title: [Melioidosis: report of the first case in a northern state of México].
abstract: The melioidosis, is an infection caused by Burkhordelia pseudomallei that comprises heterogeneous clinical syndromes with acute or chronic evolution. The objective of this article is to report a case with unusual presentation and outside the known epidemiological context. We present the case of a 48-year-old man who came to our hospital with fever and a history of an abscess in the right subscapular region, physical examination showed hepatomegaly, splenomegaly, fever, without pulmonary symptoms. Within study it reveal multiple abscesses in liver and spleen, requiring surgical exploration and antibiotics (meropenem/vancomycin). Blood cultures reveal Burkhordelia pseudomallei adding trimethoprim/sulfamethoxazole with resolution of symptoms.
authors.affiliation: Servicio de Infectología, Hospital General de Zona 14, Instituto Mexicano del Seguro Social, Hermosillo, Sonora, México. dr.boroel@gmail.com.
authors.forename: Carlos
authors.initials: C
authors.lastname: Boroel-Cervantes
authors.forename: Mónica
authors.initials: M
authors.lastname: Ibarra-Valdez
authors.forename: Sandra
authors.initials: S
authors.lastname: Miranda-Pacheco
authors.forename: Elías
authors.initials: E
authors.lastname: Sánchez-Camarena
authors.forename: Tamara
authors.initials: T
authors.lastname: Wolburgth-Franco
authors.forename: Andrés
authors.initials: A
authors.lastname: Ortìz-González
authors.forename: José Luis
authors.initials: JL
authors.lastname: Domínguez-Ríos
mesh_terms: D006801:Humans; D008297:Male; D008554:Melioidosis / Q000175:diagnosis*; D008800:Mexico; D008875:Middle Aged
keywords: Abscess; Burkhordelia pseudomallei; Melioidosis