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Jugular Lymphadenitis as a Precursor to Burkholderia Pseudomallei Sepsis

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Abstract

Melioidosis is caused by the gram-negative environmental saprophyte, Burkholderia pseudomallei (B. pseudomallei). Common presentations include pneumonia, bone and joint disease, renal and soft tissue infections. However, head and neck involvement is rare. We report a jugular lymphnode abscess associated with facial percutaneous inoculation of B. pseudomallei. Hospital course was complicated by endocarditis, septic arthritis and pyelonephritis. Surgical drainage and intensive and eradicative phase of antibiotics successfully cured the disease.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital, Bambolim, Goa, 403-202, India

    Edlyn Rodrigues, Vikas Dhupar, Praveen Satish Kumar & Sthita Gurrala

  2. Department of Microbiology, Goa Medical College and Hospital, Bambolim, Goa, 403-202, India

    Maria Jose Wiseman Pinto

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  1. Edlyn Rodrigues
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  2. Vikas Dhupar
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  3. Maria Jose Wiseman Pinto
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  4. Praveen Satish Kumar
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  5. Sthita Gurrala
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Correspondence to Edlyn Rodrigues.

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Rodrigues, E., Dhupar, V., Pinto, M.J.W. et al. Jugular Lymphadenitis as a Precursor to Burkholderia Pseudomallei Sepsis. J. Maxillofac. Oral Surg. 19, 370–373 (2020). https://doi.org/10.1007/s12663-020-01333-y

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  • DOI: https://doi.org/10.1007/s12663-020-01333-y

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