DOI: 10.36347/sjmcr.2020.v08i07.008

Pages: 680-681

Melioidosis is a systemic infection caused by gram negative bacteria Burkholderia pseudomallei which spreads through contact with soil and water. High endemicity of Melioidosis is seen in tropical countries in south east Asia specially Thailand, Malaysia, Singapore and Australia. Melioidosis is relatively rare in India and usually presents with systemic symptoms, multiple abscess, consolidation and septic shock. We report a case of meliodosis in a metropolitan city in South India presenting initially with chronic pancreatitis. Difficulty in identification and a low index of suspicion of Burkholderia pseudomallei caused delayed reporting of the species. Proven cases of Meliodosis in India could just be the tip of the iceberg. Varied presentation, its misdiagnosis as other species and the high intrinsic resistance has attributed to its high mortality. With sporadic cases being reported from non endemic areas, a high index of suspicion and early initiation of treatment may save lives.