Melioidosis: report of the first case in a northern state of México

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Carlos Boroel-Cervantes
Mónica Ibarra-Valdez
Sandra Miranda-Pacheco
Elías Sánchez-Camarena
Tamara Wolburgth-Franco
Andrés Ortìz-González
Jose Luis Domínguez-Ríos

Keywords

Melioidosis, Burkhordelia pseudomallei, Abscess

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.

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