A case of mycotic aneurysm due to Burkholderia pseudomallei | Zendy

Chuan Hun Ding | Zendy; Supyan Hussin | Zendy; Tzar Mohd Nizam Khaithir | Zendy; Md. Mostafizur Rahman | Zendy; S R Ramli | Zendy

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A case of mycotic aneurysm due to Burkholderia pseudomallei

Author(s) -

Chuan Hun Ding,

Supyan Hussin,

Tzar Mohd Nizam Khaithir,

Md. Mostafizur Rahman,

S R Ramli

Publication year - 2013

Publication title -

pakistan journal of medical sciences

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.316

H-Index - 30

eISSN - 1682-024X

pISSN - 1681-715X

DOI - 10.12669/pjms.292.2815

Subject(s) - burkholderia pseudomallei , medicine , melioidosis , mycotic aneurysm , doxycycline , ceftazidime , surgery , abdominal aortic aneurysm , burkholderia , aneurysm , abdominal pain , radiology , pathology , antibiotics , microbiology and biotechnology , bacteria , genetics , pseudomonas aeruginosa , biology

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.

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