PMID: 6537830Jan 1, 1984Paper

Melioidosis and bilateral third-nerve palsies

Neurology
R W BeckD H Rubin

Abstract

Central nervous system involvement in melioidosis is unusual. We describe a 34-year-old man who developed a Pseudomonas pseudomallei meningitis, manifested as bilateral third-nerve palsies, 13 years after having been in southeast Asia. Diagnosis was established by a fourfold rise in the serum antibody titer for the bacterium. Recovery occurred after treatment with rifampin, isoniazid hydrochloride, ethambutol, and trimethoprim-sulfamethoxazole. Since a long latent period from exposure to overt infection is possible, additional cases of melioidosis in the United States can still be expected in veterans of the Vietnam War.

Citations

Jan 1, 1989·Pediatric Neurology·J T Pelekanos, D B Appleton
Feb 5, 2008·Journal of Neurosurgery·G Samson Sujit KumarVedantam Rajshekhar
Nov 20, 1998·The Journal of Infection·A PadiglioneD Spelman
Feb 1, 1988·Surgical Neurology·F TognettiE Galassi
Apr 26, 2019·PLoS Neglected Tropical Diseases·Monton Wongwandee, Patcharasarn Linasmita

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