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Case Reports
. 2017 Oct 4:2017:bcr2017221268.
doi: 10.1136/bcr-2017-221268.

Melioidosis presenting as septicaemia and facial nerve palsy

Affiliations
Case Reports

Melioidosis presenting as septicaemia and facial nerve palsy

Tessa Antony et al. BMJ Case Rep. .

Abstract

A 43-year-old farmer presented with acute onset pneumonia, septicaemia and peripheral facial nerve palsy (left side). Burkholderia pseudomallei was isolated from the blood culture of the patient. The patient was successfully treated with intravenous meropenem and oral cotrimoxazole for 2 weeks followed by maintenance therapy with cotrimoxazole. The case is reported to increase awareness among the clinicians and microbiologists regarding melioidosis.

Keywords: infections; respiratory system.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Colonies on blood agar—medium sized (2–4 mm diameter) cream coloured colonies with a hazy zone of haemolysis, developing central umbonation.
Figure 2
Figure 2
Colonies on MacConkey agar—pink coloured colonies.

References

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