Author/Authors :
Prasad, Nelamangala Ramakrishnaiah Vishnu Jawaharlal Institute of Postgraduate Medical Education and Research - Department of Surgery, India , Balasubramaniam, Gopal Jawaharlal Institute of Postgraduate Medical Education and Research - Department of Surgery, India , Karthikeyan, Vilvapathy Senguttuvan Jawaharlal Institute of Postgraduate Medical Education and Research - Department of Urology, India , Ramesh, Chakravarti Kapil Jawaharlal Institute of Postgraduate Medical Education and Research - Department of Surgery, India , Srinivasan, Krishnamachari Jawaharlal Institute of Postgraduate Medical Education and Research - Department of Surgery, India
Abstract :
Melioidosis caused by Burkholderia pseudomallei, an important human pathogen in the tropical regions causes protean and multisystem clinical manifestations. A 50-year-old man on treatment for pulmonary tuberculosis developed a chest wall abscess. With a suspicion of tuberculous cold abscess, pus culture was done and it revealed Burkholderia pseudomallei. He was treated with10 days of ceftazidime and incision and drainage was done. Wound healed well and he has now completed three months of oral cotrimoxazole eradication therapy and is on follow-up without recurrence. We report this case for the unusual presentation of melioidosis and the diagnostic challenge posed due to clinical similarity with tuberculosis.
Keywords :
Chest wall abscess , cold abscess , melioidosis , tuberculosis
