Abstract
The AMJ is a peer-reviewed, triannual health journal published by Anuradhapura Clinical Society (ACS).The Journal strives to be a forum for all health professionals to publish original research and review articles in their area of expertise. The AMJ publishes articles in clinical medicine, public health and health promotion. Our priority is given to manuscripts on health related issues which affects the communities living in rural tropical communities. Established as a journal in 2006 as a publication parallel to ACS annual scientific sessions, the journal was relaunched as a proper journal in 2013. Anuradhapura Medical Journal is a member of COPE and is included on DOAJ.Cover Image: Computed tomography perfusion (CTP) brain image of a left-sided ischaemic stroke.The image shows time to peak (TTP) perfusion map of the brain with prolongation of TTP in hypoperfused regions of the left hemisphere identified as patchy areas highlighted in red.Dr. Hemal Senanayake
Highlights
Melioidosis is a granulomatous infection caused by the aerobic gram-negative bacillus Burkholderia pseudomallei
Severe infection is more common in people with diabetes mellitus (DM), renal disease, liver disease, or alcoholism [2]
Presentation of Melioidosis as septic arthritis and soft tissue infections is limited to a few case reports [6,7,8,9]
Summary
Melioidosis is a granulomatous infection caused by the aerobic gram-negative bacillus Burkholderia pseudomallei. Anuradhapura Medical Journal to the local hospital with an acute febrile illness associated with arthromyalgia and general malaise She had a prick injury to the left sole two weeks ago, and it was healed at the time of presentation. One week after completion of the treatment course with doxycycline, she again developed a high-grade fever and right knee joint swelling She was admitted again to the hospital and treated with intravenous antibiotics for one week for septic arthritis. Despite antibiotics, she continued to have a high fever, chills, and worsening right knee joint swelling, resulting in her admission to Teaching Hospital, Anuradhapura. The orthopaedic team managed to successfully drain the infected joint fluid and preserve the joint [4]
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