Author/Authors :
Ding, C. H. National University of Malaysia - Faculty of Medicine - Department of Medical Microbiology Immunology, Malaysia , Hussin, S. National University of Malaysia - Faculty of Medicine - Department of Medical Microbiology Immunology, Malaysia , Tzar, M.N. National University of Malaysia - Faculty of Medicine - Department of Medical Microbiology Immunology, Malaysia , Rahman, M.M. National University of Malaysia - Faculty of Medicine - Department of Medical Microbiology Immunology, Malaysia , Ramli, S. R. Hospital Raja Permaisuri Bainun - Department of Pathology, 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.
Keywords :
Burkholderia pseudomallei , Mycotic aneurysm , Aortic aneurysm , Microgen GN , ID.
