Productive cough and intermittent chills, high fever for one week, followed by progressively deteriorating dyspnea, shock, disturbed consciousness status were the major presentations. blood culture grew B. pseudomallei on the fifth admission day. Unfortunately, the patient died on the 9th admission day, despite intensive care and the broad-spectrum antimicrobial regimen used.
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2/13. Meliodosis presenting as encephalitis.

    Meliodosis is an infectious disease caused by pseudomonas pseudomellei, an organism that is common in South-East asia, the Caribbean and northern australia. In the author's case report the disease presented as an encephalitic illness with fever and epileptic fits in a five-year-old Chinese boy. The case illustrates one of the many forms of this illness. The patient, though very ill, made an excellent recovery. The report discusses the manifestations, diagnosis and management of Meliodosis.
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3/13. Endobronchial mass in a patient with burkholderia pseudomallei infection.

    INTRODUCTION: burkholderia pseudomallei infection, the great mimicker of infectious diseases, has protean clinical manifestations. CLINICAL PICTURE: A 37-year-old man who presented with community-acquired pneumonia affecting the right upper lobe had unremitting fever. bronchoscopy showed an endobronchial mass in the right upper lobe bronchus. TREATMENT: Intravenous ceftriaxone and oral erythromycin, with empiric antituberculous treatment added later. This was subsequently switched to intravenous ceftazidime and oral doxycycline after the diagnosis was made. OUTCOME: There was resolution of the endobronchial mass. CONCLUSION: This case illustrates a unique and unreported presentation of melioidosis.
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4/13. melioidosis--a report from Pondicherry, South india.

    melioidosis is an acute infectious disease caused by a safety-pin-shaped gram-negative bacteria called burkholderia pseudomallei. Here, we report the first case of melioidosis in a middle aged male agricultural worker, from Pondicherry. The isolation of this organism from subcutaneous nodules on the extensor aspect of his limbs underlines the diversity of its clinical presentation. Difficulty in identifying the organism which mimics any other non-fementing gram-negative bacilli (NFGNB) on cursory examination, highlights the importance of identification of NFGNB in endemic areas for specific treatment and prevention.
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5/13. 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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6/13. Disseminated septicaemic melioidosis: an unusual presentation of masticator space infection.

    melioidosis is an infectious disease caused by a saprophytic bacterium, burkholderia pseudomallei. It is endemic to Southeast asia and Northern australia. The spectrum of melioidosis in humans varies from sub-clinical to overwhelming protean manifestations resembling other acute and chronic bacterial infections. Disseminated septicaemia melioidosis presenting as a masticator space infection is reported here. This is germane to those treating diabetic patients with deep neck infections living in, or having visited, areas endemic for B. pseudomallei.
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7/13. A case of nonfatal cutaneous melioidosis.

    melioidosis is a tropical infectious disease caused by the gram-negative bacterium burkholderia pseudomallei. It is endemic in many parts of the world, including Southeast asia, and has a mortality rate of about 45%. We report a case of localized nonfatal cutaneous melioidosis presenting as a persistent ulcer in an otherwise healthy young woman.
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8/13. The neuropathology of melioidosis: two cases and a review of the literature.

    melioidosis is an infectious disease caused by burkholderia pseudomallei and is hyperendemic in the Top End of the northern territory of australia, as well as being widespread throughout tropical south east asia. The infection is primarily acquired via the inoculation of compromised surface tissues by contaminated soils and water and it can cause an acute, rapidly fatal illness. Although pneumonia is the commonest manifestation, neurological presentations have been described, most notably encephalomyelitis. This paper presents the neuropathology of 2 fatal cases of neurological melioidosis and reviews the relevant literature.
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9/13. melioidosis imported into nepal.

    This is a report of the first recognized case of melioidosis in nepal. Illness began 1 month after returning from malaysia after a 1 y stay. The case highlights the importance of ascertaining the travel history in any patient with a suspected infectious disease in this age of global travel.
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10/13. Changing epidemiology of melioidosis? A case of acute pulmonary melioidosis with fatal outcome imported from brazil.

    melioidosis is an infectious disease caused by burkholderia pseudomallei. It is endemic in South East asia and tropical regions of Northern australia. Sporadic cases have been described elsewhere. In this article we present a case of acute pulmonary melioidosis with fatal outcome imported from brazil. The most common pathogen causing severe community-acquired pneumonia in brazil is streptococcus pneumoniae. Other possible pathogens include legionella spp., mycoplasma pneumonia, Gram-negative rods and viruses. There are few reports of melioidosis in the americas. This article represents the second known human case of melioidosis from brazil. Recognition of melioidosis as a possible cause of severe pneumonia, even if a patient has not been travelling in a highly endemic area, is important because of the therapeutic consequences. The epidemiology of melioidosis will be reviewed.
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