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Trans R Soc Trop Med Hyg. 2008 Dec;102 Suppl 1:S18-20. doi: 10.1016/S0035-9203(08)70006-3.

Melioidosis--a case series from south India.

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Department of Internal Medicine, Kasturba Medical College, Manipal, Udupi District 576 104, Karnataka, India.


Melioidosis is sporadically reported from various parts of India. We present a case series from south India, highlighting the varied manifestations of the disease. Seven cases of culture-proven melioidosis are presented in whom Burkholderia pseudomallei were isolated from aspirate or blood. Melioidosis had a varied presentation involving multiple abscesses in the soft tissues, liver, spleen, mediastinum and the subdural space. It presented as either acute fulminant sepsis or followed a chronic indolent course, mimicking tuberculosis. Most cases had predisposing risk factors such as diabetes and chronic alcoholism.

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