Neurological melioidosis in Norway presenting with a cerebral abscess

IDCases
Liv HesstvedtOona Dunlop

Abstract

Neurological melioidosis is a rare condition, as less than 30 cases have been reported in the last 50 years. We present a case of neurological melioidosis, presenting with a cerebral abscess in a returning traveler from an endemic area. While traveling in Cambodia on holiday, the patient was admitted to local hospital for pneumonia. Her condition improved after antimicrobial treatment, and she returned to Norway when discharged. The patient had several contacts with the health care system after returning to Norway, due to recurrent fever and deterioration. Short-term antimicrobial treatment was given with temporary improvement in her condition. Eventually she developed stroke-like symptoms, and a cerebral abscess was found. Cultures from the abscess were positive for Burkholderia pseudomallei and the treatment was adjusted accordingly.

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Citations

Oct 28, 2015·Journal of Travel Medicine·Michael Dan
May 16, 2015·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Katherinn Melissa Nasner-PossoAlfonso J Rodriguez-Morales
Apr 6, 2019·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Sarah Le TohicPatrice Vanelle
Mar 7, 2021·Molecules : a Journal of Synthetic Chemistry and Natural Product Chemistry·Oranee SrichaiyapolRina Patramanon

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Methods Mentioned

BETA
X-ray
ESR
biopsy
PCR

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