A case of mycotic aneurysm due to Burkholderia pseudomallei

Ding CH 1 , Hussin S 2 , Tzar MN 3 , Rahman MM 4 , Ramli SR 5

Affiliations 

  • 1 C. H. Ding, Department of Medical Microbiology & Immunology, Faculty of Medicine, National University of Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia
  • 2 S. Hussin, Department of Medical Microbiology & Immunology, Faculty of Medicine, National University of Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia
  • 3 M. N. Tzar, Department of Medical Microbiology & Immunology, Faculty of Medicine, National University of Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia
  • 4 M. M. Rahman, Department of Medical Microbiology & Immunology, Faculty of Medicine, National University of Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia
  • 5 S. R. Ramli, Department of Pathology, Hospital Raja Permaisuri Bainun, 30990 Ipoh, Perak, Malaysia
Pak J Med Sci, 2013 Apr;29(2):666-8.
PMID: 24353601

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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