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Melioidosis is caused by the gram-negative environmental saprophyte, Burkholderia pseudomallei ( B. pseudomallei ). Common presentations include pneumonia, bone and joint disease, renal and soft tissue infections. However, head and neck involvement is rare. We report a jugular lymphnode abscess associated with facial percutaneous inoculation of B. pseudomallei . Hospital course was complicated by endocarditis, septic arthritis and pyelonephritis. Surgical drainage and intensive and eradicative phase of antibiotics successfully cured the disease.

Jugular Lymphadenitis as a Precursor to Burkholderia Pseudomallei Sepsis