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CASE REPORT
Year : 2017  |  Volume : 3  |  Issue : 1  |  Page : 51-53

Melioidosis mimicking cold abscess


1 Department of Microbiology, Pondicherry Institute of Medical Sciences, Kalapet, Puducherry, India
2 Department of General Surgery, Pondicherry Institute of Medical Sciences, Kalapet, Puducherry, India

Correspondence Address:
Sheela Devi Chandrakesan
Department of Microbiology, Pondicherry Institute of Medical Sciences, Kalapet - 605 014, Puducherry
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcrsm.jcrsm_3_17

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Melioidosis is an infectious disease with varied clinical manifestations. Majority of its symptoms mimic tuberculosis. We report a case of a 19-year-old girl who presented with a swelling on the anterior aspect of her neck of 2 months' duration. It was provisionally diagnosed as cold abscess with fine-needle aspiration cytology done for confirmation. Burkholderia pseudomallei was isolated from the aspirate. The isolate was sensitive to ceftazidime, imipenem, meropenem, and cotrimoxazole. Ultrasound did not reveal any similar lesions elsewhere in the body. Treatment was instituted with intravenous injection of 2 g ceftazidime 6th hourly. The abscess was incised and drained. After completion of intensive phase for 2 weeks, treatment was switched to maintenance phase with cotrimoxazole three tablets for every 12 hours. High level of clinical and microbiological suspicion is important to detect and treat melioidosis in nonendemic areas. Patient's compliance to long-term medications is required which makes treatment a challenge.


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