Systemic melioidosis with prostatic abscess
Melioidosis is an infectious disease caused by the Gram-negative bacteria Burkholderia pseudomallei. The organism is a soil saprophyte and humans acquire infection via percutaneous inoculation through a breach in the skin. Inhalation of the organism is also a probable route of transmission as eviden...
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| Format: | Article |
| Language: | English |
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Sri Lankan Society for Microbiology
2023-10-01
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| Series: | Sri Lankan Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | https://account.sljid.sljol.info/index.php/sljo-j-sljid/article/view/8583 |
| _version_ | 1797394123028692992 |
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| author | F. S. Makeen M. N. Pitagampola S. Chandrasiri S. Mendis A. M. Abeygunasekera |
| author_facet | F. S. Makeen M. N. Pitagampola S. Chandrasiri S. Mendis A. M. Abeygunasekera |
| author_sort | F. S. Makeen |
| collection | DOAJ |
| description | Melioidosis is an infectious disease caused by the Gram-negative bacteria Burkholderia pseudomallei. The organism is a soil saprophyte and humans acquire infection via percutaneous inoculation through a breach in the skin. Inhalation of the organism is also a probable route of transmission as evident by a high incidence during the rainy season. Outbreaks of melioidosis have also occurred due to ingestion of water contaminated with B. pseudomallei. Sri Lanka is an endemic country for melioidosis.
A 60-year-old male patient with hypertension presented with fever, chills, dysuria, and urinary retention. His blood culture signaled positive, and the isolate was identified as Burkholderia pseudomallei. He was managed for melioidosis complicated with prostatic abscess. He was successfully treated with intravenous meropenem in the intensive phase and discharged with oral co-trimoxazole during the eradicative phase.
Though the patient was initially treated for a prostatitis and urosepsis, correct identification through blood culture and appropriate investigations aided us to identify the prostatic abscess and treat the Burkholderia pseudomallei bacteraemia accordingly. |
| first_indexed | 2024-03-09T00:14:53Z |
| format | Article |
| id | doaj.art-24ad922013ed45da83f1293f6f9da09b |
| institution | Directory Open Access Journal |
| issn | 2012-8169 2448-9654 |
| language | English |
| last_indexed | 2024-03-09T00:14:53Z |
| publishDate | 2023-10-01 |
| publisher | Sri Lankan Society for Microbiology |
| record_format | Article |
| series | Sri Lankan Journal of Infectious Diseases |
| spelling | doaj.art-24ad922013ed45da83f1293f6f9da09b2023-12-12T08:10:58ZengSri Lankan Society for MicrobiologySri Lankan Journal of Infectious Diseases2012-81692448-96542023-10-01132E50:1410.4038/sljid.v13i2.8583518Systemic melioidosis with prostatic abscessF. S. Makeen0https://orcid.org/0000-0002-2971-8097M. N. Pitagampola1S. Chandrasiri2S. Mendis3A. M. Abeygunasekera4Colombo South Teaching Hospital, KalubowilaColombo South Teaching Hospital, KalubowilaColombo South Teaching Hospital, KalubowilaColombo South Teaching Hospital, KalubowilaColombo South Teaching Hospital, KalubowilaMelioidosis is an infectious disease caused by the Gram-negative bacteria Burkholderia pseudomallei. The organism is a soil saprophyte and humans acquire infection via percutaneous inoculation through a breach in the skin. Inhalation of the organism is also a probable route of transmission as evident by a high incidence during the rainy season. Outbreaks of melioidosis have also occurred due to ingestion of water contaminated with B. pseudomallei. Sri Lanka is an endemic country for melioidosis. A 60-year-old male patient with hypertension presented with fever, chills, dysuria, and urinary retention. His blood culture signaled positive, and the isolate was identified as Burkholderia pseudomallei. He was managed for melioidosis complicated with prostatic abscess. He was successfully treated with intravenous meropenem in the intensive phase and discharged with oral co-trimoxazole during the eradicative phase. Though the patient was initially treated for a prostatitis and urosepsis, correct identification through blood culture and appropriate investigations aided us to identify the prostatic abscess and treat the Burkholderia pseudomallei bacteraemia accordingly.https://account.sljid.sljol.info/index.php/sljo-j-sljid/article/view/8583melioidosisprostatic abscessburkholderia pseudomalleimeropenemco-trimoxazole |
| spellingShingle | F. S. Makeen M. N. Pitagampola S. Chandrasiri S. Mendis A. M. Abeygunasekera Systemic melioidosis with prostatic abscess Sri Lankan Journal of Infectious Diseases melioidosis prostatic abscess burkholderia pseudomallei meropenem co-trimoxazole |
| title | Systemic melioidosis with prostatic abscess |
| title_full | Systemic melioidosis with prostatic abscess |
| title_fullStr | Systemic melioidosis with prostatic abscess |
| title_full_unstemmed | Systemic melioidosis with prostatic abscess |
| title_short | Systemic melioidosis with prostatic abscess |
| title_sort | systemic melioidosis with prostatic abscess |
| topic | melioidosis prostatic abscess burkholderia pseudomallei meropenem co-trimoxazole |
| url | https://account.sljid.sljol.info/index.php/sljo-j-sljid/article/view/8583 |
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