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Case Reports
. 2022 Mar 4;2022(1):13.
doi: 10.5339/qmj.2022.13. eCollection 2022.

Burkholderia pseudomallei Septic Arthritis of the Knee Joint: Report of a Third Imported Case in Oman

Maya Al Salti  1 , Mahmood Al Subhi  1 , Amina Al-Jardani  2 , Azza Al-Rashdi  2 , Zayid K Almayahi  3
Affiliations
Case Reports

Burkholderia pseudomallei Septic Arthritis of the Knee Joint: Report of a Third Imported Case in Oman

Maya Al Salti et al. Qatar Med J. .

Abstract

Melioidosis is a severe disease that can affect humans and animals. It is caused by Burkholderia pseudomallei, which is an environmental aerobic gram negative bacteria. Despite being endemic in Southeast Asia and Northern Australia, many cases have been reported from different regions, including the Middle East. This is the third imported case of B. pseudomallei from Oman in a 46-year-old Indian male with left knee septic arthritis in less than three weeks after arrival in Oman. He underwent open arthrotomy, and his synovial fluid culture grew a bacteria with dry, pink colonies that were oxidase positive, susceptible to amoxicillin-clavulanic, identified by API NE as B. pseudomallei, and confirmed by molecular tests. This single case report highlights the urgent need to increase molecular diagnostic capacity and improve public health surveillance while maintaining a one health tripartite approach.

Keywords: Amoxicillin–clavulanic acid; Bacterial infections; Burkholderia pseudomallei; Melioidosis; Oman; Septic arthritis.

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Figures

Figure 1.
Figure 1.
Demonstrates the timeline of the patient's travel history, medical consultations, clinical progress, and tests performed.
Figure 2.
Figure 2.
Knee arthrotomy surgery performed in Oman.
Figure 3.
Figure 3.
Gram stain: small bipolar Gram-negative bacilli
Figure 4.
Figure 4.
Blood agar: dry white colonies
Figure 5.
Figure 5.
MacConkey agar: round pink colonies
Figure 6.
Figure 6.
Open knee surgery performed in India
See this image and copyright information in PMC

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