Systemic melioidosis presenting as suppurative parotitis.
A 3 year old child was brought with fever, left parotid swelling and altered sensorium. Cultures from blood, pus and throat swab grew Burkholderia pseudomallei. A diagnosis of septicemic melioidosis with encephalopathy was made. She recovered following treatment with parenteral ceftazidime for 14 days, and 6 months of oral co trimoxazole and amoxycillin clavulanate. She is doing well on follow-up.
Department of Pediatrics, Sundaram Medical Foundation, Dr Rangarajan Memorial Hospital, Shanthi Colony, IV Avenue, Annanagar, Chennai 600 040, India. sivabalan.somu@gmail.com
So
S
Shivbalan
Nisha
N
Reddy
Vaidehi
V
Tiru
Kuruvilla
K
Thomas
D000038:Abscess / Q000175:diagnosis* / Q000188:drug therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016957:Burkholderia pseudomallei / Q000302:isolation & purification; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004423:Ear / Q000382:microbiology; D005260:Female; D006801:Humans; D008554:Melioidosis / Q000175:diagnosis* / Q000188:drug therapy; D008590:Meningoencephalitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D010309:Parotitis / Q000175:diagnosis*; D013492:Suppuration / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology
D000900:Anti-Bacterial Agents