Disseminated melioidosis presenting as septic arthritis
Rajadhyaksha, A.; Sonawale, A.; Khare, S.; Kalal, C.; Jankar, R.
Journal of the Association of Physicians of India 60: 44-45
2012
ISSN/ISBN: 0004-5772 PMID: 23409422 Document Number: 661580
Melioidosis is an infection caused by Burkholderia pseudomallei. The disease is known as a remarkable imitator due to the wide and variable clinical spectrum of its manifestations. Septic arthritis is rare but well-recognized manifestation of this disease. We report a case of melioidosis in a 52 year male with uncontrolled diabetes mellitus (DM) presenting with a rare combination of septic arthritis and abscesses in the chest wall, liver and subcutaneous tissue. The patient responded to prolonged treatment of intravenous ceftazidime followed by oral co-trimoxazole.