A case of mycotic aneurysm due to Burkholderia pseudomallei. | [Pakistan Journal of Medical Sciences • 2013]

Author(s):

1. C. H. Ding: Department of Medical Microbiology & Immunology, Faculty of Medicine, The National University of Malaysia, Cheras, Kuala Lumpur, Malaysia

2. S. Hussin: Department of Medical Microbiology & Immunology, Faculty of Medicine, The National University of Malaysia, Cheras, Kuala Lumpur, Malaysia

3. M. N. Tzar: Department of Medical Microbiology & Immunology, Faculty of Medicine, The National University of Malaysia, Cheras, Kuala Lumpur, Malaysia

4. S. R. Ramli: Department of Medical Microbiology & Immunology, Faculty of Medicine, The National University of Malaysia, Cheras, Kuala Lumpur, Malaysia

Abstract:

Burkholderia pseudomallei is an free-living gram-negative bacterium causing melioidosis and is endemic in Southeast Asia. A 56-year-old diabetic construction worker with a 1-month history of abdominal pain and 1-day history of high-grade fever was found to have a left non-dissecting infrarenal mycotic aortic aneurysm by abdominal computerized tomography scan. Bacteriological examination of his blood yielded Burkholderia pseudomallei. The patient was treated with right axillo-bifemoral bypass with excision of aneurysm and high-dose intravenous ceftazidime for two weeks, followed by oral trimethoprim/sulfamethoxazole and oral doxycycline for a minimum of five months.

Page(s): 668-668

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 29, Issue: 2, Year: 2013

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