Melioidosis presenting with orbital cellulitis

Melioidosis is known to present with many diverse manifestations but orbital cellulitis from melioidosis has never been described. We report a case of melioidosis in a 42-year-old diabetic male who presented with orbital cellulitis. He succumbed to recurrent empyema of the paranasal sinuses, rupture of an intracranial mycotic aneurysm and pulmonary empyema despite early antibiotic treatment.