A Rare Presentation of Central Nervous System Melioidosis - Open Access Library Journal

OALibJ > Vol.4 No.1, January 2017

A Rare Presentation of Central Nervous System Melioidosis ()

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DOI: 10.4236/oalib.1103346 1,525 Downloads 3,139 Views Citations

Author(s)

Shin-Shen Yong^1*, Siti-Aisah Hassan², Phing-Sue Wong¹, Kar-Yaw Yoong¹

Affiliation(s)

¹Department of Internal Medicine, Hospital Sultan Ismail, Johor, Malaysia.
²Department of Radiology, Hospital Sultan Ismail, Johor, Malaysia.

ABSTRACT

We report a case of an 18-year-old army man who was diagnosed with cerebral melioidosis with disseminated abscesses. The patient presented with fever and focal neurological signs with positive cerebral imaging findings followed by a positive blood culture for Burkholderia pseudomallei. Further imaging of other sites also revealed multiple abscesses. He responded well to an intensive course of antibiotic therapy of eight-week duration followed by 6 months of eradication therapy. The repeat cerebral imaging showed complete resolution of basal ganglia abscess at the end of intensive antibiotic therapy.

KEYWORDS

Melioidosis, Basal Ganglia, Abscess, Antibiotic

Share and Cite:

Yong, S. , Hassan, S. , Wong, P. and Yoong, K. (2017) A Rare Presentation of Central Nervous System Melioidosis. Open Access Library Journal, 4, 1-8. doi: 10.4236/oalib.1103346.

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