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Burkholderia pseudomallei sepsis with osteoarticular melioidosis of the hip in a patient with diabetes mellitus
  1. Pierre-Nicolas Boyer1 and
  2. Marion L Woods2,3
  1. 1Internal Medicine, Townsville University Hospital, Townsville, Queensland, Australia
  2. 2Infectious Diseases, Townsville University Hospital, Townsville, Queensland, Australia
  3. 3Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia
  1. Correspondence to Dr Pierre-Nicolas Boyer; pierre.boyer{at}


Melioidosis is caused by the tropical soil pathogen Burkholderia pseudomallei. Infection, usually in the form of pneumonia, disproportionately affects people with a risk factor for immune dysregulation and mortality remains high even with treatment. Climate change and increasing rates of diabetes render the populations of endemic areas increasingly vulnerable to the disease, which is emerging as a serious global health threat. We present here a case of a 68-year-old man from northern Australia with sepsis and osteoarticular melioidosis of the hip, and explore the links between diabetes mellitus and melioidosis, particularly with respect to musculoskeletal infection.

  • bone and joint infections
  • tropical medicine (infectious disease)
  • diabetes

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  • Contributors Both authors are treating clinicians. P-NB wrote the manuscript under the supervision and guidance of MLW.

  • 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.

  • Patient consent for publication Obtained.

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