Septicaemic Melioidosis in a Diabetic Patient From a Tertiary Care Centre in Kerala

Abstract

A 62-year-old male presented to the Medicine Department with altered sensorium with a history of fever of unknown origin of 6 weeks duration. Initially, it was low-grade, on and off fever, which later got converted into high-grade fever with chills and rigors. No h/o cough, dysuria, loose stools, vomiting or headache. No h/o any surgeries in the past, bathing in open water bodies or wound which came in contact with soil (as the patient remembers of). He was a known case of diabetes and was on oral hypoglycaemics. He consulted a doctor in a local hospital and was started on oral amoxicillin and later referred to our hospital as he was not improving. On examination, vitals were stable. He was febrile and pale. Abdominal examination revealed mild abdominal tenderness. The examinations of other systems were unremarkable.