Revista de informes de casos clínicos

A Case Report of an Unusual Presentation of Melioidosis

Abstract

Phani Machiraju*, Rama Narasimhan, Kiran Kompella and Suresh Kumar D

Melioidosis is a granulomatous infectious disease caused by Burkholderia pseudomallei. It is a motile, aerobic, oxidase-positive, gramnegative,
non-spore forming soil saprophyte. It has gained a lot of importance in recent times as one of the most potent emerging
infections in India. The clinical presentation of Melioidosis is highly variable, ranging from benign skin and soft tissue infections to rapidly
fulminant and fatal septicaemia. It is because of this wide range of clinical diversity, it is called "Great mimicker" and poses diagnostic
challenges to clinicians. In this case report, we illustrate the diagnostic difficulties we faced and our management of infrequent complication
of disseminated Melioidosis presenting as broncho-oesophageal fistula with concomitant lung consolidation.