A case of imported melioidosis presenting as prostatitis

• Published in: Infection Vol. 31; no. 1; pp. 60 - 62
• Main Authors: HEYSE, A. M, DIERICK, J, VANHOUTEGHEM, H, AMEYE, F, BAERT, D, BURVENICH, P, WAUTERS, G
• Format: Journal Article
• Language: English
• Published: Heidelberg Springer 2003; Springer Nature B.V
• Subjects: Abscess - microbiology; Adult; Amoxicillin-Potassium Clavulanate Combination; Bacterial diseases; Bacterial sepsis; Biological and medical sciences; Burkholderia pseudomallei - drug effects; Burkholderia pseudomallei - isolation & purification; Ceftazidime - pharmacology; Human bacterial diseases; Humans; Infectious diseases; Male; Medical sciences; Melioidosis; Melioidosis - diagnosis; Melioidosis - diagnostic imaging; Melioidosis - drug therapy; Prostatitis - diagnosis; Prostatitis - diagnostic imaging; Prostatitis - microbiology; Radiography; Travel; Tropical bacterial diseases; Vietnam; Belgium; Asia; Europe; Sulfanilamide derivatives; Intravenous administration; Prostate disease; Clavulanic acid; Trimethoprim; Male; β-Lactamase; Penicillin derivatives; Sulfamethoxazole; Surgery; Maintenance treatment; Bacteria; Burkholderia pseudomallei; Prostatitis; Male genital diseases; Ceftazidime; Human; Urinary system disease; Multiple; Sulfonamide; Enzyme; Septicemia; Surgical drainage; β-Lactams; Abscess; Oral administration; Enzyme inhibitor; Infection; Case study; Melioidosis; Symptomatology; Antibiotic; Cephalosporin derivatives; Amoxicillin; Bacteriosis; Hydrolases; Antibacterial agent; Inaugural sign
• ISSN: 0300-8126; 1439-0973; 1439-0972
• DOI: 10.1007/s15010-002-2112-3

We report a case of melioidosis in a previously healthy Belgian man. He presented with septicemia and prostatic abscesses 1 week after a trip to Vietnam. Burkholderia pseudomallei was isolated from multiple hemocultures. He was treated successfully with intravenous ceftazidime and trimethoprim-sulfamethoxazole, followed by a per-oral maintenance therapy of amoxicillin-clavulanate with supplementary amoxicillin. There was no need for surgical drainage. This is the second reported case of melioidosis in Belgium.