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Simplified Whole Body Plethysmography to Characterize Lung Function During Respiratory Melioidosis
Published on: February 24, 2023
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Cutaneous Melioidosis
Basavaprabhu Achappa1, Deepak Madi1, K Vidyalakshmi2
1Associate Professor, Department of Medicine, Kasturba Medical College, Manipal University , Mangaluru, Karnataka, India .
Journal of Clinical and Diagnostic Research : JCDR
|October 30, 2016
Summary
Melioidosis, an emerging infection in India, can manifest as uncommon skin lesions. Early recognition and treatment with antibiotics like ceftazidime are crucial for managing cutaneous melioidosis, especially in diabetic patients.
Area of Science:
- Infectious Diseases
- Dermatology
- Microbiology
Background:
- Melioidosis is an emerging infectious disease in India, frequently presenting as pneumonia.
- Cutaneous manifestations of melioidosis are rare but significant.
- Diabetes mellitus is a known risk factor for severe infections, including melioidosis.
Observation:
- A case of cutaneous melioidosis in a 22-year-old diabetic male from Southern India is presented.
- The patient presented with a non-healing ulcer on the left thigh.
- The ulcer discharged fluid from which *Burkholderia pseudomallei* was isolated.
Findings:
- The isolated pathogen was identified as *Burkholderia pseudomallei*, the causative agent of melioidosis.
- The patient's cutaneous lesion resolved successfully following treatment with ceftazidime.
- Cutaneous melioidosis can present with diverse lesions such as ulcers, pustules, or crusted erythematous areas.
Implications:
- Melioidosis should be considered in the differential diagnosis of ulcerative or nodular skin lesions, particularly in diabetic individuals.
- Prompt diagnosis and appropriate antibiotic therapy are essential for favorable outcomes in cutaneous melioidosis.
- This case highlights the importance of considering melioidosis in endemic areas, even with atypical presentations.
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