Open AccessChronic multifocal osteomyelitis: A rare presentation of melioidosis
Author(s) -
Vijay Alexander,
Maria Koshy,
Rachana Shenoy,
Thambu David Sudarsanam
Publication year - 2018
Publication title -
journal of family medicine and primary care
Language(s) - English
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/jfmpc.jfmpc_227_18
Subject(s) - medicine , melioidosis , presentation (obstetrics) , osteomyelitis , burkholderia pseudomallei , chronic recurrent multifocal osteomyelitis , dermatology , osteitis , surgery , pathology , bacteria , biology , genetics
A 45-year-old gentleman presented with fever, weight loss, and painful swelling of both knees. His history was significant for type 2 diabetes mellitus. Blood cultures grew Burkholderia pseudomallei , and imaging revealed osteomyelitis of bilateral distal femura and proximal tibiae, with no involvement of the joint space. He underwent debridement and was initiated on ceftazidime followed by eradication therapy with trimethoprim-sulfamethoxazole. He recovered well with no further complications. Melioidosis is a rare cause of multifocal osteomyelitis and is a differential to be considered in an appropriate clinicoepidemiological setting.