Melioidosis is an infection of humans caused by the saprophytic bacterium Burkholderia (previously Pseudomonas) pseudomallei. We present a patient of cerebral abscess and calvarial osteomyelitis caused by B. pseudomallei in a renal transplant recipient. We treated the patient with ceftazidime for 3 weeks, followed by trimethoprim‐sulfamethoxazole (TMP‐SMX) for 6 months. The superficial abscess reduced in size at the end of first month and subsided gradually. A repeat MRI showed reduction in intracranial abscess. The patient had no neurological deficit.

This is the first study of osteoporosis in patients with CKD in Guatemala. A high prevalence of both osteoporosis and osteopenia was found, it is important to screen for alterations in bone density in this population. The female sex seems to be the most associated with these alterations as well as with the estimated risk of fractures.