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A case of mycotic aneurysm due to Burkholderia pseudomallei.
Author(s)
C. H. Ding Department of Medical Microbiology & Immunology, Faculty of Medicine, The National University of Malaysia, Cheras, Kuala Lumpur, Malaysia
S. Hussin Department of Medical Microbiology & Immunology, Faculty of Medicine, The National University of Malaysia, Cheras, Kuala Lumpur, Malaysia
M. N. Tzar Department of Medical Microbiology & Immunology, Faculty of Medicine, The National University of Malaysia, Cheras, Kuala Lumpur, Malaysia
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.
Publication Details
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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