title: Disseminated melioidosis presenting as septic arthritis.
abstract: Melioidosis is an infection caused by Burkholderia pseudomallei. The disease is known as a remarkable imitator due to the wide and variable clinical spectrum of its manifestations. Septic arthritis is rare but well-recognized manifestation of this disease. We report a case of melioidosis in a 52 year male with uncontrolled diabetes mellitus (DM) presenting with a rare combination of septic arthritis and abscesses in the chest wall, liver and subcutaneous tissue. The patient responded to prolonged treatment of intravenous ceftazidime followed by oral co-trimoxazole.
authors: Department of Medicine, Seth GS Medical College and KEM Hospital, Mumbai.
authors: Anjali
authors: A
authors: Rajadhyaksha
authors: Archana
authors: A
authors: Sonawale
authors: Shruti
authors: S
authors: Khare
authors: Chetan
authors: C
authors: Kalal
authors: Rahul
authors: R
authors: Jankar
mesh_terms: D000843:Ankle Joint / Q000382:microbiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000188:drug therapy / Q000382:microbiology*; D016957:Burkholderia pseudomallei; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D006801:Humans; D007719:Knee Joint / Q000382:microbiology*; D008297:Male; D008554:Melioidosis / Q000150:complications* / Q000188:drug therapy; D008875:Middle Aged; D010397:Penicillanic Acid / Q000031:analogs & derivatives / Q000627:therapeutic use; D010878:Piperacillin / Q000627:therapeutic use; D000077725:Piperacillin, Tazobactam Drug Combination; D012008:Recurrence; D013582:Synovial Fluid / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D000077725:Piperacillin, Tazobactam Drug Combination; D010397:Penicillanic Acid; D010878:Piperacillin