Cutaneous melioidosis
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Updated: Sep 30, 2026

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Published on: February 24, 2023
1National Skin Centre, 1 Mandalay Road, Singapore 1130.
Abstract:
Melioidosis is a rare tropical disease caused by infection with the bacterium Burkholderia pseudomallei. It occurs predominantly in south-east Asia, northern and central Australia and central and south America. Patients often present to the internal medicine physicians with a severe, potentially fatal sepsis. We report three patients who presented to our dermatology department with cutaneous melioidosis.
Insights
Melioidosis, a rare tropical disease caused by Burkholderia pseudomallei, can present as severe sepsis. This report details three cases of cutaneous melioidosis, highlighting its varied dermatological manifestations.
Area of Science:
- Infectious Diseases
- Bacteriology
- Dermatology
Background:
- Melioidosis is a neglected tropical disease caused by Burkholderia pseudomallei.
- The bacterium is endemic in Southeast Asia, Australia, and parts of the Americas.
- Patients typically present with sepsis, often managed by internal medicine specialists.
Observation:
- Three patients presented to a dermatology department with cutaneous melioidosis.
- Cutaneous manifestations of melioidosis are less commonly reported than septic presentations.
- This highlights the importance of considering melioidosis in dermatological differential diagnoses.
Findings:
- The study describes three distinct cases of cutaneous melioidosis.
- These cases illustrate the diverse skin presentations of this bacterial infection.
- Dermatologists may encounter melioidosis, necessitating awareness and prompt diagnosis.
Implications:
- Increased awareness of cutaneous melioidosis among dermatologists is crucial.
- Early recognition can lead to timely treatment and improved patient outcomes.
- This underscores the need for interdisciplinary collaboration in managing tropical infectious diseases.
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