Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10758
Title: Disseminated melioidosis in the head and neck.
Authors: Loh, Tze Ling
Latis, Sergios
Crossland, Graeme
Patel, Hemi
Affiliation: Royal Darwin Hospital, Tiwi, Northern Territory, Australia..
Royal Darwin Hospital, Tiwi, Northern Territory, Australia..
Royal Darwin Hospital, Tiwi, Northern Territory, Australia..
Royal Darwin Hospital, Tiwi, Northern Territory, Australia..
Issue Date: 17-Jan-2017
Citation: BMJ case reports 2017-01-17; 2017
Abstract: A 35-year-old man was admitted to an intensive care unit with unilateral facial swelling and septic shock after multiple presentations to the emergency department with non-specific unilateral pain over the parotid area. A CT scan of his neck showed diffuse right-sided facial soft tissue infection, mastoid effusion and temporal lobe cerebritis. The upper lobes of his lungs had cannonball lesions that were suggestive of septic lung metastases. Blood cultures and ear canal swabs were positive for Burkholderia pseudomallei The temporal lobe cerebritis eventually developed into an abscess, necessitating a cortical mastoidectomy, craniectomy and temporal lobectomy. After the surgical interventions, antibiotic therapy was continued for a further 6 months. The patient remained well and had no signs of recurrence up to 7 months after the initial presentation.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/10758
DOI: 10.1136/bcr-2016-218606
Type: Case Reports
Journal Article
Subjects: Adult
Anti-Bacterial Agents
Brain Abscess
Burkholderia pseudomallei
Humans
Male
Mastoid
Mastoiditis
Melioidosis
Neurosurgical Procedures
Pneumonia, Bacterial
Shock, Septic
Soft Tissue Infections
Temporal Lobe
Tomography, X-Ray Computed
Appears in Collections:NT Health digital library

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