Affiliations 

  • 1 W K Lim, FRCSEd. ENT Department, Hospital Ipoh, Perak
  • 2 G S Gurdeep, MS (ORL-HNS). ENT Department, Hospital Ipoh, Perak
  • 3 K Norain, MRCPath. Pathology Department, Hospital Ipoh, Perak
Med J Malaysia, 2001 Dec;56(4):471-7.
PMID: 12014768

Abstract

Melioidosis is a potentially deadly infection that can affect any organ system. Reports of melioidosis of the ENT/head and neck region are relatively uncommon. Four cases are presented: (i) parotid abscess evolving into necrotising fasciitis, (ii) acute sinusitis and parapharyngeal cellulitis resulting in upper airway obstruction, (iii) acute suppurative lymphadenitis (iv) and chronic suppurative otitis media causing meningoencephalitis. Three of the four cases are believed to be unique, as a literature review of melioidosis in ENT/head and neck is also presented. Some practical issues of management are also discussed. Not suspecting melioidosis does not change contemporary empirical broadspectrum antibiotic therapy. The value of suspicion or on confirmation of diagnosis lies in anticipating and planning for rapid change.

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