A case of mycotic aneurysm due to Burkholderia pseudomallei

Abstract

Burkholderia pseudomallei is an free-living gram-negative bacterium causing melioidosis and is endemic in Southeast Asia. A 56-year-old diabetic construction worker with a 1-month history of abdominal pain and 1-day history of high-grade fever was found to have a left non-dissecting infrarenal mycotic aortic aneurysm by abdominal computerized tomography scan. Bacteriological examination of his blood yielded Burkholderia pseudomallei. The patient was treated with right axillo-bifemoral bypass with excision of aneurysm and high-dose intravenous ceftazidime for two weeks, followed by oral trimethoprim/sulfamethoxazole and oral doxycycline for a minimum of five months.

doi: http://dx.doi.org/10.12669/pjms.292.2815

How to cite this:Ding CH, Hussin S, Tzar MN, Rahman MM, Ramli SR. A case of mycotic aneurysm due to Burkholderia pseudomallei. Pak J Med Sci 2013;29(2):666-668.   doi: http://dx.doi.org/10.12669/pjms.292.2815

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