DOI: 10.36347/sjams.2022.v10i10.016

Pages: 1686-1689

Managing melioidosis with fulminant sepsis is difficult and challenging. We describe the case of a 30-year-old man with clinical presentation of non-specific septicemic shock with multi organ impairment and severe respiratory distress. The causative organism, Burkholderia pseudomallei was only identified on day 4 of ICU admission. Imaging investigation revealed multiple lung and splenic abscesses. This led to delay in the diagnosis and initiating specific antimicrobial therapy which arise from difficulties in clinical recognition and laboratory diagnosis. Our patient was managed in the ICU for 23 days with intensive antimicrobial therapy. As for now, we should increase the awareness of melioidosis in treating our patients and realize its burden to our community and hoping that a better diagnostic test will arise and helps us in achieving early confirmatory diagnosis and guide for better therapeutic efficacy and survival of the patients.