A case of imported melioidosis presenting as prostatitis.
We report a case of melioidosis in a previously healthy Belgian man. He presented with septicemia and prostatic abscesses 1 week after a trip to Vietnam. Burkholderia pseudomallei was isolated from multiple hemocultures. He was treated successfully with intravenous ceftazidime and trimethoprim-sulfamethoxazole, followed by a per-oral maintenance therapy of amoxicillin-clavulanate with supplementary amoxicillin. There was no need for surgical drainage. This is the second reported case of melioidosis in Belgium.
Heyse
A M
AM
Dept of Internal Medicine, AZ Maria Middelares St-Jozef, Kortrijkse steenweg 1026, B-9000 Ghent, Belgium. alexheyse@hotmail.com
Dierick
J
J
Vanhouteghem
H
H
Ameye
F
F
Baert
D
D
Burvenich
P
P
Wauters
G
G
D000038:Abscess / Q000382:microbiology; D000328:Adult; D019980:Amoxicillin-Potassium Clavulanate Combination; D016957:Burkholderia pseudomallei / Q000187:drug effects / Q000302:isolation & purification; D002442:Ceftazidime / Q000494:pharmacology; D006801:Humans; D008297:Male; D008554:Melioidosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D011472:Prostatitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology; D011859:Radiography; D014195:Travel
D019980:Amoxicillin-Potassium Clavulanate Combination; D002442:Ceftazidime