title: Melioidosis in a European traveler without comorbidities: a case report and literature review.
abstract: Melioidosis is an endemic disease in Southeast Asia and northern Australia. It habitually affects immune-depressed hosts and may have a wide range of clinical manifestations. The use of positron emission tomography-computed tomography (PET-CT) has not been described previously for this disease. We report the case of a European traveler without comorbidities who developed melioidosis with pulmonary and bone marrow involvement 1 year after exposure. Antibiotic treatment was managed by taking into account the evolution on PET-CT. We review the literature and suggest the use of PET-CT for the initial evaluation of melioidosis, especially to look for a bone location, and to manage the length of antibiotic therapy.
authors.affiliation: Service de Médecine Interne, Université Versailles Saint-Quentin en Yvelines, Hôpital Foch, 40 rue Worth, 92150 Suresnes, France.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Subran
authors.forename: Felix
authors.initials: F
authors.lastname: Ackermann
authors.forename: Luc
authors.initials: L
authors.lastname: Watin-Augouard
authors.forename: Blandine
authors.initials: B
authors.lastname: Rammaert
authors.forename: Claire
authors.initials: C
authors.lastname: Rivoisy
authors.forename: Didier
authors.initials: D
authors.lastname: Vilain
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: Canzi
authors.forename: Jean-Emmanuel
authors.initials: JE
authors.lastname: Kahn
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D016957:Burkholderia pseudomallei / Q000302:isolation & purification*; D002160:Cambodia; D015897:Comorbidity; D006801:Humans; D006811:Humerus / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008554:Melioidosis / Q000175:diagnosis* / Q000188:drug therapy; D008875:Middle Aged; D011859:Radiography; D015899:Tomography, Emission-Computed, Single-Photon; D014195:Travel; D016896:Treatment Outcome; D044465:White People
chemical_list: D000900:Anti-Bacterial Agents
keywords: Melioidosis; Osteomyelitis; PET-CT; Pulmonary abscess