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CASE REPORT
Infected aneurysm after returning from Southeast Asia: think Burkholderia pseudomallei!
  1. Clément Auvens1,
  2. Catherine Neuwirth2,
  3. Lionel Piroth1 and
  4. Mathieu Blot1,3
  1. 1 Infectious Diseases Department, François Mitterrand Teaching Hospital, Dijon, France
  2. 2 Laboratory of Bacteriology, François Mitterrand Teaching Hospital, Dijon, France
  3. 3 Université Bourgogne Franche-Comté, INSERM, LNC UMR 1231, LipSTIC LabEx, Dijon, France
  1. Correspondence to Dr Mathieu Blot, mathieu.blot{at}chu-dijon.fr

Abstract

Melioidosis is a protean disease which is endemic to Southeast Asia and northern Australia. Here, we report a case of infected aortic aneurysm due to Burkholderia pseudomallei in an immunocompetent man 6 months after a trip to northern Malaysia. This patient initially received inappropriate surgical and antibiotic treatment, leading to a peri-prosthetic aortic infection with lumbar spondylitis and contiguous psoas muscle abscess. This case highlights the difficulty of diagnosing melioidosis given its diverse clinical manifestations and the limits of routine microbiological methods to identify B. pseudomallei. Melioidosis should be considered a possible diagnosis in individuals with unexplained fever subsequent to travel in an endemic area.

  • cardiovascular system
  • infections
  • bone and joint infections
  • tropical medicine (infectious disease)
  • urinary tract infections
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Footnotes

  • Contributors CA and MB wrote the case report. CN and LP reviewed the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained

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