TY - JOUR T1 - Infected aneurysm after returning from Southeast Asia: think <em>Burkholderia pseudomallei</em>! JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2018-228856 VL - 12 IS - 5 SP - e228856 AU - Clément Auvens AU - Catherine Neuwirth AU - Lionel Piroth AU - Mathieu Blot Y1 - 2019/05/01 UR - http://casereports.bmj.com/content/12/5/e228856.abstract N2 - 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. ER -