Burkholderia pseudomallei meningitis following inadequate treatment of melioidotic mycotic aneurysm.
نویسندگان
چکیده
We report a 64-year-old man presenting with meningitis caused by Burkholderia pseudomallei predisposed by persistent aortic graft infection following inadequate treatment of a melioidotic mycotic aneurysm. The relapse of melioidosis presenting as acute meningitis is a unique event. Successful treatment of deep-seated melioidosis can only be achieved when robust antimicrobial therapy is combined with appropriate surgical debridement.
منابع مشابه
A case of mycotic aneurysm due to Burkholderia pseudomallei
Burkholderia pseudomallei is an free-living gram-negative bacterium causing melioidosis and is endemic in Southeast Asia. A 56-year-old diabetic construction worker with a 1-month history of abdominal pain and 1-day history of high-grade fever was found to have a left non-dissecting infrarenal mycotic aortic aneurysm by abdominal computerized tomography scan. Bacteriological examination of his ...
متن کاملMycotic aneurysm due to Burkholderia pseudomallei infection: case reports and literature review.
Melioidosis caused by Burkholderia pseudomallei infection is endemic in Southeast Asia and Northern Australia. Cardiovascular complications resulting in mycotic aneurysms are very rare. To our knowledge, there have only been 6 isolated case reports published in the literature to date. We report 6 cases of melioidosis in Singapore that presented as aortic aneurysms.
متن کاملA man with a saccular aneurysm of the left common iliac artery.
Figure 2. Gram stain of a blood culture showing a gram-negative rod with bipolar staining, giving the cell a distinctive " safety pin " appearance (original magnification, ϫ1000). Figure 1. Magnetic resonance angiography showing a mycotic aneu-rysm of the left common iliac artery caused by Burkholderia pseudomallei. Diagnosis: A mycotic aneurysm due to Burkholderia pseudomallei. Laboratory and ...
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Burkholderia pseudomallei is recognized to cause severe and fatal infections. Most of the infections caused by this facultative intracellular gram-negative bacterium are pneumonia, soft tissue, genito-urinary and central nervous system infection. We report an unusual case of primary prostatic abscess complicated by perianal abscess caused by Burkholderia pseudomallei. Melioidosis related anorec...
متن کاملImported melioidosis in France revealed by a cracking abdominal mycotic aortic aneurysm in a 61-year-old man.
DESCRIPTION A Cambodian-born French 61-year-old man with several cardiovascular risk factors (current smoker, dyslipidaemia, diabetes mellitus without renal impairment, excessive alcohol use or iron overload) was admitted 6 months after his last travel in Cambodia during the wet season. The patient complained of subacute abdominal pains, which became recently intense, without fever or diarrhoea...
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ورودعنوان ژورنال:
- Singapore medical journal
دوره 49 9 شماره
صفحات -
تاریخ انتشار 2008