title: Melioidosis presenting as prostatitis--a case report from Sabah.
abstract: Previous reports of melioidosis in Sabah are reviewed and a detailed account of a case, presenting as prostatitis, in a 40-year-old British male is given. The history suggested that the organism, Pseudomonas pseudomallei, was transmitted by a fly which entered the eye. Diagnosis was delayed and treatment presented some difficulty, the organism being relatively insensitive to amplicillin and gentamicin. Co-trimoxazole was the most effective, followed by minocycline. Cure was eventually achieved and after four years the patient was fit and normal, except for sterility.
mesh_terms: D000328:Adult; D000667:Ampicillin / Q000627:therapeutic use; D004338:Drug Combinations; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D007248:Infertility, Male / Q000209:etiology; D008297:Male; D008554:Melioidosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008911:Minocycline / Q000627:therapeutic use; D011472:Prostatitis / Q000209:etiology*; D013420:Sulfamethoxazole / Q000627:therapeutic use; D014295:Trimethoprim / Q000627:therapeutic use
chemical_list: D004338:Drug Combinations; D005839:Gentamicins; D000667:Ampicillin; D014295:Trimethoprim; D008911:Minocycline; D013420:Sulfamethoxazole