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Published on: February 24, 2023
Melioidosis: an unusual cause of infective endocarditis: a case report
Tonnii Sia1, Yuwana Podin2, Teik-Beng Chuah3
1Medical Department, Hospital Bintulu, Jalan Nyabau, Bintulu, Sarawak, Malaysia.
Introduction:
As a causal organism in infective endocarditis, Burkholderia pseudomallei is rare. Burkholderia pseudomallei is intrinsically resistant to aminoglycosides but a gentamicin-susceptible strain was discovered in Sarawak, Malaysian Borneo in 2010. We report the first occurrence of infective endocarditis due to the gentamicin-susceptible strain of B. pseudomallei.
Case Presentation:
A 29-year-old man presented with pneumonia and melioidosis septicaemia. His condition was complicated with infective endocarditis and septic emboli to the brain. Despite difficulties in reaching a diagnosis, the patient was successfully treated using intravenous gentamicin and ceftazidime and was discharged well.
Discussion:
The role of gentamicin in the treatment of the gentamicin-susceptible strain of B. pseudomallei remains unclear.
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