PDF icon Download PDF
Open Access
CC BY-NC-ND 4.0 · J Lab Physicians 2015; 7(01): 058-060
DOI: 10.4103/0974-2727.154800
Case Report

Melioidosis as a Cause of Acute Abdomen in Immuno-Competent Male from Eastern India

Tadepalli Karuna
Department of Microbiology, AIIMS, Bhopal, Madhya Pradesh, India
,
Sagar Khadanga
Department of Medicine, AIIMS, Bhopal, Madhya Pradesh, India
,
Dharmendra Dugar
Department of Surgery, Hi-Tech Medical College, Bhubaneswar, Odisha, India
,
Biyanka Sau
Department of Microbiology, Hi-Tech Medical College, Bhubaneswar, Odisha, India
,
Priyadarshini Bhoi
Department of Microbiology, Hi-Tech Medical College, Bhubaneswar, Odisha, India
› Author Affiliations
Source of Support: Nil.
› Further Information
Also available ateRef
 PDF Download Permissions and Reprints
Preview

ABSTRACT

Though melioidosis is rare in India, it has gained importance as one of the most potent emerging infections. In India, the cases have been under-reported because of the lack of awareness. The majority of cases present with multifocal pyogenic infections with septicemia. We present an unusual case of melioidosis presenting as acute intestinal perforation. The organism was ceftazidime resistant, and we successfully treated the case with imipenem and doxycyclin. This case highlights ruling out the possibility of melioidosis in acute abdomen and existence of ceftazidime resistant cases in India.

Key words

Burkholderia pseudomallei - ceftazidime - India - melioidosis


Publication History

Article published online:
19 April 2020

© 2015.

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • REFERENCES

  • 1 Whitmore A. An account of a glanders-like disease occurring in Rangoon. J Hyg (Lond) 1913;13:1-341.
  • 2 Whitmore A, Krishnaswami CS. An account of the discovery of a hitherto underscribed infective disease occurring among the population of Rangoon. Indian Med Gaz 1912;47:262-7.
  • 3 Pitaks D, Chusana S. Orbital infection caused by Burkholderia pseudomallei: A mini review. J Infect Dis Antimicrob Agents 2011;29:99-103.
  • 4 Raghavan KR, Shenoi RP, Zaer F, Aiyer R, Ramamoorthy P, Mehta MN. Melioidosis in India. Indian Pediatr 1991;28:184-8.
  • 5 Gopalakrishnan R, Sureshkumar D, Thirunarayan MA, Ramasubramanian V. Melioidosis: An emerging infection in India. J Assoc Physicians India 2013;61:612-4.
  • 6 Barman P, Sidhwa H, Shirkhande PA. Melioidosis: A case report. J Glob Infect Dis 2011;3:183-6.
  • 7 Wiersinga WJ, Currie BJ, Peacock SJ. Melioidosis. N Engl J Med 2012;367:1035-44.
  • 8 Engelkirk PG, Engelkirk JL. Laboratory Diagnosis of Infectious Diseases Essentials of Diagnostic Microbiology. Philadelphia, USA: Lippincot Williams and Wilkins; 2008. p. 330.
  • 9 Cheng AC, Currie BJ. Melioidosis: Epidemiology, pathophysiology, and management. Clin Microbiol Rev 2005;18:383-416.
  • 10 Anuradha K, Meena AK, Lakshmi V. Isolation of Burkholderia pseudomallei from a case of septicaemia - A case report. Indian J Med Microbiol 2003;21:129-32.
  • 11 Viswaroop BS, Balaji V, Mathai E, Kekre NS. Melioidosis presenting as genitourinary infection in two men with diabetes. J Postgrad Med 2007;53:108-10.
  • 12 Vidyalakshmi K, Shrikala B, Bharathi B, Suchitra U. Melioidosis: An under-diagnosed entity in western coastal India: A clinico-microbiological analysis. Indian J Med Microbiol 2007;25:245-8.
  • 13 Dhodapkar R, Sujatha S, Sivasangeetha K, Prasanth G, Parija SC. Burkholderia pseudomallei infection in a patient with diabetes presenting with multiple splenic abscesses and abscess in the foot: A case report. Cases J 2008;1:224.
  • 14 Navaneethan U, Ramesh Kumar AC, Ravi G. Multiple visceral abscess in a case of melioidosis. Indian J Med Sci 2006;60:68-70.
  • 15 John TJ. Melioidosis, the mimicker of maladies. Indian J Med Res 2004;119:6-8.