Melioidosis causing a mycotic aneurysm

Steinmetz, Ivo; Stosiek, P; Hergenröther, Detlef; Bär, Werner

doi:10.1016/s0140-6736(96)90722-9

Cited by 26 publications

(19 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This prospective study has enabled characterization of the frequency of unusual foci of infection previously described as case reports, such as adrenal abscesses [24][25][26] and mycotic aneurysms [27][28][29]. The importance of diabetes as the most commonly associated risk factor for melioidosis has been clearly documented in previous studies [4,13,15,16,30,31].…”

Section: Discussionmentioning

confidence: 80%

Endemic Melioidosis in Tropical Northern Australia: A 10‐Year Prospective Study and Review of the Literature

et al. 2000

View full text Add to dashboard Cite

In a prospective study of melioidosis in northern Australia, 252 cases were found over 10 years. Of these, 46% were bacteremic, and 49 (19%) patients died. Despite administration of ceftazidime or carbapenems, mortality was 86% (43 of 50 patients) among those with septic shock. Pneumonia accounted for 127 presentations (50%) and genitourinary infections for 37 (15%), with 35 men (18%) having prostatic abscesses. Other presentations included skin abscesses (32 patients; 13%), osteomyelitis and/or septic arthritis (9; 4%), soft tissue abscesses (10; 4%), and encephalomyelitis (10; 4%). Risk factors included diabetes (37%), excessive alcohol intake (39%), chronic lung disease (27%), chronic renal disease (10%), and consumption of kava (8%). Only 1 death occurred among the 51 patients (20%) with no risk factors (relative risk, 0.08; 95% confidence interval, 0.01-0.58). Intensive therapy with ceftazidime or carbapenems, followed by at least 3 months of eradication therapy with trimethoprim-sulfamethoxazole, was associated with decreased mortality. Strategies are needed to decrease the high mortality with melioidosis septic shock. Preliminary data on granulocyte colony-stimulating factor therapy are very encouraging.

show abstract

Section: Discussionmentioning

confidence: 80%

Endemic Melioidosis in Tropical Northern Australia: A 10‐Year Prospective Study and Review of the Literature

et al. 2000

View full text Add to dashboard Cite

show abstract

“…The patient described by Luo et al [6] had multiple relapses, despite receiving appropriate antibiotics. One patient died from a ruptured aneurysm, despite intravenous ceftazidime, without performance of surgical resection [2]. In our series, all patients were men, with a mean age of 60 years.…”

mentioning

confidence: 65%

Mycotic Aneurysm Due to Burkholderia pseudomallei Infection: Case Reports and Literature Review

Low¹,

Quek²,

Sin³

et al. 2005

Clinical Infectious Diseases

View full text Add to dashboard Cite

show abstract

“…To the best of our knowledge, only very few reports exist of mycotic aneurysms by B. pseudomallei in returning travellers without any established risk factors,14 15 but mycotic aneurysms have been described in travellers with risk factors16 and in endemic areas such as Australia,12 Southeast Asia4 8 17 and Brazil 7…”

Section: Discussionmentioning

confidence: 99%

Mycotic aneurysm caused byBurkholderia pseudomalleiin a previously healthy returning traveller

et al. 2014

View full text Add to dashboard Cite

Burkholderia pseudomalleiis a common cause of serious, difficult to treat infections in South-East Asia and Northern Australia, but is a rare imported pathogen in the USA and Europe. We report a case of a patient with a mycotic aneurysm caused byB. pseudomalleiin a previously healthy returning traveller. The patient presented with 4 weeks of abdominal pain and intermittent fever after a brief vacation in Thailand. The aneurysm was excised and replaced by an autologous deep vein graft, and the patient was treated for 6 months with antibiotics adjusted according to postoperative renal impairment. Twenty-four months after surgery the patient is well and without relapse.

show abstract

Melioidosis causing a mycotic aneurysm

Cited by 26 publications

References 3 publications

Endemic Melioidosis in Tropical Northern Australia: A 10‐Year Prospective Study and Review of the Literature

Endemic Melioidosis in Tropical Northern Australia: A 10‐Year Prospective Study and Review of the Literature

Mycotic Aneurysm Due to Burkholderia pseudomallei Infection: Case Reports and Literature Review

Mycotic aneurysm caused byBurkholderia pseudomalleiin a previously healthy returning traveller

Contact Info

Product

Resources

About