A Case of Fatal Meliodosis presenting as Septic Arthritis and Septicaemia

Authors

  • Kaniz Fatema Assistant Professor, Dept of CCM, BIRDEM, Dhaka
  • ASM Areef Ahsan Associate Professor & Head, Dept of CCM, BIRDEM, Dhaka
  • Lovely Barai Associate Professor & Head, Dept of Microbiology, BIRDEM, Dhaka
  • Debasish Kumar Saha Registrar, Dept of CCM, BIRDEM, Dhaka
  • Samira Rahat Afroze Registrar, Dept of Internal Medicine, BIRDEM, Dhaka
  • Mohammad Omar Faruq Professor, Dept of CCM, BIRDEM, Dhaka
  • Fatema Ahmed Junior Consultant, Dept of CCM, BIRDEM
  • Madhurima Saha Dept of CCM, BIRDEM, Dhaka

DOI:

https://doi.org/10.3329/bccj.v3i2.25116

Keywords:

Meliodosis, Septic Arthritis, Burkholderia pseudomallei, ICU, Septic Shock, Septicaemia

Abstract

Meliodosis, caused by the gram negative saprophyte Burkholderia pseudomallei, is very difficult to diagnose clinically because of varied presentations and lack of awareness. It causes various clinical manifestations like pneumonia, septicaemia, septic shock, septic arthritis, abscesses in different organs etc. The organism can be difficult to identify in laboratories with little experience of B pseudomallei. For effective and timely initiated treatment, clinicians and microbiologists should communicate with each other. Here we report a case of a middle aged diabetic lady who presented with septic arthritis. Burkholderia pseudomallei was isolated from blood and synovial fluid cultures. The unfortunate woman succumbed to death from septic shock before diagnosis.

Bangladesh Crit Care J September 2015; 3 (2): 74-76

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Author Biography

Kaniz Fatema, Assistant Professor, Dept of CCM, BIRDEM, Dhaka



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Published

2015-09-22

How to Cite

Fatema, K., Ahsan, A. A., Barai, L., Saha, D. K., Afroze, S. R., Faruq, M. O., Ahmed, F., & Saha, M. (2015). A Case of Fatal Meliodosis presenting as Septic Arthritis and Septicaemia. Bangladesh Critical Care Journal, 3(2), 74–76. https://doi.org/10.3329/bccj.v3i2.25116

Issue

Section

Case Reports