Nicole Phing Jie Hoo, Sin Toun Loh, Ann Li Lo, David Chun-Ern Ng
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引用次数: 0
Abstract
We report a rare case of melioidosis presenting with submandibular and parotid abscesses, complicated by clival osteomyelitis in a child. Diagnosis was confirmed by molecular testing of pus samples and a positive serology for Burkholderia pseudomallei despite negative blood cultures. The patient initially received intravenous ceftazidime and oral trimethoprim-sulfamethoxazole (TMP-SMX). However, she developed hypersensitivity reactions to TMP-SMX, requiring a switch to oral amoxicillin-clavulanate. She responded well with complete resolution of the submandibular and parotid abscesses after 4 weeks of treatment. This case emphasises the importance of a high index of suspicion of melioidosis in endemic regions due to its diverse clinical presentation and diagnostic challenges.
期刊介绍：
BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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