Display Settings:


Send to:

Choose Destination
See comment in PubMed Commons below
Surg Infect (Larchmt). 2013 Aug;14(4):415-7. doi: 10.1089/sur.2012.140.

Melioidosis presenting as pseudomyxoma peritonei: yet another pretense of the great mimicker: an unreported entity.

Author information

  • 1Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.



Melioidosis, a lethal infectious disease caused by Burkholderia pseudomallei, an important human pathogen in tropical regions, is notorious for its diverse clinical presentations.


We report a case of a 55-year-old woman with a history of total abdominal hysterectomy with bilateral salpingo-oophorectomy for ovarian mucinous cystadenocarcinoma five years back, who presented with complaints of chest pain, abdominal distention, and breathlessness for one week. Ultrasound-guided aspiration of the peritoneal free fluid revealed a thick gelatinous material consistent with pseudomyxoma peritonei. Cytologic analysis of the aspirate was negative for malignant cells, but bacterial culture proved positive for Burkholderia pseudomallei.


She was started on ceftazidime, and she improved symptomatically and was discharged on oral doxycycline and chloramphenicol after three weeks of intravenous antibiotic therapy.


This case is being reported to emphasize an unusual presentation of melioidosis and the significance of timely appropriate antibiotic therapy.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Mary Ann Liebert, Inc.
    Loading ...
    Write to the Help Desk