A Case Series on Melioidosis: Unveiling the Clinical Spectrum and Challenges

Dr. Ipsita Paul, Dr. Shiva Priya Eswaran

Abstract: Melioidosis presents with a wide range of clinical manifestations, from acute localized infections to pulmonary infections (often resembling tuberculosis), acute septicaemia, and chronic suppurative infections. Below, four cases of melioidosis with varying clinical features are discussed. Case 1 involved swelling of the right shoulder, Case 2 presented with a pyogenic abscess at D10 and L4 - L5, Case 3 experienced intermittent right knee pain accompanied by fever and chills, and Case 4 had fever and a dry cough. Effective management and outcomes rely on the prompt initiation of appropriate intravenous antibiotic therapy, followed by an extended maintenance course of antibiotics.

Keywords: Melioidosis, Burkholderia pseudomallei, Meropenem, Cotrimoxazole