Melioidotic necrotizing fasciitis presenting as a supraclavicular mass.

Abstract

Melioidosis is an infection caused by Burkholderia pseudomallei that usually involves the respiratory tract. It may manifest as pneumonia, septicemia, or localized infection. We present here a case of melioidosis initially manifesting as a mass over the supraclavicular area and subsequently progressing to necrotizing fasciitis. With appropriate antimicrobial treatment and adequate surgical debridement, localized melioidosis can be treated successfully. Melioidosis should be considered in the differential diagnosis of neck masses, especially in patients who have traveled to or stayed in an endemic area.

• Authors: Tsung-Liang Ma, Guan-Cheng Huang, Hung-Jen Tang, Chia-Ming Chang
• Journal: Japanese journal of infectious diseases (Jpn J Infect Dis) Vol. 61 Issue 2 Pg. 151-3 (Mar 2008) ISSN: 1344-6304 [Print] Japan
• PMID: 18362410 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Adult
• Anti-Bacterial Agents (administration & dosage)
• Burkholderia pseudomallei (isolation & purification)
• Diagnosis, Differential
• Fasciitis, Necrotizing (diagnosis, drug therapy, microbiology)
• Head and Neck Neoplasms (diagnosis)
• Humans
• Male
• Melioidosis (diagnosis, drug therapy)
• Neck (diagnostic imaging, physiopathology)
• Tomography, X-Ray Computed
• Treatment Outcome