Melioidosis in acute cholangitis of diabetic patient: a forgotten diagnosis
Nasir Mohamad,1 Suresh Ponnusamy,2 Sunita Devi,3 Rishya Manikam,4 Ilya Irinaz Idrus,1 Nor Hidayah Abu Bakar51Department of Emergency Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia; 2AIMST University, Bedong, Malaysia; 3Hospital Sultan Abdul Halim, Sungai Pet...
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ftdoajarticles:oai:doaj.org/article:3599f745a8374607995686598aad4957 2023-05-15T15:07:55+02:00 Melioidosis in acute cholangitis of diabetic patient: a forgotten diagnosis Mohamad N Ponnusamy S Devi S Manikam R Idrus II Bakar NH 2012-08-01T00:00:00Z https://doaj.org/article/3599f745a8374607995686598aad4957 EN eng Dove Medical Press http://www.dovepress.com/melioidosis-in-acute-cholangitis-of-diabetic-patient-a-forgotten-diagn-a10860 https://doaj.org/toc/1179-7282 1179-7282 https://doaj.org/article/3599f745a8374607995686598aad4957 Research and Reports in Tropical Medicine, Vol 2012, Iss default, Pp 103-106 (2012) Arctic medicine. Tropical medicine RC955-962 article 2012 ftdoajarticles 2022-12-31T14:03:13Z Nasir Mohamad,1 Suresh Ponnusamy,2 Sunita Devi,3 Rishya Manikam,4 Ilya Irinaz Idrus,1 Nor Hidayah Abu Bakar51Department of Emergency Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia; 2AIMST University, Bedong, Malaysia; 3Hospital Sultan Abdul Halim, Sungai Petani, Malaysia; 4University Malaya Medical Centre, Kuala Lumpur, Malaysia; 5Department of Pathology, Hospital Raja Perempuan Zainab II, Kota Bharu, MalaysiaAbstract: Melioidosis presents with a wide range of clinical presentations, which include severe community-acquired pneumonia, septicemia, central nervous system infection, and less severe soft tissue infection. Hence, its diagnosis depends heavily on the clinical microbiology laboratory for culture. In this case report, we describe an atypical presentation of melioidosis in a 52-year-old man who had fever, right upper-abdominal pain, and jaundice for 15 days. Melioidosis caused by Burkholderia pseudomallei was subsequently diagnosed from blood culture. As a primary care physician, high suspicion index is of great importance. High suspicion index of melioidosis in a high-risk group patient, such as the patient with diabetes mellitus and diabetic foot, is crucial in view of atypical presentations of pseudomonas sepsis. A correct combination of antibiotic administration in the early phase of therapy will determine its successful outcome.Keywords: Burkholderia pseudomallei, atypical, high suspicion, primary care Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Sultan ENVELOPE(-55.317,-55.317,-61.150,-61.150) |
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Directory of Open Access Journals: DOAJ Articles |
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language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 |
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Arctic medicine. Tropical medicine RC955-962 Mohamad N Ponnusamy S Devi S Manikam R Idrus II Bakar NH Melioidosis in acute cholangitis of diabetic patient: a forgotten diagnosis |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 |
description |
Nasir Mohamad,1 Suresh Ponnusamy,2 Sunita Devi,3 Rishya Manikam,4 Ilya Irinaz Idrus,1 Nor Hidayah Abu Bakar51Department of Emergency Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia; 2AIMST University, Bedong, Malaysia; 3Hospital Sultan Abdul Halim, Sungai Petani, Malaysia; 4University Malaya Medical Centre, Kuala Lumpur, Malaysia; 5Department of Pathology, Hospital Raja Perempuan Zainab II, Kota Bharu, MalaysiaAbstract: Melioidosis presents with a wide range of clinical presentations, which include severe community-acquired pneumonia, septicemia, central nervous system infection, and less severe soft tissue infection. Hence, its diagnosis depends heavily on the clinical microbiology laboratory for culture. In this case report, we describe an atypical presentation of melioidosis in a 52-year-old man who had fever, right upper-abdominal pain, and jaundice for 15 days. Melioidosis caused by Burkholderia pseudomallei was subsequently diagnosed from blood culture. As a primary care physician, high suspicion index is of great importance. High suspicion index of melioidosis in a high-risk group patient, such as the patient with diabetes mellitus and diabetic foot, is crucial in view of atypical presentations of pseudomonas sepsis. A correct combination of antibiotic administration in the early phase of therapy will determine its successful outcome.Keywords: Burkholderia pseudomallei, atypical, high suspicion, primary care |
format |
Article in Journal/Newspaper |
author |
Mohamad N Ponnusamy S Devi S Manikam R Idrus II Bakar NH |
author_facet |
Mohamad N Ponnusamy S Devi S Manikam R Idrus II Bakar NH |
author_sort |
Mohamad N |
title |
Melioidosis in acute cholangitis of diabetic patient: a forgotten diagnosis |
title_short |
Melioidosis in acute cholangitis of diabetic patient: a forgotten diagnosis |
title_full |
Melioidosis in acute cholangitis of diabetic patient: a forgotten diagnosis |
title_fullStr |
Melioidosis in acute cholangitis of diabetic patient: a forgotten diagnosis |
title_full_unstemmed |
Melioidosis in acute cholangitis of diabetic patient: a forgotten diagnosis |
title_sort |
melioidosis in acute cholangitis of diabetic patient: a forgotten diagnosis |
publisher |
Dove Medical Press |
publishDate |
2012 |
url |
https://doaj.org/article/3599f745a8374607995686598aad4957 |
long_lat |
ENVELOPE(-55.317,-55.317,-61.150,-61.150) |
geographic |
Arctic Sultan |
geographic_facet |
Arctic Sultan |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Research and Reports in Tropical Medicine, Vol 2012, Iss default, Pp 103-106 (2012) |
op_relation |
http://www.dovepress.com/melioidosis-in-acute-cholangitis-of-diabetic-patient-a-forgotten-diagn-a10860 https://doaj.org/toc/1179-7282 1179-7282 https://doaj.org/article/3599f745a8374607995686598aad4957 |
_version_ |
1766339353621037056 |