• 1 Infectious Diseases Department, François Mitterrand Teaching Hospital, Dijon, France
  • 2 Laboratory of Bacteriology, François Mitterrand Teaching Hospital, Dijon, France
BMJ Case Rep, 2019 May 22;12(5).
PMID: 31122956 DOI: 10.1136/bcr-2018-228856


Melioidosis is a protean disease which is endemic to Southeast Asia and northern Australia. Here, we report a case of infected aortic aneurysm due to Burkholderia pseudomallei in an immunocompetent man 6 months after a trip to northern Malaysia. This patient initially received inappropriate surgical and antibiotic treatment, leading to a peri-prosthetic aortic infection with lumbar spondylitis and contiguous psoas muscle abscess. This case highlights the difficulty of diagnosing melioidosis given its diverse clinical manifestations and the limits of routine microbiological methods to identify B. pseudomallei Melioidosis should be considered a possible diagnosis in individuals with unexplained fever subsequent to travel in an endemic area.

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