Melioidosis and the vascular surgeon: Hospital Kuala Lumpur experience.
Bacterial arteritis is relatively uncommon and management of this condition, which carries high morbidity and mortality, is difficult and time-consuming. Common organisms implicated include Salmonella and Staphylococcus. Arteritis as a result of infection by Burkholderia pseudomallei (formerly Pseudomonas pseudomallei) has been rarely reported in the English literature. This organism, which is endemic in our part of the world, is well known to cause a wide spectrum of septic conditions. A review of cases managed at Hospital Kuala Lumpur revealed that bacterial arteritis due to melioidosis is not such a rare entity. We share our experience in the management of this condition using three cases as examples.
Azizi
Zainal Ariffin
ZA
Vascular Surgical Unit, Department of General Surgery, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia. mrzainal@hkl.gov.my
Yahya
Mazri
M
Lee
Soon Khai
SK
D000368:Aged; D017541:Aneurysm, False / Q000209:etiology* / Q000601:surgery; D000785:Aneurysm, Infected / Q000209:etiology* / Q000601:surgery; D001014:Aortic Aneurysm / Q000209:etiology* / Q000601:surgery; D001167:Arteritis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D005263:Femoral Artery; D006801:Humans; D008297:Male; D008554:Melioidosis / Q000150:complications* / Q000188:drug therapy; D017211:Treatment Failure; D016896:Treatment Outcome