Recurrent Melioidotic Neck Abscess

Authors

  • V Sha Kri Eh Dam Department of Otorhinolaryngology- Head & Neck Surgery, Hospital Lahad Datu, Peti Surat 60065, 91110 Lahad Datu, Sabah, Malaysia

DOI:

https://doi.org/10.3329/bjms.v24i4.85381

Keywords:

recurrent neck abscess, melioidosis, Burkholderia pseudomallei

Abstract

Background Melioidotic neck abscess is a rare complication of chronic infectious disease caused by Burkholderia pseudomallei. Recurrent cases with laboratory confirmation, which could be caused by incomplete eradication of infection or immunocompromised state of patient, have never been described in the literature. Its management is challenging, with no consensus to date of treatment regime. Case presentation We present a case of a young patient with multiple comorbidities presenting with recurrent melioidotic neck abscess, successfully treated with surgical drainage and a long-term combination of antibiotics. Conclusion There are wide range clinical manifestations of melioidosis with pneumonia is the most common presentation, while neck abscess is rarely reported. The bacteria may remain inactive for some time and re-activate when the host immune system has deteriorated. Fail to completely eradicate the disease may predispos to another episode of complication. Longer duration of treatment and follow-up should be considered, especially in immunocompromised patients, and the patients should be managed under multidisciplinary teams to minimize the risk of recurrent and catastrophic complications.

BJMS, Vol. 24 No. 04 October’25 Page : 1341-1345

 

Downloads

Download data is not yet available.
Abstract
40
PDF
29

Author Biography

V Sha Kri Eh Dam, Department of Otorhinolaryngology- Head & Neck Surgery, Hospital Lahad Datu, Peti Surat 60065, 91110 Lahad Datu, Sabah, Malaysia

 

 

Downloads

Published

2025-11-02

How to Cite

Eh Dam, V. S. K. (2025). Recurrent Melioidotic Neck Abscess. Bangladesh Journal of Medical Science, 24(4), 1341–1345. https://doi.org/10.3329/bjms.v24i4.85381

Issue

Vol. 24 No. 4 (2025)

Section

Case Reports

License

Copyright (c) 2025 V Sha Kri Eh Dam

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:

  1. Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.