Subcutaneous surprise

Rp Jakribettu1, R Boloor2, R D'Souza3

  • 1Department of Microbiology, MES Medical College, Perintalmanna, Kerala, India.

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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