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Trans R Soc Trop Med Hyg. 2002 Jan-Feb;96(1):72-6.

Cerebral melioidosis in Singapore: a review of five cases.

Author information

1
Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore. david.chadwick@addenbrookes.nhs.uk

Abstract

A variety of neurological manifestations of infection with Burkholderia pseudomallei have been described including cerebral abscesses, which are a well-recognized form of neurological melioidosis. The optimal antibiotic therapy for this condition has not been defined; however, combinations of intravenous antibiotics are frequently used in the early stages. Five cases of melioidosis involving brain abscesses are described which presented in Singapore over the past 3 years (1997-2000), 4 of which cases had evidence of disseminated infection. Despite profound neurological deficits and low Glasgow Coma Scale scores at presentation in 3 of these cases, all survived after surgical drainage and prolonged courses of intravenous ceftazidime or imipenem, and only 2 of whom had residual neurological impairment. One incidental finding on computed tomography (CT) or magnetic resonance imaging (MRI) scans not described before as an association with cerebral melioidosis was sinusitis in 4 out of the 5 cases.

PMID:
11926000
DOI:
10.1016/s0035-9203(02)90248-8
[Indexed for MEDLINE]

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