Melioidosis: a case report

Purabi Barman1, Harish Sidhwa, Pinak A Shirkhande

  • 1Super Religare Laboratories Ltd, Fortis Flt. Rajan Dhall Hospital, Vasant Kunj, New Delhi, India.

Insights

Burkholderia pseudomallei is an emerging pathogen in India, causing diverse infections. This case highlights successful treatment of a severe infection with Imipenem and Doxycycline.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases

Background:

  • Burkholderia pseudomallei is an emerging pathogen in India, primarily reported in the southern regions.
  • It causes a range of clinical manifestations including pneumonia, septicaemia, arthritis, and abscesses.

Observation:

  • A 65-year-old male presented with a month-long history of fever, cough, and breathlessness.
  • Swelling in both ankles was noted for seven days prior to presentation.
  • The patient had B. pseudomallei isolated from endotracheal secretions, blood cultures, and a leg wound.

Findings:

  • The patient was diagnosed with a severe B. pseudomallei infection.
  • Successful treatment was achieved using a combination of Imipenem and Doxycycline.
  • The patient is currently on maintenance therapy and recovering well.

Implications:

  • This case underscores the growing importance of B. pseudomallei in India.
  • Prompt diagnosis and appropriate antibiotic therapy are crucial for favorable outcomes.
  • Further surveillance and research are needed to understand the epidemiology and management of melioidosis in India.