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Case 3
Susceptible – to meropenem, ceftazidime, doxycycline, amoxicillin-clavulanate
and co-trimoxazole. Case 2 IV ceftazidime 2g thrice daily for a duration of two weeks, advice to continue doxycycline 100mg twice daily for 3 months Case 3 IV ceftazidime 2g thrice daily and IV meropenem 2g e twice daily combination therapy followed by oral cotrimoxazole at 480mg twice a day for six months | Both cases were Lost to follow up | Reports from India [ 11 ] | Kerala | B. pseudomallei | Fever with altered sensorium | Farmer | | IV meropenem 1g eight hourly | Recovered |
Reports from worldwide [ 12 ] | Colombia | B. pseudomallei | Fever with chills, rigor and right leg pain | Gardner | | IV meropenem 2g 12 hourly and vancomycin 1g 12 hourly | Recovered |
SSI/wound infection | Our case Case 4 Case 5 | Chennai | B. cepacia B. cenocepacia | Right lower limb fracture treated with emergency surgery presented with SSI on 5th post-operative day Multiple open fracture treated with emergency surgery presented with SSI | Shopkeeper Field worker | Susceptible- ceftazidime, Minocycline, cotrimoxazole, Levofloxacin, Meropenem | IV Meropenem 2g twice daily two weeks and to continue oral co-trimoxazole 480mg twice daily for six months. | Patient completely recovered after follow-up remained free of infection. |
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