A case report from non-endemic Australia on systemic melioidosis presenting with septic arthritis
Clinical spectrum of melioidosis can vary from a simple skin infection and pneumonia to severe septicaemia with multiorgan failure. Bone involvement in melioidosis is generally low, and the major risk factor is the delay in diagnosing the primary site infection. We present a case of septic arthritis...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Infectious Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772431X24000741 |
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| author | Buddhika Dhananjalee Alahakoon Monarita Handa Shiromali Malalasekara |
| author_facet | Buddhika Dhananjalee Alahakoon Monarita Handa Shiromali Malalasekara |
| author_sort | Buddhika Dhananjalee Alahakoon |
| collection | DOAJ |
| description | Clinical spectrum of melioidosis can vary from a simple skin infection and pneumonia to severe septicaemia with multiorgan failure. Bone involvement in melioidosis is generally low, and the major risk factor is the delay in diagnosing the primary site infection. We present a case of septic arthritis with primary lung melioidosis, whose diagnosis of pulmonary melioidosis was delayed for 5 weeks leading to a septicaemia and septic arthritis. This case highlights the importance of improved clinical awareness among health practitioners and a low threshold for radiological screening of high-risk patients, even in non-endemic areas. It also highlights the fact that having adjunctive open arthrotomy in managing joint infection in melioidosis improves the clinical response to treatment. |
| format | Article |
| id | doaj-art-d8b9007d81ec4fde8e8ca248ebd5d0d3 |
| institution | Kabale University |
| issn | 2772-431X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Infectious Medicine |
| spelling | doaj-art-d8b9007d81ec4fde8e8ca248ebd5d0d32025-01-24T04:46:00ZengElsevierInfectious Medicine2772-431X2025-03-0141100161A case report from non-endemic Australia on systemic melioidosis presenting with septic arthritisBuddhika Dhananjalee Alahakoon0Monarita Handa1Shiromali Malalasekara2Corresponding author.; Department of Medicine, Rockhampton Base Hospital, Rockhampton 4700, AustraliaDepartment of Medicine, Rockhampton Base Hospital, Rockhampton 4700, AustraliaDepartment of Medicine, Rockhampton Base Hospital, Rockhampton 4700, AustraliaClinical spectrum of melioidosis can vary from a simple skin infection and pneumonia to severe septicaemia with multiorgan failure. Bone involvement in melioidosis is generally low, and the major risk factor is the delay in diagnosing the primary site infection. We present a case of septic arthritis with primary lung melioidosis, whose diagnosis of pulmonary melioidosis was delayed for 5 weeks leading to a septicaemia and septic arthritis. This case highlights the importance of improved clinical awareness among health practitioners and a low threshold for radiological screening of high-risk patients, even in non-endemic areas. It also highlights the fact that having adjunctive open arthrotomy in managing joint infection in melioidosis improves the clinical response to treatment.http://www.sciencedirect.com/science/article/pii/S2772431X24000741Tropical infectionsMelioidosisNon-endemic areaDiagnostic delaySeptic arthritis |
| spellingShingle | Buddhika Dhananjalee Alahakoon Monarita Handa Shiromali Malalasekara A case report from non-endemic Australia on systemic melioidosis presenting with septic arthritis Infectious Medicine Tropical infections Melioidosis Non-endemic area Diagnostic delay Septic arthritis |
| title | A case report from non-endemic Australia on systemic melioidosis presenting with septic arthritis |
| title_full | A case report from non-endemic Australia on systemic melioidosis presenting with septic arthritis |
| title_fullStr | A case report from non-endemic Australia on systemic melioidosis presenting with septic arthritis |
| title_full_unstemmed | A case report from non-endemic Australia on systemic melioidosis presenting with septic arthritis |
| title_short | A case report from non-endemic Australia on systemic melioidosis presenting with septic arthritis |
| title_sort | case report from non endemic australia on systemic melioidosis presenting with septic arthritis |
| topic | Tropical infections Melioidosis Non-endemic area Diagnostic delay Septic arthritis |
| url | http://www.sciencedirect.com/science/article/pii/S2772431X24000741 |
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