Melioidotic necrotizing fasciitis presenting as a supraclavicular mass.
Melioidosis is an infection caused by Burkholderia pseudomallei that usually involves the respiratory tract. It may manifest as pneumonia, septicemia, or localized infection. We present here a case of melioidosis initially manifesting as a mass over the supraclavicular area and subsequently progressing to necrotizing fasciitis. With appropriate antimicrobial treatment and adequate surgical debridement, localized melioidosis can be treated successfully. Melioidosis should be considered in the differential diagnosis of neck masses, especially in patients who have traveled to or stayed in an endemic area.
Ma
Tsung-Liang
TL
Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Huang
Guan-Cheng
GC
Tang
Hung-Jen
HJ
Chang
Chia-Ming
CM
D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D016957:Burkholderia pseudomallei / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006258:Head and Neck Neoplasms / Q000175:diagnosis; D006801:Humans; D008297:Male; D008554:Melioidosis / Q000175:diagnosis* / Q000188:drug therapy; D009333:Neck / Q000000981:diagnostic imaging / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents