Melioidosis: An unusual presentation as mycotic pseudoaneurysm of Left Superficial Femoral Artery

Year 2018, Volume: 08 Issue: 04, 162 - 164, 15.12.2018

Sarin J. Harison Pratibha Bhat U. Rekha Rai

https://doi.org/10.5799/jmid.493859

Cited By: 1

https://izlik.org/JA23KS84GU

Abstract

Melioidosis
is a potentially fatal infectious disease usually seen in, but not restricted
to the tropical areas of the world. Burkholderia
pseudomallei, a soil saprophytic bacterium are the causative agent. It can
produce latent infection and reactivate many years after initial exposure and
can have varied clinical presentations. Here we put forward an unusual yet
successfully treated case of melioidosis presenting as mycotic pseudoaneurysm
of superficial femoral artery. A 62 year old male patient came with a one and a
half month old history of swelling and pain in the left thigh. Culture of blood
and pus samples from the patient yielded Burkholderia
pseudomallei. Combinations of surgical and medical management lead to a
good outcome in the patient. J Microbiol
Infect Dis 2018; 8(4):162-164.

Keywords

melioidosis , pseudoaneurysm , superficial femoral artery

References

• 1. Blaser MJ, Dolin R, Blaser. Burkholderia pseudomallei and Burkholderia mallei: Meleioidosis and Glanders. In: Currie BJ, editor. Mandell, Douglas, and Bennett’s Principles and practice of infectious diseases. 8th ed. Philadelphia: Churchill Livingstone Elsevier; 2015. p. 2541-2551. 2. White NJ. Melioidosis. Lancet 2003; 361(9370):1715-1722. 3. Vidyalakshmi K, Lipika S, Vishal S, Damodar S, Chakrapani M. Emerging clinico-epidemiological trends in melioidosis: analysis of 95 cases from western coastal India. Int J Infect Dis 2012; 16 (7):e491–7. 4. Schindler N, Calligaro KD, Dougherty MJ, Diehl J, Modi KH, Braffman MN. Melioidosis presenting as an infected intrathoracic subclavian artery pseudoaneurysm treated with femoral vein interposition graft. J Vasc Surg 2002; 35(3):569-572. 5. Low JGH, Quek AML, Sin YK, Ang BSP. Mycotic Aneurysm Due to Burkholderia pseudomallei Infection: Case Reports and Literature Review. Clin Infect Dis 2005; 40(1):193-198. 6. Rao J, Kaushal AS, Hoong CK. Abdominal Aortic Pseudoaneurysm Secondary to Melioidosis. Asian J Surg 2009; 32(1):64-69. 7. Anunnatsiri S, Chetchotisakd P, Kularbkaew C. Mycotic Aneurysm in Northeast Thailand: The Importance of Burkholderia pseudomallei as a Causative Pathogen. Clin Infect Dis 2008; 47(11):1436-1439. 8. Padmaja K, Lakshmi V, Sudhaharan S, Malladi SVS, Gopal P, Ravinuthala KV. Unusual presentation of melioidosis in a case of pseudoaneurysm of descending thoracic aorta: Review of two case reports. Res Cardiovasc Med 2015; 4(2):7. 9. Goh BKP, Chen CYY. Infected Pseudoaneurysm of the Femoral Artery Secondary to Melioidosis Infection of a Previous Femoropopliteal Bypass Graft. Ann Vasc Surg 2005; 19(1):90-93.