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Disseminated septicaemic melioidosis: an unusual presentation of masticator space infection

Somchai Srirompotong1, Wisoot Reechaipichitkul

  • 1Department of Otolaryngology, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen, Thailand. srirompotong@yahoo.com

The Journal of Laryngology and Otology
|June 14, 2003
PubMed

Insights

Melioidosis, an infection from Burkholderia pseudomallei, can cause severe disseminated septicaemia. This case highlights a rare masticator space infection, crucial for clinicians managing diabetic patients in endemic regions.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Clinical Medicine

Background:

  • Melioidosis is caused by Burkholderia pseudomallei, endemic in Southeast Asia and Northern Australia.
  • Human melioidosis presents with a wide range of clinical manifestations, mimicking other bacterial infections.
  • Deep neck infections require prompt diagnosis and treatment due to potential complications.

Observation:

  • A case of disseminated septicaemia melioidosis presenting as a masticator space infection is described.
  • This presentation is unusual and highlights the diverse clinical spectrum of the disease.
  • The patient's condition required intensive management.

Findings:

  • Burkholderia pseudomallei can lead to severe systemic infection, including deep neck space abscesses.
  • Early recognition of melioidosis is critical, especially in endemic areas.
  • Masticator space infection can be a manifestation of disseminated melioidosis.

Implications:

  • Clinicians treating deep neck infections in patients from or who have visited endemic areas should consider melioidosis.
  • Diabetic patients are at higher risk for severe melioidosis presentations.
  • Awareness of this rare presentation can improve diagnostic accuracy and patient outcomes.

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