Related Experiment Videos
Melioidosis presenting as prostatitis--a case report from Sabah
Summary
Melioidosis, a bacterial infection caused by Pseudomonas pseudomallei, can present unusually. This case highlights delayed diagnosis and effective treatment with co-trimoxazole and minocycline.
Area of Science:
- Infectious Diseases
- Microbiology
- Tropical Medicine
Background:
- Melioidosis (caused by Pseudomonas pseudomallei) is endemic in parts of Southeast Asia, including Sabah.
- Previous reports of melioidosis in Sabah are reviewed.
- This study details a unique case presentation and management.
Observation:
- A 40-year-old British male presented with prostatitis, a rare manifestation of melioidosis.
- Suspected transmission occurred via a fly entering the patient's eye.
- Diagnosis was delayed, complicating treatment.
Findings:
- Pseudomonas pseudomallei exhibited relative insensitivity to ampicillin and gentamicin.
- Co-trimoxazole demonstrated the most effectiveness, followed by minocycline.
- The patient achieved a cure after four years, with residual sterility.
Implications:
- Highlights the importance of considering melioidosis in patients with prostatitis, especially with relevant travel history.
- Informs antibiotic selection for Pseudomonas pseudomallei infections, emphasizing co-trimoxazole.
- Underscores the potential for long-term complications such as sterility following melioidosis treatment.