Melioidosis presenting as Fever and jaundice: a rare presentation

Journal of Clinical and Experimental Hepatology
Pankaj TyagiAnil Arora

Abstract

Melioidosis caused by the environmental Gram-negative bacillus Burkholderia pseudomallei is endemic in northern Australia and Southeast Asia and is being described increasingly from south and west coastal regions of India. Melioidosis is known to have high mortality (14-50%) and the risk factors associated with it are diabetes mellitus and heavy alcohol abuse. Melioidosis primarily presents as pneumonia, genitourinary infection and bacteremia. We present a case of Melioidosis from North India, a 56-year-old diabetic male, presenting with fever and jaundice. His blood culture was positive for the B. pseudomallei. The hepatic involvement was in the form of jaundice with serum bilirubin value of more than 12 mg/dL, hepatic enzymes more than ten times high and without hepatic abscess. He improved with intravenous antibiotics with complete normalization of liver function tests.

References

Sep 7, 1999·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Y SuputtamongkolA Lulitanond
Sep 29, 2007·Indian Journal of Medical Microbiology·K VidyalakshmiU Suchitra
Feb 12, 2009·Journal of Biosciences·T D Chugh
Jun 4, 2010·The American Journal of Tropical Medicine and Hygiene·Direk LimmathurotsakulSharon J Peacock
Dec 15, 2010·PLoS Neglected Tropical Diseases·Bart J CurrieAllen C Cheng
Nov 8, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Ella M MeumannBart J Currie
Apr 20, 2012·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·K VidyalakshmiM Chakrapani
Jul 10, 2012·Transactions of the Royal Society of Tropical Medicine and Hygiene·Rapeephan R MaudeSharon J Peacock
Sep 14, 2012·The New England Journal of Medicine·W Joost WiersingaSharon J Peacock

❮ Previous
Next ❯

Citations

Nov 16, 2016·The Journal of Venomous Animals and Toxins Including Tropical Diseases·Zengzhen FuQianfeng Xia

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.

Bacterial Pneumonia (ASM)

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.

Bacterial Pneumonia

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.