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Updated: May 1, 2026

A Technique for Subcutaneous Abdominal Adipose Tissue Biopsy via a Non-diathermy Method
Published on: September 30, 2017
Subcutaneous surprise
Rp Jakribettu1, R Boloor2, R D'Souza3
1Department of Microbiology, MES Medical College, Perintalmanna, Kerala, India.
Abstract:
Melioidosis is a zoonosis caused by the accidental pathogen Burkholderia pseudomallei, which is endemic in Southeast Asia and northern Australia. The mortality of melioidosis is 20-50% even with treatment. Suppurative lymphadenitis caused by melioidosis has been rarely encountered by clinicians practicing in endemic areas. In the majority of previously described patients, the infected lymph nodes were in the head and neck region, except for four patients who presented with unilateral, inguinal lymphadenitis. Hence, we report a case of unilateral suppurative inguinal lymphadenitis caused by B. pseudomallei in a 48-year-old lady who presented with groin swelling of 2 months duration.
Insights
Melioidosis, a serious zoonotic disease, rarely causes suppurative inguinal lymphadenitis. This case highlights an unusual presentation of Burkholderia pseudomallei infection in the groin.
Area of Science:
- Infectious Diseases
- Microbiology
- Tropical Medicine
Background:
- Melioidosis is a zoonotic disease caused by Burkholderia pseudomallei, prevalent in Southeast Asia and Northern Australia.
- It has a high mortality rate (20-50%) despite treatment.
- Suppurative lymphadenitis is an uncommon manifestation of melioidosis.
Observation:
- This report details a rare case of unilateral suppurative inguinal lymphadenitis.
- The patient was a 48-year-old female presenting with a two-month history of groin swelling.
- The causative agent identified was Burkholderia pseudomallei.
Findings:
- The case confirms B. pseudomallei as a cause of unilateral suppurative inguinal lymphadenitis.
- This presentation is distinct from the more commonly reported head and neck lymphadenitis in melioidosis.
- The patient's clinical presentation included persistent groin swelling.
Implications:
- Clinicians in endemic areas should consider melioidosis in the differential diagnosis of inguinal lymphadenitis.
- Recognizing this rare presentation is crucial for timely diagnosis and effective treatment of B. pseudomallei infections.
- Further research may elucidate the specific factors leading to inguinal lymph node involvement in melioidosis.
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