Melioidosis: Truly Uncommon or Uncommonly Diagnosed in Bangladesh? A CaseReport
Muhammad Abdur Rahima, Samira Rahat Afrozeb, Khwaja Nazim Uddinb, Lovely Baraic
- aAssistant Professor, Department of Nephrology, BIRDEM General Hospital, Dhaka
- bProfessor, Department of Internal Medicine, BIRDEM General Hospital, Dhaka
- cAssociate Professor, Department of Microbiology, BIRDEM General Hospital, Dhaka
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Abstract
Melioidosis is a rarely reported infectious disease in Bangladesh. Patients may present with fever, soft tissue infection, deep seated abscess, arthritis and septicaemia, specially if immunocompromised. It often mimics tuberculosis. Here we describe a case of melioidosis in a middle aged Bangladeshi diabetic farmer who presented with fever, soft tissue infection and septic arthritis involving right hip joint. Culture of pus from soft tissue infection and synovial fluid revealed growth of Burkholderia pseudomallei. He was treated with prolonged courses of antibiotics including ceftazidime in initial phase followed by co-trimoxazole and was cured completely.Birdem Med J 2015; 5(1) Supplement: 49-51