Disseminated melioidosis presenting as sepsis, neurological melioidosis, liver and prostate abscess in United Arab Emirates
  • Maria Hasani
    Dubai Medical College for Girls, Dubai, United Arab Emirates
  • Sadia Rounak Shriya
    Dubai Medical College for Girls, Dubai, United Arab Emirates
  • Mariyam Thahira
    Dubai Medical College for Girls, Dubai, United Arab Emirates
  • Saima Haque
    Dubai Medical College for Girls, Dubai, United Arab Emirates
  • Saima Liyakat Khan
    Dubai Medical College for Girls, Dubai, United Arab Emirates
  • Azza Shaloob
    Dubai Medical College for Girls, Dubai, United Arab Emirates
  • Sara Osman
    Department of Infectious Disease, Rashid Hospital, Dubai Health, Dubai, United Arab Emirates

Keywords

Burkholderia pseudomallei, melioidosis, neuromelioidosis, sepsis

Abstract

Background: Melioidosis is an infection caused by Burkholderia pseudomallei, a Gram-negative bacterium. It is a disease endemic to Southeast Asia and northern Australia although its global incidence has been rising. It most commonly infects people with certain identified risk factors such as diabetes, alcoholism, thalassemia, and underlying chronic disease involving lungs, kidney and liver. This bacterium is capable of producing a wide array of clinical manifestations ranging from asymptomatic disease to localised infections such as in the lung, bone or skin to disseminated infection.
Case description: This is a case, from United Arab Emirates, of a 40-year-old male recently diagnosed with diabetes who presented with multiple abscesses and was eventually diagnosed with disseminated melioidosis. He was treated successfully with antibiotics and drainage of abscesses.
Conclusion: In non-endemic regions, melioidosis can be easily missed in common diagnostic approaches. This gap of awareness could delay the diagnosis and allow further deterioration of the patient due to complications. Thus, case reports like this can enlighten internists about changing incidences and complexity of clinical presentations, thus preparing them to better handle such patients in the future.

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    Published: 2024-04-09
    Issue: 2024: Vol 11 No 5 (view)


    How to cite:
    1.
    Maria Hasani, Sadia Rounak Shriya, Thahira M, Haque S, Khan SL, Azza Shaloob, Sara Osman. Disseminated melioidosis presenting as sepsis, neurological melioidosis, liver and prostate abscess in United Arab Emirates. EJCRIM 2024;11 doi:10.12890/2024_004415.