title: Mycotic aneurysm caused by Burkholderia pseudomallei in a previously healthy returning traveller.
abstract: Burkholderia pseudomallei is a common cause of serious, difficult to treat infections in South-East Asia and Northern Australia, but is a rare imported pathogen in the USA and Europe. We report a case of a patient with a mycotic aneurysm caused by B. pseudomallei in a previously healthy returning traveller. The patient presented with 4 weeks of abdominal pain and intermittent fever after a brief vacation in Thailand. The aneurysm was excised and replaced by an autologous deep vein graft, and the patient was treated for 6 months with antibiotics adjusted according to postoperative renal impairment. Twenty-four months after surgery the patient is well and without relapse.
authors.affiliation: Department of Infectious Diseases, Aalborg University Hospital, Aalborg, Denmark.
authors.forename: Jacob
authors.initials: J
authors.lastname: Bodilsen
authors.affiliation: Department of Vascular Surgery, Aarhus University Hospital Skejby, Aarhus N, Denmark.
authors.forename: Sten
authors.initials: S
authors.lastname: Vammen
authors.affiliation: Bacteriology Reference Department, Statens Serum Institut, Copenhagen S, Denmark.
authors.forename: Kurt
authors.initials: K
authors.lastname: Fuursted
authors.affiliation: Department of Infectious Diseases, Aalborg University Hospital, Aalborg, Denmark.
authors.forename: Ulla
authors.initials: U
authors.lastname: Hjort
mesh_terms: D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016957:Burkholderia pseudomallei; D002442:Ceftazidime / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008554:Melioidosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D008875:Middle Aged; D013785:Thailand; D014195:Travel
chemical_list: D000900:Anti-Bacterial Agents; D002442:Ceftazidime