Abstract
Sri Lankan Journal of Infectious Diseases (SLJID) is an open access, peer-reviewed, biannual journal published by the Sri Lankan Society for Microbiology (SSM). The Journal considers articles from all professional disciplines involved in the field of infectious diseases. The SLJID does not charge any article processing or publication fee. The Journal has been in publication since 2011 and is included in the DOAJ since 2018.
Highlights
Melioidosis is caused by Burkholderia pseudomallei, a Gram negative bacillus found in soil and water
Pseudomallei. 6-8 Melioidosis presenting with periorbital cellulitis and eyelid abscess has not been reported previously
Diagnosis of melioidosis should be considered in patients who present with periorbital cellulitis or eyelid abscess in areas where melioidosis is endemic
Summary
Melioidosis is caused by Burkholderia pseudomallei, a Gram negative bacillus found in soil and water. A 58-year-old male farmer presented in May 2018 to Kapit Hospital, Sarawak with fever and right eye swelling of 1 week duration His past medical history included bacteraemic melioidosis which was diagnosed in 2016. Http://sljol.info/index.php/SLJID Vol 9, No 2, October 2019 intravenous ceftazidime as intensive phase therapy, followed by eradication therapy with oral trimethoprim-sulfamethoxazole He was diagnosed with type 2 diabetes mellitus during that hospitalization and started on oral anti-diabetic medications. The fever completely settled on day 10 of hospitalization and the right eye swelling progressively reduced His blood glucose control was good while on insulin therapy. Events Admission for fever and right eye swelling for 1 week; treated as right periorbital cellulitis Persistent fever and suspected melioidosis CT orbit showed right periorbital cellulitis Blood culture grew B. pseudomallei Appearance of right eyelid abscess. Resolution of fever and reducing right eye swelling Completed IV ceftazidime for 14 days
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