title: A case of mycotic aneurysm due to Burkholderia pseudomallei.
abstract: Burkholderia pseudomallei is an free-living gram-negative bacterium causing melioidosis and is endemic in Southeast Asia. A 56-year-old diabetic construction worker with a 1-month history of abdominal pain and 1-day history of high-grade fever was found to have a left non-dissecting infrarenal mycotic aortic aneurysm by abdominal computerized tomography scan. Bacteriological examination of his blood yielded Burkholderia pseudomallei. The patient was treated with right axillo-bifemoral bypass with excision of aneurysm and high-dose intravenous ceftazidime for two weeks, followed by oral trimethoprim/sulfamethoxazole and oral doxycycline for a minimum of five months.
authors.affiliation: C. H. Ding, Department of Medical Microbiology & Immunology, Faculty of Medicine, National University of Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: C H
authors.initials: CH
authors.lastname: Ding
authors.affiliation: S. Hussin, Department of Medical Microbiology & Immunology, Faculty of Medicine, National University of Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: S
authors.initials: S
authors.lastname: Hussin
authors.affiliation: M. N. Tzar, Department of Medical Microbiology & Immunology, Faculty of Medicine, National University of Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: M N
authors.initials: MN
authors.lastname: Tzar
authors.affiliation: M. M. Rahman, Department of Medical Microbiology & Immunology, Faculty of Medicine, National University of Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: M M
authors.initials: MM
authors.lastname: Rahman
authors.affiliation: S. R. Ramli, Department of Pathology, Hospital Raja Permaisuri Bainun, 30990 Ipoh, Perak, Malaysia.
authors.forename: S R
authors.initials: SR
authors.lastname: Ramli
keywords: Aortic aneurysm; Burkholderia pseudomallei; Microgen GN-ID; Mycotic aneurysm