Melioidosis complicated by pericarditis.
Melioidosis is a bacterial infection caused by the Gram-negative bacillus Burkholderia pseudomallei. We report an unusual case of melioidosis that presented as a pyrexia of unknown origin complicated by pericardial effusion. Our patient received a 6-week course of intravenous antibiotics, followed by 8 months of oral antibiotics, and made a complete recovery. This report illustrates the diagnostic and therapeutic challenge that clinicians may encounter when faced with this potentially fatal infection.
Lim
Kieron B L
KB
From the Department of Medicine, Changi General Hospital, Singapore.
Oh
Helen M L
HM
D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016957:Burkholderia pseudomallei / Q000187:drug effects / Q000472:pathogenicity*; D004318:Doxycycline / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004452:Echocardiography; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use; D008297:Male; D008554:Melioidosis / Q000150:complications* / Q000276:immunology / Q000382:microbiology; D008875:Middle Aged; D010493:Pericarditis / Q000209:etiology* / Q000382:microbiology / Q000473:pathology
D000900:Anti-Bacterial Agents; D015378:Imipenem; D019980:Amoxicillin-Potassium Clavulanate Combination; D004318:Doxycycline