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Simplified Whole Body Plethysmography to Characterize Lung Function During Respiratory Melioidosis
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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
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
B. pseudomalleiDiabetes MellitusSkin ulcer

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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.