Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Melioidosis, caused by Burkholderia pseudomallei, is an emerging infectious disease in tropical regions, often presenting with varied clinical manifestations. Patients with uncontrolled diabetes mellitus are at increased risk due to compromised immunity. We report a case of a 52‐year‐old male with uncontrolled type 2 diabetes mellitus who presented with high‐grade fever, localized swelling in the right axilla, and signs of sepsis. Laboratory investigations revealed leukocytosis, deranged glycemic control, and positive blood cultures for B. pseudomallei. Imaging demonstrated a localized abscess without evidence of disseminated infection. The patient was managed with intravenous ceftazidime followed by eradication therapy using oral co‐trimoxazole. Strict glycemic control was instituted concurrently. The patient showed significant clinical improvement with resolution of sepsis and localized infection. This case highlights the importance of early recognition of melioidosis in diabetic patients presenting with localized abscess and sepsis‐like features. Prompt diagnosis, appropriate antimicrobial therapy, and strict control of underlying diabetes are crucial for favorable outcomes.
How to cite this article:
Promit Bhakta, Rishad Ahmed, Sujoy Panchadhyayee and Shazda Qamar. A Case of Melioidosis (Localised Infection with Sepsis Type) in a Background of Uncontrolled Type 2 Diabetes Mellitus.
DOI: https://doi.org/10.36478/makrjms.2025.1.686.688
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2025.1.686.688