The man with the boggy head: cranial melioidosis.
Melioidosis is known to cause abscesses in various organs, including the cranium, though less commonly. We present a patient with scalp abscess and subdural empyema that was visible on computed tomography of the brain. The neurosurgical drainage grew Burkholderia pseudomallei. Despite our best effort to treat the patient using parenteral antibiotics and surgical drainage, the patient did not survive.
Kuan
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Department of Internal Medicine, Faculty of Medicine, International Islamic University of Malaysia, Kuantan, Malaysia. kychunn@yahoo.com
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D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016957:Burkholderia pseudomallei / Q000302:isolation & purification; D013354:Empyema, Subdural / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008554:Melioidosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D008875:Middle Aged; D011859:Radiography
D000900:Anti-Bacterial Agents