title: Aetiology and management of chronic granulomatous osteomyelitis: look before you leap.
abstract: We report a rare difficult-to-manage case of chronic granulomatous osteomyelitis due to Burkholderia pseudomallei, the category two organism with atypical sensitivity pattern. The patient was a 29-year-old who presented with a history of dull aching pain in the left thigh region for one year. Local examination revealed a diffuse swelling and tenderness. Any similar presentation should therefore always be supported by microbiological opinion to prevent prolonged morbidity, especially in immunocompromised patients.
authors.affiliation: Department of Microbiology, Kasturba Medical College, Manipal 576104, Karnataka, India.
authors.forename: C
authors.initials: C
authors.lastname: Mukhopadhyay
authors.forename: A
authors.initials: A
authors.lastname: Dey
authors.forename: P
authors.initials: P
authors.lastname: Sugandhi Rao
authors.forename: V
authors.initials: V
authors.lastname: Pandey
authors.forename: P
authors.initials: P
authors.lastname: Sripathi Rao
mesh_terms: D000328:Adult; D016957:Burkholderia pseudomallei; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005269:Femur / Q000000981:diagnostic imaging / Q000382:microbiology; D006801:Humans; D008297:Male; D008554:Melioidosis / Q000188:drug therapy / Q000382:microbiology*; D010019:Osteomyelitis / Q000188:drug therapy / Q000382:microbiology*; D011859:Radiography